PARAPHILIC DISORDERS & SEXUAL DYSFUNCTIONS

PARAPHILIC DISORDER

An atypical sexual interest that causes clinically significant distress/impairment or involves personal harm/risk of harm to others, especially nonconsenting individuals.

VOYEURISTIC DISORDER

Recurrent/intense sexual arousal from observing an unsuspecting person who is naked, undressing, or engaging in sexual activity.

EXHIBITIONISTIC DISORDER

Recurrent/intense sexual arousal from exposing one's genitals to an unsuspecting person.

FROTTEURISTIC DISORDER

Recurrent/intense sexual arousal from touching or rubbing against a nonconsenting person.

SEXUAL MASOCHISM DISORDER

Recurrent/intense sexual arousal from being humiliated, beaten, bound, or otherwise made to suffer.

SEXUAL SADISM DISORDER

Recurrent/intense sexual arousal from the physical or psychological suffering of another person.

PEDOPHILIC DISORDER

Recurrent/intense sexual fantasies, urges, or behavior involving prepubescent children (generally age 13 or younger) where the individual is at least 16 and 5 years older than the child.

FETISHISTIC DISORDER

Recurrent/intense sexual arousal involving nonliving objects or a specific non-genital body part causing distress/impairment.

TRANSVESTIC DISORDER

Recurrent/intense sexual arousal from cross-dressing, manifested by fantasies, urges, or behaviors that cause distress or impairment.

SEXUAL DYSFUNCTIONS

Clinically significant disturbances in sexual response or ability to experience sexual pleasure, lasting approximately 6 months or more.

DELAYED EJACULATION

Marked delay, infrequency, or absence of ejaculation despite adequate sexual stimulation and desire.

ERECTILE DISORDER

Persistent/recurrent difficulty obtaining/maintaining an erection or reduced erectile rigidity.

FEMALE ORGASMIC DISORDER

Marked difficulty, infrequency, or absence of orgasm or markedly reduced orgasmic sensations in women.

FEMALE SEXUAL INTEREST/AROUSAL DISORDER

Persistently/recurrently reduced or absent sexual interest/arousal, involving multiple aspects of sexual functioning (at least 3 of 6 criteria).

GENITO-PELVIC PAIN/PENETRATION DISORDER

Difficulty with vaginal penetration associated with pain, fear/anxiety about pain, pelvic-floor tightening, or penetration difficulties.

MALE HYPOACTIVE SEXUAL DESIRE DISORDER

Persistently/recurrently deficient or absent sexual/erotic thoughts or fantasies and desire for sexual activity in men.

PREMATURE (EARLY) EJACULATION

Persistent/recurrent ejaculation occurring within approximately 1 minute following vaginal penetration and before the person wishes it.

SUBSTANCE/MEDICATION-INDUCED SEXUAL DYSFUNCTION

Sexual dysfunction developing during or soon after substance intoxication, withdrawal, or medication exposure (e.g., SSRIs).