Pornography addiction and ADHD in adults

4 months ago 

67.4% of my patients have an addiction to porn. OK, I made up the precise statistic to get your attention; I just meant a significant subgroup! Pornography activates the novelty-seeking pathways in the brain and by some accounts, is indistinguishable from cocaine in its activation of the pathways of the brain involved in the regulation of dopamine. ADDers love to have dopamine surges and, "Voila!" you have a volatile combination! 

The problem comes when the person becomes compulsive and hyper-focused on the behavior, which then replaces healthy interpersonal relations and other life affirming strategies with compulsive viewing, searching, and masturbating to the material. The widespread availability of pornography has propelled it as drug/behavior of choice. 

My technique for helping patients bothered by this addiction is to UNCOUPLE the shame, guilt, and secretiveness of the behavior and to address the anxiety, depression, and impulsivity which makes them vulnerable. Some of the pharmacological agents used for other addictions that have dopaminergic properties have also been helpful. It is also important to keep reasonable expectations. Don't expect the behavior to go away just because you started your treatment for ADHD. It will take time and patience.

4 months ago

The FDA's approval of esketamine (which is a derivative of the anesthetic drug ketamine) for treatment of depression has been hailed as a ‘game changer&rsquo...

4 months ago

ADHD-affected individuals often have trouble reading for long periods. Many report trouble concentrating, experience headaches, sleepiness, and restlessness while atte...

4 months ago

Many people who start medication therapies to treat the core ADD/ADHD symptom notice subtle changes that are not always easy to accept or manage. The character style t...

4 months ago

When I was a resident physician in training, I remember my excitement in mastering the principles of psychopharmacology. I was so eager to diagnose patients" prob...

4 months ago

Low frustration tolerance is a hallmark of the ADHD sufferers. The scenario goes something like this: You are trying to focus on completing your expense report, and th...

4 months ago

Recently a patient whom I had not seen for almost a year showed up in my office demanding that her antidepressant prescriptions be filled for another year. She made it...

Dr. Farid Sabet

8401 Chagrin Road Suite 15A, Chagrin Falls, OH 44023, USA

Phone: 1 (440) 543-0707

Follow us