Last Updated on Feb 17, 2016

Therapies for Sexual Deviants

Sexual deviants almost never voluntarily seek therapeutic treatment for the simple reason that they do not identify their condition as atypical sexual behavior. They meet a doctor only when an unwilling partner or a victim decides to take legal action or when concerned family members who have detected a paraphilic behavior refer and compel them to benefit from a mental health system. Also, given the immense pleasure sexually deviant people derive from their paraphilic behaviors they are reluctant to change their compulsive behavior and hinder therapeutic treatments –especially psychotherapy and behavior therapies.


It is a non-invasive treatment where a client and the therapist (usually a psychiatrist or a trained social worker) converse for a period of time each week to help the person overcome powerful urges that dictate paraphilic behaviors. This method has not proved very effective, even in the case of cognitive therapy where the therapist tries to change the mindset of the sexually deviant person. Cognitive therapists try to change a person’s maladaptive abnormal sexual behaviors by changing what he thinks about these acts. The reason why these therapies meet with very little success is that, other than the obsessive nature of deriving pleasure from such acts, the clients believe that the problems associated with these sexual acts stem from society’s intolerance of their variant sexual behaviors.

Behavior Therapy

Behavior therapy works on the assumption that maladaptive sexual behaviors have been learned and hence can be unlearned. Aversive conditioning, Systematic desensitization, Organic reconditioning and Satiation therapy are some of the therapeutic methods employed in Behavior therapy.

Aversive conditioning: Recent studies have shown some degree of success in the use of aversive conditioning to treat exhibitionism. An undesired sexual behavior such as masturbating to a paraphilic fantasy is given an aversive (negative) stimulus like mildly painful electric shocks or a nausea-inducing drug. These are also administered to a person while he is viewing photographs or slides depicting paraphilic behavior.

Systematic desensitization: This Behavior therapy works on the premise that people are sexually deviant because of a sense of inadequacy and lack of interpersonal skills that trigger anxiety and cause deviant behavior. The technique aims to help such people to overcome their anxieties and condition them to relax in socio-sexual situations so they can replace deviant behavior with satisfying sexual relationships. The basic technique links gradual exposure to anxiety-inducing situations with relaxation training.

Orgasmic reconditioning: In this behavior therapy masturbation plays a central role. The client is instructed to masturbate to his usually desired deviant fantasy and when orgasm is imminent he is to switch to more socially healthy fantasies particularly at the moment of masturbatory orgasm so that he may get conditioned to sexual arousal from socially acceptable behaviors.

Satiation therapy: In this technique too masturbation plays a central role. The client is encouraged to masturbate to orgasm while fantasizing on appropriate sexual situations. Immediately after orgasm he/she is instructed to continue masturbating while switching to his/her desired deviant fantasy. The idea behind this technique is to experience reduced sexual arousal to inappropriate stimuli.

Drug Treatment

Anti-androgen drugs thatcan drastically lower testosterone levels are widely used to block deviant sexual arousal patterns in coercive paraphilic behavior. Sex offenders who are referred to therapists by legal authorities are commonly treated with Medroxyprogesterone acetate (MPA) and cyproterone acetate (CPA). Drug treatments are most effective in sexual deviants when combined with psychotherapy or behavior therapy.

Social skills training

This treatment is based on the premise that sexual deviants have difficulty forming healthy relationships that give access to healthy forms of sexual expression. The training is designed to teach clients the necessary social skills like conversation, courtship, companionship, to cope with rejection etc, to enable the person to enter into and maintain satisfying intimate, healthy relationships with a sexual partner.


KevHelp Tuesday, June 5, 2012

I'm a divorced male in my early 50s. I was faithful to my wife for the 25 years married. She always rejected my romantic advances so I became accustomed to masturbating. My fantasies varied over the years during masturbation and my post divorce real life sexual encounters have been receiving meaningless anonymous oral sex from women and men. It's the only thing that seems to stimulate me to orgasm. Recently, I met the most beautiful, smart, sexy woman and I love her but she does not stimulate me enough to orgasm. I now realize I have completely disassociated sex and love. This is my problem to fix but it certainly affects her. I have stopped receiving anonymous sex but I still masturbate while thinking about it. Can anyone with medical or behavioral knowledge please suggest how I can get back to associating love and intimacy with exciting sex? She is starting to ask, "what's wrong?" and I don't know how to explain it. I really love this woman!

GladiatiorofPsi Monday, November 18, 2013

If your arousal is based on the anonymity, you will probably have to continue what you're doing and masturbate to your fantasy. If your arousal is based on oral pleasure, you will need too tell her "what's wrong" and trust that she cares enough about you to open up to the idea. Either way it will take time and either reconditioning or being satisfied with your masturbatory sessions and good lovemaking with someone you care for.

Chazz_32 Tuesday, March 6, 2012

I have problems with both frotteurism and fetishism. The impulses are totally out of my control and despite my concience objections and strong will to refrain it is almost like I am posessed and can only stand by and watch. The frotterurism is weird to, I have an impulse to grasp a woman's skirt hem between my fingers without her noticing. I do this in bars and crowed malls mostly. The fetishism is the obsession with womens undergarments from the act of shopping for them to wearing them and filtching them out of my friends and neighbors laundry hampers. I really want to get over this stuff. Chronic mastubation is also a problem...definately associated sex addition from an early age. Never been sexually abused.....but started chronic masturbation very early....child hood considered abusive because very strict parenting causing daily fear and stress...neighborhood bullying also probmatic...and started sexual activity with partners late in life, 19.

luvherlegz Tuesday, January 31, 2012

i was at Kmart one day and i saw this guy walk up next to a lady with a short skirt he bends down to pretend to look at a dvd,he then picks up the dvd lifts up his shirt from his side and rubs his lower back or waste on her leg, she did not no it was deliberate he said sorry she said ''oh thats ok''he got up and walked away. i also have seen him do it in other stores same thing to women with short skirts

nyccj Sunday, October 16, 2011

Pleaew list other nonj-coercive paraphilias besides coprophilia, urophilia, Klismaphilia,transvestic fertishism and S and M. Seeking background for a presentation

SuzieDsouza Tuesday, February 22, 2011

I once saw a middle aged Polish immigrant guy grab a young African American woman's butt on the downtown 1 train just north of 59th st - she whipped out her xacto knife from the sleeve of her jacket with ninja-like speed and, in less than a second the perverted guy was crying out in pain and bewilderment as his blood splattered the subway car's floor. My suggestion is that if you see this use your cellphone and snap a picture, even if you don't get the act, you can follow this guy around until you can get a good shot and then take the time to do a report with Metro Police. Two separate reports with the same photo, has the tendency to make the hunter the hunted.

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