A Case Report on Compulsive Sexual Behavioural Disorder in a Geriatrics Male without Obsessive Compulsive Disorder and its Management
Abstract:
Background: Compulsive sexual behavioural disorder (CSBD) is included in ICD-11 as an impulse control disorder. CSBD shares clinical features with obsessive compulsive spectrum disorder and behavioural addiction. Due to controversy about this disorder and lack of validated diagnostic instrument, there are only few studies on CSBD.
Case: 68 years old male patient presented to opd for the first time with complaints of repetitive sexual urges. He was apparently functioning well until 30 years when his family members reported behavioural changes including involvement in repetitive sexual activities wife and paid sexual activities on a regular basis after his wife refused to get involved with him, excessive masturbation while watching porn throughout the day. He had uncontrollable urge for sexual activities due to which he was fired from his job as he was involved in a inappropriate sexual activity with a child. His relationship with his family members worsens due to his uncontrollable urge towards sexual activities. He has been repeatedly involved in talking to females in his society to get engage in sexual activities which was uncontrollable even after getting legal complaints due to which there was marked distress and significant impairment in personal and social life.
Conclusion: on the basis of history and examination; scales were applied like SIAS, CSBI, Hypersexual behavioural Inventory, , patient was diagnosed to be a case of Compulsive Sexual Behaviour Disorder and managed Psycho-pharmacologically and there was improvement after two months of admission.
