Pornography addiction and ADHD in adults

Pornography addiction and ADHD in adults

6 years ago

67.4% of my patients have an addiction to porn. OK, I made up the precise statistic to get your attention; I just meant a significant subgroup! Pornography activates the novelty-seeking pathways in the brain and by some accounts, is indistinguishable from cocaine in its activation of the pathways of the brain involved in the regulation of dopamine. ADDers love to have dopamine surges and, "Voila!" you have a volatile combination! 

The problem comes when the person becomes compulsive and hyper-focused on the behavior, which then replaces healthy interpersonal relations and other life affirming strategies with compulsive viewing, searching, and masturbating to the material. The widespread availability of pornography has propelled it as drug/behavior of choice. 

My technique for helping patients bothered by this addiction is to UNCOUPLE the shame, guilt, and secretiveness of the behavior and to address the anxiety, depression, and impulsivity which makes them vulnerable. Some of the pharmacological agents used for other addictions that have dopaminergic properties have also been helpful. It is also important to keep reasonable expectations. Don't expect the behavior to go away just because you started your treatment for ADHD. It will take time and patience.

Self Observation and ADHD
Self Observation and ADHD
3 years ago

One of the most detrimental approaches to evaluation and management of ADHD, especially in adults, is to have a fixed disease mode...

Turbulent times lead to strong emotions
Turbulent times lead to strong emotions
5 years ago

It's okay to feel anxious, sad and restless these days! It might point you to some corners of your mind and psyche that need working on. If you are a human anywhere on this planet you feel the unse...

Detrimental effects of THC on ADHD
Detrimental effects of THC on ADHD
2 years ago

Tetrahydrocannabinol (THC) is the main psychoactive ingredient found in marijuana. Studies have shown that THC can have detrimental effects on individuals with attention-def...