An olfactory perversion (osmophilia) successfully treated with depo-provera and then psychotherapy

Antiandrogen treatment for sexual disorders: Guidelines for establishing a standard of care

“…Most clinicians, however, advocate that antiandrogen therapy be used in conjunction with some form of psychotherapy (Langevin et al, 1979;Lothstein, 1995;McConaghy et al, 1988;Moffaert, 1976;Money, 1981Money, , 1987Money & Bennett, 1981;Money et al, 1975). While antiandrogen treatment provides a respite from sexual drive, only psychotherapy (in its broadest sense) can help integrate one's sexual needs and intimacy strivings effectively.…”

“…While antiandrogen treatment provides a respite from sexual drive, only psychotherapy (in its broadest sense) can help integrate one's sexual needs and intimacy strivings effectively. I (Lothstein, 1995) have written: "It would appear then that two processes may be involved in perverse symptom formation. The first process focuses on the maintenance of the perversion by the individual's specific neurobiology.…”