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The patient at that time had threatened to kill his friend by throttling him.

After this incident, he came to Mumbai and started working here in a shop as a helper.

Drugs helpful for treatment of compulsive masturbation include lithium, buspirone, tricyclic antidepressants, selective serotonin reuptake inhibitors (SSRIs), atypical antipsychotics, naltrexone, and mirtazapine.

standard educated unmarried male, working in a shop had presented to the outpatient department.

He did not have any hallucinations, disorganized behavior or any other suspiciousness.

He did not have the persistent sadness of mood, decreased interest in daily activities or suicidal ideation.

Due to the itching he used to scratch the genital regions, and that would bring relief to him.

While he was engaged in work, the itching did not bother him.The psychiatric co-morbidities associated with it include mood and anxiety disorders, substance use disorders, etc.Here, we report a case of a patient with the delusional disorder having compulsive masturbation.J Mental Health Hum Behav [serial online] 2015 [cited 2019 Aug 31];-40. 2015/20/1/38/164825Historically compulsive masturbation has been included in paraphilia related disorders, which also include protracted promiscuity, dependence on pornography, telephone sex dependence, severe sexual desire incompatibility and ego-dystonic persistent use of sexual accessories such as drugs (e.g., amyl nitrate, cocaine) or objects (e.g., dildos) used specifically in association with sexual behavior.According to one study, compulsive masturbation was significantly associated with the other paraphilia related disorders, and it was the most common form of sexual release over the lifetime, regardless of marital or relationship status.

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He presented with chief complaints of fearfulness that a friend of his would kill him along with pain in the genital region and repeated masturbation since 4 years.

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