How do I support a 15-year-old boy with alvinophilia?

Question

Hello doctor,

One of my friends is suffering from a problem called alvinophilia, or navel fetish. He is 15, and he has become very depressed. He is seeking advice on how to overcome this condition.

I kindly request that you provide some guidance or tips to help him overcome this problem so I can support him.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

Generally, this is not considered a psychiatric disorder but rather a part of sexual curiosity. However, in your friend’s case, it seems to be becoming a problem, as he is feeling depressed and ashamed.

He is still 15 years old and should not face this situation alone. He should involve a trusted adult who is nonjudgmental and supportive. The first step is to remove the feeling of shame. Tell him that this is not a crime and that having a thought does not mean an action has been taken; we often have limited control over our thoughts.

Try to reduce exposure to triggering factors as much as possible, such as excessive screen time. Whenever he feels the urge, he should try to delay the action by starting with a 10-minute wait and gradually increasing the delay time. Over time, he will notice that the intensity of the urges decreases. Urges lose their strength when gratification is delayed.

He should not punish himself or think that he has a mental illness. With time and self-control, the condition can improve. If it does not, then medical treatment or structured psychotherapy may be required.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.