Rosh Psychiatry Board Practice Exam

What would be the most appropriate treatment for a patient diagnosed with exhibitionistic disorder?

1. Cognitive-behavioral therapy

2. Medication management

3. Group therapy

4. Behavioral contracting

The correct answer is: Cognitive-behavioral therapy

The most appropriate treatment for a patient diagnosed with exhibitionistic disorder is cognitive-behavioral therapy (CBT). This therapeutic approach is aimed at helping individuals understand and change their patterns of behavior and thought processes, which can be crucial for someone with this disorder. CBT allows for the exploration of underlying issues that may contribute to the disordered behavior while providing patients with strategies to manage urges and construct healthier ways of interacting with others. CBT specifically helps address the distorted beliefs and fantasies that often accompany exhibitionistic behavior. Techniques within CBT, such as developing coping strategies, addressing dysfunctional thoughts, and gradually increasing exposure to socially appropriate interactions, can be particularly effective. This type of therapy also emphasizes the importance of preventing relapse by incorporating skills to handle triggers and reinforce appropriate social behavior. While other options like medication management and group therapy might play supportive roles or be utilized in conjunction with therapy, they do not directly target the cognitive and behavioral patterns crucial for effectively treating exhibitionistic disorder. Medication may offer symptom relief for co-occurring conditions such as anxiety or depression, but it is not a standalone treatment for the disorder itself. Group therapy can help some individuals by providing social support, but it may not be as effective in addressing the specific cognitive-behavioral strategies needed.