Compulsive sexual behavior is a psychiatric disorder that includes different hypersexual behaviors and sexual fantasies. It is also known as sexual addiction.
- SIGNS AND SYMPTOMS
- CAUSES
- PATHOPHYSIOLOGY
- DIAGNOSIS
- TREATMENTS
- PROGNOSIS
- COMPLICATIONS
- COMPULSIVE SEXUAL BEHAVIOUR AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS
- SAMPRAPTI – AYURVEDIC PATHOGENESIS
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS
- AYURVEDIC PROGNOSIS
- CHIKITSA- AYURVEDIC TREATMENT
- AYURVEDIC SAMANA TREATMENT a
- AYURVEDIC LOCAL TREATMENT
- COMMONLY USED AYURVEDIC MEDICINES
- HOME REMEDIES
- DIET AND BEHAVIOUR
- YOGA
SIGNS AND SYMPTOMS
- Uncontrolled sexual behaviours and sexual fantasies
- Obsessively thinking about sex
- Stress
- Anxiety
- Depression
- Paraphilia behaviours like:
- Exhibitionism
- Voyeurism
- Sexual sadism
- Paedophilia
- Fetishism
CAUSES
- Altered level of neurotransmitters in the brain
- Genetic reasons
- Addictive disorders
- Problems related to drug abuse
- History of sexual abuse
PATHOPHYSIOLOGY
The pathophysiology of compulsive sexual behaviors is similar to psychiatric disorders, which is likely due to the above-mentioned causes as well as psychosocial and environmental factors. Also, the presence of an underlying affective instability may cause individuals to respond to maladaptive behaviours.
DIAGNOSIS
- Proper History taking
- Psychological evaluation
- Laboratory tests to find out the level of neurotransmitters
TREATMENTS
- Counselling
- Cognitive behavioural therapy
- Meditation
- Psychotherapy
- Motivational therapy
- Medications – antidepressants, antipsychotics or mood-stabilizing drugs
PROGNOSIS
Early diagnosis and treatment help to manage the symptoms related to these behaviour.
COMPLICATIONS
- Personality disorder
- Relationship problems
- Chances of sexual offences
- Recurrent thoughts of death or suicide due to depression
- Substance abuse
- Risk of developing an anxiety disorder
COMPULSIVE SEXUAL BEHAVIOUR AND AYURVEDA
- In Ayurveda these can be managed based on manasika vyadhi and unmada chikilsa.
- Sukra dhatu vridhi also participates in the pathology of sexual addition.
- compulsive sexual behaviours can be included under ‘adharaniya vega’.
PROGNOSIS
Early diagnosis and treatment help to manage the symptoms.
COMPLICATIONS
- Personality disorder
- Relationship problems
- Chances of sexual offences
- Recurrent thoughts of death or suicide due to depression
- Substance abuse
- Risk of developing an anxiety disorder
NIDANA- AYURVEDIC CAUSES
- Excess vitiation of doshas in the body
- Increase of mano doshas like rajas and tamas
- Vitiation of sukra dhatu
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS
- Intense urge to do sexual behaviors with or without a specific reason
SAMPRAPTI – AYURVEDIC PATHOGENESIS
Excessive vitiation of doshas in the body due to improper food and behaviours along with derangement in manodoshas leads to irritability in the manas (mind).
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF COMPULSIVE SEXUAL BEHAVIOR
- Atistree kamatha (intense urge for sex)
- Dushtaatmaanaam(unlawful)
- Krodhanam(impulsive)
- Atruptam(unsatisfied/unpleasant)
- Nirbhayam & Shooram(reckless behaviour/impulsive)
- Vyavasaayinam(unlawful)
- Along with these symptoms, the person may also show normal mood and behaviour.
AYURVEDIC PROGNOSIS
Symptoms are manageable with appropriate treatments
CHIKITSA- AYURVEDIC TREATMENT
AYURVEDIC SAMANA TREATMENT
- Brahmighrita
- Brahmi swarasa – juice of Bacopa monnieri
- Saraswataghrita
- Manasamitra vatakam
- Kalyanakaghrita
- Dasamolaghrita
- Aswagandharista
- Shankpushpi churna
AYURVEDIC LOCAL TREATMENT
- Murdha taila – oil application on the head
- Abhyanga – oil massage on the body
COMMONLY USED AYURVEDIC MEDICINES FOR COMPULSIVE SEXUAL BEHAVIOR
Internal administration
- Brahmi ghrita
- Manasamitra vatakam
- Saraswata ghrita
- Kalyanaka ghrita
- Dasamola ghrita
- Aswagandharista
- Shankpushpi churna
HOME REMEDIES
- Enhance communications with family members
- Avoid irritable situations
- Always engaged in activities
DIET AND BEHAVIOUR
- Avoid food items that produce dosha imbalance like cold and dry food, hard to digest. Because dosha imbalance aggravates the symptoms.
- Consume easily digestible nutritious food items, cow’s milk, and ghee.
- Oil massage on the head is advised.
- Advice regular exercise
YOGA
Nadi Shuddi Pranayam – Calms the mind
The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
- Shavasana – relaxes the body and mind
- Bhastrika pranayama
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