Other paraphilias
ICD-10 F65.8 is a billable code used to indicate a diagnosis of other paraphilias.
F65.8 encompasses a range of paraphilic disorders that do not fall under the more commonly recognized categories such as exhibitionism, voyeurism, or fetishism. Paraphilias are characterized by intense sexual arousal to atypical objects, situations, or individuals, which may lead to distress or impairment in social, occupational, or other important areas of functioning. Individuals with these disorders may engage in maladaptive behaviors that can affect their relationships and overall mental health. The diagnosis requires that the paraphilic behavior is recurrent and persistent, typically lasting for at least six months. It is essential to differentiate between paraphilias that are harmless and those that may involve non-consenting partners or cause harm. The presence of co-occurring personality disorders, impulse control issues, or gender identity concerns can complicate the clinical picture, necessitating a comprehensive assessment and tailored treatment approach. Treatment may involve psychotherapy, behavioral interventions, and, in some cases, pharmacotherapy to manage symptoms and reduce the risk of harmful behaviors.
Detailed patient history, including sexual history and psychosocial factors.
Assessment of patients presenting with distress related to paraphilic interests.
Consideration of ethical implications and the need for informed consent in treatment.
Thorough psychological evaluation and treatment plan outlining therapeutic interventions.
Therapy sessions addressing maladaptive behaviors and coping strategies.
Focus on behavioral modification techniques and patient safety.
Used during therapy sessions for individuals with paraphilic disorders.
Document the focus of therapy and progress notes.
Psychiatrists may need to address ethical considerations in treatment.
Paraphilias are characterized by intense sexual arousal to atypical objects, situations, or individuals, which can lead to distress or impairment in functioning. They must be recurrent and persistent, typically lasting for at least six months.
Harmful paraphilias involve non-consenting partners or cause distress and impairment, while non-harmful paraphilias do not negatively impact the individual or others. Documentation should reflect the context and consequences of the behavior.
