This video dives into the neuroscience of porn addiction and its real-world effects on the brain, motivation, relationships, and erectile dysfunction. Presented by Consultant Psychiatrist Dr Sanil Rege, it explores how compulsive pornography use mirrors substance addiction—triggering changes in dopamine pathways, prefrontal regulation, and psychosexual development.
You'll learn how online porn exploits novelty-seeking circuits, what hypersexual disorder and POPU (Problematic Online Pornography Use) look like in clinical settings, and evidence-based strategies for treatment—both psychological and pharmacological.
Whether you’re a clinician or patient, this is essential viewing on one of the most hidden yet rapidly growing behavioural addictions.
🔍 Chapters & Timestamps:
0:00 – Introduction: Dopamine, Porn, and Modern Erectile Dysfunction (ED)
1:37 – The Dopamine Hijack: Why Novelty Overstimulates the Brain
3:16 – Hypersexual Disorder & POPU: Underdiagnosed and Misunderstood
4:24 – The Triple-A Engine: Why Online Porn Is So Addictive
5:12 – Early Exposure & Psychosexual Fallout
5:54 – Brain Changes: From Sensitisation to Hypofrontality
6:30 – Treatment Strategies: CBT, ACT, and Mindfulness
7:16 – Pharmacological Approaches: Naltrexone, SSRIs & More
8:21 – Emerging Interventions: rTMS, tDCS, and AI-Driven Tools
12 Strategies Backed by Neuroscience to Quit Porn:
1. Cognitive Behavioural Therapy (CBT)
2. Acceptance and Commitment Therapy (ACT)
3. Mindfulness-Based Relapse Prevention
4. Group Therapy & 12-Step Programs
5. Digital Self-Help Modules
6. Opioid Antagonists (Naltrexone, Nalmefene)
7. SSRIs (for OCD traits or comorbid anxiety)
8. Bupropion (to enhance motivation)
9. Other Medications (e.g., Topiramate, Buspirone)
10. rTMS (Repetitive Transcranial Magnetic Stimulation)
11. tDCS & Neurofeedback
12. Blended & AI-Driven Treatment Models
Key Educational Points:
✔ Porn hijacks the reward system like cocaine or meth—via the VTA–nucleus accumbens loop.
✔ Desensitisation leads to escalating content and real-life sexual dysfunction.
✔ Hypersexual disorder and POPU are clinically significant yet often hidden due to shame and stigma.
✔ Early exposure (avg. age 11) disrupts healthy psychosexual development.
✔ CBT, ACT, mindfulness-based therapies, and meds like naltrexone show promise in treatment.
✔ Novel interventions (e.g., rTMS) and digital recovery tools are emerging.
🎓 Dr Sanil Rege is a Consultant Psychiatrist and founder of The Academy by Psych Scene, a cutting-edge CPD platform for health professionals with expert-led courses in behavioural addictions, neuroscience, and clinical psychiatry.
#PornAddiction #DopamineDetox #MentalHealth #Neuroscience #BehaviouralAddiction #HypersexualDisorder #CBT #PornRecovery #PsychiatrySimplified #DrSanilRege #PsychSceneAcademy #erectiledysfunction
Relevant Resources:
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