If pathologic hypersexuality occurs on aripiprazole or cariprazine, and isn't mitigated by ssris, and changing drug is absolutely not an option, nor another antipsychotic an option even as adjunct, what can be given to help it? Cannot change drug as only one with awakener response. Diag negative schizophrenia. Taking cariprazine 3 mg, valproate cr 1g, fluoxetine 40. Hypersexuality comes like waves and floods in chest similar to adrenergic overactivity resulting in uncontrollable impulses and compulsive behaviour. Doctor is at a loss how to help. Please suggest in writing, not over phone, if anything can help.