Management of Dhat Syndrome: An Overview

Abstract

‘Dhat syndrome’ is a culture‑bound syndrome characterized by preoccupation with semen loss and attribution of physical and psychological symptoms to the same. The patient attributes the symptoms to loss of semen in urine or through masturbation or excessive sexual activity. Patients with ‘Dhat syndrome’ experience somatic, anxiety and depressive symptoms and often present with sexual dysfunction. It is commonly seen in young, newly married or unmarried males of low socio‑economic status of rural background. They usually belong to families with conservative attitude towards sex.Thus, identifying and treating this syndrome becomes crucial and needs serious attention. Important steps in management of ‘Dhat syndrome’ include integrated collaborative approach between health professionals, patient centered psychoeducation, reassurance to patient, correction of sexual myths, empathetic listening, non-confrontational approach, pharmacotherapy which involves the use of placebo, antianxiety and antidepressant medications with supportive psychotherapy.