For people with pedophilic disorder who do seek help, research suggests that
cognitive-behavioral treatment models may be effective. Such models may include aversive conditioning, confrontation of cognitive distortions, building victim
empathy (such as by showing videos of consequences to victims),
assertiveness training (social skills training,
time management, structure),
relapse prevention (identifying antecedents to the behavior [high-risk situations] and how to disrupt antecedents), surveillance systems (family associates who help monitor patient behavior), and lifelong maintenance.
Medications may be used in conjunction with
psychotherapy to treat pedophilic disorder. Such medications include medroxyprogesterone acetate (Provera) and leuprolide acetate (Lupron), antiandrogens to lower sex drive. Intensity of sex drive is not consistently related to the behavior of paraphiliacs and high levels of circulating
testosterone do not predispose a male to paraphilias. Hormones such as medroxyprogesterone acetate and cyproterone acetate decrease the level of circulating testosterone, potentially reducing sex drive and aggression. These hormones, typically used in tandem with behavioral and cognitive treatments, may reduce the frequency of erections, sexual fantasies, and initiation of sexual behaviors, including
masturbation and intercourse.
Antidepressants such as fluoxetine have also been found to decrease sex drive but have not effectively targeted sexual fantasies.