It's more a psychological than a physical condition. She disapproves of the use of chemical castration with medroxyprogesterone acetate, which six states currently allow. Provera, a female sex hormone, works well. Miller also points to recent success with Prozac and other antidepressants for helping sexual compulsives. The bulk of Miller's work with sex offenders, however, is also behavioral.
Most child molesters are extremely immature individuals who are uncomfortable around adult women.
There are behavioral techniques to keep them from being aroused by little kids. We teach them to couple, say, an image of a little boy with the judge's gavel coming down or the jail door slamming shut. Show the guy a picture of an appropriate sexual object, usually a female around his own age, and have him masturbate to ejaculation. Then immediately put the inappropriate image, the little boy or girl, in front of him, and he can't masturbate. Miller emphasizes that child molesters, unlike rapists, generally don't want to hurt and humiliate their victims.