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Several different types of psychotherapy have been found helpful in treating exhibitionism: cognitive-behavioral therapy, orgasmic reconditioning, group therapy, 12-step programs for sexual addicts, and couple or marriage therapy (if the offender is married). Antidepressant therapy, specifically selective serotonin reuptake inhibitors (SSRIs) such as Prozac, can be effective in treating exhibitionism and other paraphilias. The most widely prescribed hormonal treatment for people with exhibitionism is medroxyprogesterone acetate (Depo-Provera), which decreases the level of circulating testosterone, thus reducing the sex drive as well as aggression. Luteinizing hormone-releasing hormone agonists, referred to as pharmacological castration (Trelstar), block the uptake and metabolism of testosterone. A mooning at a high school football game does not, in itself, constitute exhibitionism, or does flashing one s breasts at Mardi Gras.