Symptoms of exhibitionism that regress with bupropion: A case report

Abstract

Exhibitionistic Disorder, one of the paraphilic disorders, is a disease with an unknown etiology and causes significant distress and loss of function in the patient's life. Serotonergic antidepressants are generally preferred in the treatment of this Disorder. However, in this case, we report a patient who did not respond to serotonergic antidepressants but bupropion, an antidepressant with dopaminergic and noradrenergic activity. Therefore, bupropion should be considered a medical treatment alternative in case serotonergic antidepressants do not work efficiently in the treatment of Exhibitionism.

Pharmacological Interventions in Paraphilic Disorders: Systematic Review and Insights

“…In an interesting case report, bupropion was used to treat exhibitionism unresponsive to serotonergic antidepressants [ 47 ]. Initially, psychotherapy and escitalopram were ineffective.…”