Compulsive Sexual Behaviors Treated With Naltrexone Monotherapy

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To the Editor: Compulsive sexual behaviors are excessive or uncontrolled sexual cognitions or behaviors that lead to clinically significant distress with undesired medical, social, occupational, legal, or financial consequences. Typically, compulsive sexual behaviors are characterized by the failure to resist the urge for a given sexual behavior, which is frequently followed by feelings of guilt, regret, and self-reproach, leading to their inclusion in the spectrum of impulse control disorders. The treatment of compulsive sexual behaviors is challenging, with reports of varying success for several psychotherapeutic and pharmacologic interventions, including serotonin reuptake inhibitors, mood stabilizers, and antipsychotics.