Vayısoğlu Sefa
Independent Researcher, Adana, Turkey.
Front Psychiatry. 2023 Jan 4;13:1079863. doi: 10.3389/fpsyt.2022.1079863. eCollection 2022.
Exhibitionistic Disorder, one of the paraphilic disorders, is a disease with an unknown etiology and causes significant distress and loss of function in the patient's life. Serotonergic antidepressants are generally preferred in the treatment of this Disorder. However, in this case, we report a patient who did not respond to serotonergic antidepressants but bupropion, an antidepressant with dopaminergic and noradrenergic activity. Therefore, bupropion should be considered a medical treatment alternative in case serotonergic antidepressants do not work efficiently in the treatment of Exhibitionism.
露阴障碍是性偏好障碍之一，是一种病因不明的疾病，会给患者生活带来极大痛苦并导致功能丧失。在这种障碍的治疗中，通常首选5-羟色胺能抗抑郁药。然而，在此病例中，我们报告了一名对5-羟色胺能抗抑郁药无反应，但对具有多巴胺能和去甲肾上腺素能活性的抗抑郁药安非他酮有反应的患者。因此，在露阴癖治疗中，如果5-羟色胺能抗抑郁药治疗效果不佳，应考虑将安非他酮作为一种治疗选择。
