Brief Answer: You appear to have sexual obsession. Detailed Answer: Hello, Thanks for your query. I appreciate your efforts for medical consultation in so much distress. Important aspects of your query are: • 34 year old male • Complaints of: Obsession with sexual thoughts and poor concentration From your query it appear that you are having excessive sexual thoughts which is leading excessive porn watching and poor concentration. Your condition may be due to sexual obsessions, in which person has excessive, intrusive and stressful sexual thoughts leading to compulsive actions to seek sexual gratification. Obsessions occur due to neurotransmitters imbalance in brain most commonly involving serotonin neurotransmitter. You may need treatment from psychiatrist to get well. There is need for treatment, if symptoms cause significant personal distress or affect personal/professional life. Both drug and non drug treatment like cognitive behavior therapy (form of psychotherapy) are used for treatment. Choice of treatment depends on severity of symptoms, personal preference and availability of treatment. In drug treatment of sexual obsession and excessive sexual impulses, most commonly SSRI (selective serotonin reuptake inhibitors) are used. SSRI takes around 3-4 weeks to show its effect. These medicines are prescription medicine and given after in person examination by physician. Non drug treatment like cognitive behaviour therapy (form of psychotherapy) also takes weeks to show its effect. Following steps will also help you: -Inform psychiatrist regarding sexual obsessions in detail. -Do not come in trap of sexual thoughts and never do unprotected sex. Paid sex carry high risk of sexually transmitted diseases like HIV and syphilis. -Involve your some family members/friends in treatment implementation in form of supervision by them for internet use. Inform them about your plan to stop porn watching. -Do not have downloaded porn content in hard disc or laptop and delete them now itself after receiving my reply. -Fixed your internet use hours. For that it is better to cut unsupervised internet use as much as possible. -Write hours of internet use daily in calender, monitor it and reduce hours gradually. It will also provide you feedback for progress. -Follow these advices strictly I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups. Wish you good health. Regards, http://bit.ly/Dr-Ashish-Mittal

---

Brief Answer: Hi. Detailed Answer: Hello again, Thanks for follow up. In my opinion in person CBT is better. But sometime due to busy schedule, not possible for everybody. You can follow this link for online CBT: http://www.rcpsych.ac.uk/healthadvice/treatmentswellbeing/cbt.aspx In my view, You should visit psychiatrist first and according to psychiatrist advice you can visit psychologist in your area. In kandivali east you can visit psychiatrist: Dr. XXXXXXX XXXXXXX XXXXXXX Address: 1/1, Shant Manor , Chakravarty Cross Road Kandivali East, Mumbai -0000 Contact: 022 - 0000/0000 Wish you good health. Regards

---