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He started masturbating daily at night and this continued for 6 months.Gradually, the frequency of masturbation started increasing. He had to masturbate 4-5 times in a day and felt anxious if he did not do so.Due to the itching he used to scratch the genital regions, and that would bring relief to him.He used to do so even at his workplace but had to find some isolated place to do the same.He claimed that if he stopped masturbating, he would not get sleep, feel irritable and uneasy.He tried to divert his mind by listening to music or watching television but no results.He would continue going out to work, but remained fearful.Initially, his fear would last for few minutes, but gradually over a period of 6 months his fear had increased lasting for the majority of the day.
He was apparently alright 4 years prior to the presentation when he had an altercation with one of his friends in his village over a petty issue and had a verbal spat with him.
The itching increased once to such an extent that in order to seek relief, he applied cockroach killer gel on it, feeling that it might be due to some worm infestation.
He was not sure whether there were insects crawling under the skin, but he did admit that it was a foolish move to apply cockroach killer gel on his genitals.
He did not have any hallucinations, disorganized behavior or any other suspiciousness.
He did not have the persistent sadness of mood, decreased interest in daily activities or suicidal ideation.