ABSTRACT
This chapter explores the use of pharmacological interventions, in the form of medication to manage problematic sexual arousal (MMPSA), as an additional treatment method for individuals who have been convicted of sexual offences. The use of pharmacological interventions have been shown to be a beneficial treatment to individuals with aspects of problematic arousal such as sexual preoccupation and hypersexual desire. The effective treatment of problematic sexual arousal is important as excessive arousal has been shown to be a risk factor in further offending. The chapter discusses the different facets of problematic sexual arousal and how this impacts on an individual’s wellbeing. The different types of medication available are explained along with a discussion of how they affect levels of arousal. Evidence of effectiveness is also provided. MMPSA is discussed in the context of other treatment options. Pharmacological interventions are a relatively new treatment method in the UK and research into the effectiveness is ongoing however initial results are promising. Individuals who have used MMPSA have reported lower levels of problematic sexual arousal and improvements in levels of anxiety and depression.
