Pornography addiction and ADHD in adults

Pornography addiction and ADHD in adults

5 years 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.

The Reluctant Psychiatrist
The Reluctant Psychiatrist
5 years 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" problems and apply the right treatment....

The Complex World of Psychiatric Diagnoses and Treatment: Why They Aren't "One Size Fits All"
The Complex World of Psychiatric Diagnoses and Treatment: Why They Aren't "One Size Fits All"
5 months ago

As a psychiatrist, I am well aware that the world of mental health is often far more complex than other medical disciplines. Psychiatric diagnoses and treatments can't always be treated like...

ADHD and the Friday night date
ADHD and the Friday night date
5 years ago

You have been working hard all week and really look forward to going out with your fiancé to a nice restaurant and enjoying yourself. She has not seen you all week and is excited about findi...