Which medication is reasonable to add to the treatment regimen for a woman with compulsive buying disorder engaged in psychotherapy?

Naltrexone is a medication that acts as an opioid receptor antagonist and has been shown to be effective in treating certain behavioral addictions, including compulsive buying disorder. This disorder is characterized by an inability to resist the urge to shop and buy items, even when it causes distress or financial issues. Naltrexone can help reduce cravings and the compulsive behavior associated with buying, helping individuals manage their impulses more effectively.

In the context of treating compulsive buying disorder, psychotherapy is an important component, but pharmacological interventions may also provide additional support. Research suggests that naltrexone can help decrease the frequency and intensity of compulsive behaviors by modulating reward pathways in the brain. Its ability to target impulse control makes it a reasonable choice in conjunction with psychotherapy.

Other medications listed have their own usefulness in various contexts, especially for mood and anxiety disorders, but naltrexone specifically addresses the compulsive nature of the behavior associated with buying disorders, making it particularly relevant for this condition.