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SSRIs and Paraphilias

Posted by Ponder on March 21, 2002, at 21:25:18

In reply to Re: SSRI's, BPD, OCD » Dinah, posted by BarbaraCat on January 31, 2002, at 2:10:13

Perhaps this should be a new thread, but I like the insights of the people who have posted on this one and hope some of you may have some wisdom to share.

I recently met someone who is bright, beautiful, affectionate, etc. and became somewhat involved rather quickly. When it became apparent that we were developing something more than a casual friendship, he said he had something he needed to discuss with me. It seems he has a history of exhibitionism and is currently in treatment pursuant to the probationary provisions of a misdemeanor conviction. He seems to have a great deal of insight and is pursuing treatment responsibly and sincerely. He is extremely affectionate with me and tends to my sexual needs, but does not achieve satisfaction for himself, nor does he even seem to try, really.

I already have compelling feelings for this man. Since he told me his situation, I have been reading all I can about this disorder, it's treatment and prognosis. So far, the literature has not yielded much optimism. Apparently SSRIs are sometimes used to lessen the OCD aspects of the disorder, the sexual side-effects being seen as beneficial. The psychiatric literature seems wholly directed at extinguishing the offender's sexual feelings altogether, with little being written about redirecting those feelings to more acceptable outlets.

The prognosis appears dim from what I have read. Do any of you have any knowledge of this subject?


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