This is a case of Kleine-Levin Syndrome, which is described in a teenage girl who presented with features of hypersomnolence, hyperphagia, and hypersexuality. The patient‘s initial presentation was with academic decline due to excessive somnolence, which was recurrent in nature. She was started on stimulants and lithium medications, to which she showed favorable response (German J Psychiatry 20...

Real hypersexuality is rare in demented subjects. Most inappropriate sexual behaviors are related to disinhibition or lack of taking into account contextual environment and feelings of others. Four dimensions should be taken into account for their analysis: research of intimacy, libido enhancement, disinhibition, and cognitive factors. An integrative model is proposed to adequately adapt their ...

Kleine-Levin syndrome (KLS) is an episodic hypersomnia with cognitive disturbances such as confusion, apathy, and derealization. Hyperphagia and hypersexuality occur in around 50% of cases. No evidence-based treatments have been established for KLS. Many drugs have been tried, most often with little success. Here, a case with a striking response to lithium is presented.

This article reviews the current evidence base for the diagnosis, assessment, and treatment of hypersexual conditions. Controversy concerning this diagnosis is discussed. Terminology and diagnostic criteria, as well as psychological, psychopharmacological, and other treatment approaches, are presented.

With a multiple case report analysis we demonstrate that hypersexuality more often results from right hemisphere (RH) (n=26) than left hemisphere (LH) (n=7) lesions, possibly because of LH release after the RH lesion, and that ictal orgasm more often occurs in patients with right-sided (n=23) than left-sided (n=8) seizure foci, with the symptom probably resulting from RH activation. The LH may ...

We report hypersexuality in three people with schizophrenia after starting risperidone, with evidence suggesting a possible link between risperidone and the hypersexuality. Mrs X, 71 years old, married once and widowed for 20 years, with no known history of hypersexuality, was started on risperidone 25mg intramuscular (IM) injection three times weekly. Two months later, she complained of ‘havin...

We report hypersexuality in three people with schizophrenia after starting risperidone, with evidence suggesting a possible link between risperidone and the hypersexuality. Mrs X, 71 years old, married once and widowed for 20 years, with no known history of hypersexuality, was started on risperidone 25mg intramuscular (IM) injection three times weekly. Two months later, she complained of ‘havin...