Transvestic fetishism
ICD-10 F65.1 is a billable code used to indicate a diagnosis of transvestic fetishism.
Transvestic fetishism is characterized by the recurrent and intense sexual arousal from cross-dressing, which may involve wearing clothing typically associated with the opposite gender. This condition is classified under paraphilic disorders in the ICD-10, indicating that it can lead to significant distress or impairment in social, occupational, or other important areas of functioning. Individuals with transvestic fetishism may engage in cross-dressing as a means of sexual expression, and this behavior can be associated with a variety of psychological factors, including impulse control issues and maladaptive behaviors. It is important to differentiate transvestic fetishism from gender dysphoria, as the former does not necessarily involve a desire to change one's gender identity. Treatment may involve psychotherapy, particularly cognitive-behavioral therapy, to address any underlying issues and to help individuals manage their behaviors in a socially acceptable manner. Understanding the nuances of this condition is crucial for accurate diagnosis and coding, as it intersects with discussions around personality disorders and gender identity.
Detailed patient history, including onset and duration of symptoms, impact on functioning, and any co-occurring mental health conditions.
Assessment of patients presenting with distress related to cross-dressing behaviors, evaluation of impulse control issues.
Consideration of cultural factors and the patient's perspective on their behavior is essential for accurate diagnosis.
Comprehensive psychological evaluations, including standardized assessments of sexual functioning and identity.
Therapeutic interventions focusing on maladaptive behaviors and coping strategies.
Therapists should be aware of the stigma associated with transvestic fetishism and approach treatment with sensitivity.
Used for therapy sessions addressing issues related to transvestic fetishism.
Document the patient's presenting problems, treatment goals, and progress.
Psychiatrists and psychologists should ensure that therapy is tailored to the individual's needs.
Transvestic fetishism involves sexual arousal from cross-dressing, while gender dysphoria is characterized by a strong desire to be of the opposite gender. The two conditions can coexist but are distinct in their diagnostic criteria.
