![]() Consciousness of illness.ĭuring the 11 months that she has been under out-patient treatment, a slight decrease in hypersexual activity has been observed she has channelled this psychopathology in a less maladaptive manner, through a stable couple relationship. She reported occasional nightmares related to the aggressor, without any other associated PTSD symptoms (such as separation anxiety, place avoidance, intrusive images, etc.). She showed excessive libido, with dysphoria secondary to loss of behavioural control. No suicidal ideation, desperation or anhedonia. At the affective level, she showed moderate prolonged emotional lability, with no seasonal or circadian pattern. She denied psychotic symptomatology (for example, delusions of grandeur or prejudice). Likewise, she reported fear of rejection in the context of emotional openness. Fluid and spontaneous speech, with noticeable sexual ruminations of an ego-syntonic nature, nonparaphilic and heterosexual, with secondary hypoprosexia (difficulty in paying attention to class explanations). ![]() Appropriate family adjustment, with no discord among family members or psychiatric antecedents of interest.ĭuring the interview, she was found to be aware and alert, with a cordial and collaborative attitude. Good school performance, with a discrete academic decline during the last course (a failing mark). Her first consented sexual relationship at 15 years. At the social level, she has maintained a few friendships since early adolescence. She reported that, after that, she exhibited symptomatology compatible with compatible PTSD until 14 years of age (nightmares, fear of the dark, flashbacks, situational avoidance, separation anxiety), minimising the symptoms in the family environment. She indicated that, when she was 12, she suffered a sexual aggression with a penetration attempt from an unknown adult, which she did not tell anyone about because she felt ashamed. She was described from infancy as a child who was “insecure and with low self-esteem”. Her birth and puerperium were without any incidences standard development through the growth landmarks, with no delay in learning. For several months, there has been a sensation of lack of control over these impulses, which motivated the application for treatment. ![]() She stated that her self-esteem increased by feeling desired by many men. ![]() She reported exacerbation of the hypersexual behaviour in the context of stress, indicating that there was a transitory relief from discomfort when an organism was reached. Likewise, she was incapable of maintaining a stable romantic relationship, with infidelities when she had a partner. Throughout this period, there was intermittent school absenteeism (she went to the park to run and voluntarily bumped into men). The patient reported fantasies and constant hypersexual activity since she was 15, with compulsive masturbation (3–4/day) and multiple sexual encounters (1–2/week) using prophylactics. We present the case of a 16-year-old female adolescent referred to the Child and Adolescent Mental Health Centre in Mataró for assessment for sexual promiscuity. 1,2 It sometimes becomes the main symptom that the patient presents, consequently acquiring the level of mental disorder. Hypersexuality is a psychopathological alteration frequently associated with various psychiatric and neurological symptoms.
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