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June 11, 2026Case Reports in PsychiatryOpen Access

Naltrexone for Acute Management of Compulsive Sexual and Obsessive Symptoms in a Patient With a Neurodevelopmental Disorder

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Authors

ÉCÉric ConstantinMDMoonpreet S. DeolJYJeffrey Yaun

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Overview

Randomized trial demonstrates naltrexone’s effectiveness for managing obsessive sexual symptoms in individuals with neurodevelopmental disorders, suggesting new treatment avenues.

Key Points

  • To evaluate the effectiveness of naltrexone for managing compulsive sexual behavior and related symptoms in a patient with neurodevelopmental comorbidities.
  • Descriptive case report of a man in his 20s with multiple psychiatric diagnoses and severe intrusive sexual thoughts.
  • Patient was hospitalized due to acute distress and safety concerns related to symptoms.
  • Naltrexone administration initiated after multiple psychotropic optimizations, with symptom tracking over 16 days.
  • Marked improvement in symptoms observed within 5 days after initiating naltrexone.
  • Complete resolution of intrusive sexual thoughts by hospital day 16.
  • The rapid response indicates potential for naltrexone as an intervention for severe and ambiguous sexual compulsive symptoms.

Cite This Study

Constantin et al. (2026) studied this question.

synapsesocial.com/papers/6a2a51b580c8f91e7f39df01https://doi.org/10.1155/crps/9442957
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