Talk to Psychiatry on Compulsive Addiction

I am 21 years old and have been struggling with compulsive pornography use and masturbation for about 7 years. I have tried many times to quit, but the longest I have stayed away is around 20 days. After that, I usually relapse into binge sessions, often masturbating multiple times, yet I still feel mentally unsatisfied. It feels like my brain keeps craving more stimulation instead of feeling satisfied.

Over the years, I have lost interest in studying, spending time with family and friends, and activities I once enjoyed. I feel emotionally numb, irritable, constantly stressed about my career, and guilty about not being productive. These feelings often trigger another relapse, creating a cycle that I cannot break.

I am concerned that I may have developed tolerance or changes in my brain's reward (dopamine) system due to years of compulsive use. Could this be related to compulsive sexual behavior, depression, anxiety, or another condition? Is there any evidence-based medical treatment, medication, or therapy that can help reduce these compulsive urges and support recovery? I would appreciate a full evaluation and guidance