Pedophilia
ICD-10 F65.4 is a billable code used to indicate a diagnosis of pedophilia.
Pedophilia is classified as a paraphilic disorder characterized by a primary or exclusive sexual attraction to prepubescent children, typically aged 13 years or younger. This condition is not merely a transient interest but is persistent, lasting for at least six months, and causes significant distress or impairment in social, occupational, or other important areas of functioning. Individuals with pedophilia may engage in fantasies, urges, or behaviors involving sexual activity with children. It is crucial to differentiate between pedophilia as a clinical diagnosis and child sexual abuse, which involves acting on these urges. The diagnosis requires careful assessment of the individual's sexual history, psychological state, and any associated personality disorders or impulse control issues. Pedophilia is often linked with maladaptive behaviors and may co-occur with other mental health conditions, including anxiety disorders, depression, and substance use disorders. Treatment typically involves psychotherapy, behavioral interventions, and, in some cases, pharmacotherapy aimed at reducing sexual urges and managing associated psychological issues.
Detailed clinical notes outlining the patient's history, symptomatology, and treatment plan.
Assessment of individuals with sexual attraction to minors, evaluation of risk factors for offending behavior.
Consideration of legal implications and the need for confidentiality in documentation.
Comprehensive psychological evaluations and treatment progress notes.
Therapeutic interventions for individuals with pedophilic tendencies, including cognitive-behavioral therapy.
Focus on ethical treatment approaches and risk management strategies.
Used for ongoing therapy sessions with individuals diagnosed with pedophilia.
Detailed notes on the patient's progress, treatment goals, and any changes in symptoms.
Psychiatrists and psychologists should ensure that therapy notes reflect the complexity of the case.
Pedophilia is a clinical diagnosis characterized by sexual attraction to prepubescent children, while child sexual abuse refers to the act of engaging in sexual activities with a child. Not all individuals with pedophilia act on their urges, and the diagnosis requires a thorough clinical assessment.
