A 46 yo male is brought to your office by his wife for the evaluation of his symptoms. She reports that for the last 8 months, the patient has lost all ‘norms of decency’. He is touching his private parts in public places. He is undressing and exposing his genitals to strangers. He has difficulty remembering things. A few months ago, on a flight from Los Angeles to New York, he allegedly touched a fellow passenger inappropriately and was arrested by the federal aviation authorities. He pleaded guilty to a misdemeanor and was sentenced to a federal prison for 3 months. Prison health records show that he has had a tendency to explore objects by placing them in the mouth together with the indiscriminate eating or chewing of objects and all kinds of food. He reports that he has no other way to recognize objects as he cannot see them properly. His past medical history is significant for herpes simplex encephalitis and a head injury a year ago. In the physical examination, you notice a very passive individual with a flat affect and reduced response to your greetings,but he follows your commands well. He exhibits excessive attentiveness to visual stimuli with a tendency to touch every object. The MRI of his brain showed bilateral damage to the amygdala and the neighboring temporal cortex. Which of the following medications is found to be beneficial to reduce sexual behavioral abnormalities in patients with this disease?
