Other paraphilias
ICD-10 F65.89 is a billable code used to indicate a diagnosis of other paraphilias.
F65.89 encompasses a range of paraphilic disorders that do not fit into 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 behaviors that are considered maladaptive, often stemming from underlying personality disorders or impulse control issues. The diagnosis requires a thorough assessment to differentiate between paraphilic interests that are consensual and those that may involve non-consensual acts or cause harm to others. Clinicians must consider the individual's gender identity and sexual orientation, as these factors can influence the expression of paraphilic behaviors. Treatment often involves 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 any associated mental health conditions.
Assessment of patients presenting with distress related to paraphilic interests or behaviors.
Consideration of the patient's consent and the impact of behaviors on their life and relationships.
Comprehensive psychological evaluations and treatment plans.
Therapeutic interventions for individuals struggling with paraphilic urges.
Focus on behavioral modification techniques and cognitive-behavioral therapy.
Used for therapy sessions addressing paraphilic behaviors.
Document the focus of therapy and progress made.
Psychiatrists and psychologists should ensure that the treatment plan aligns with the diagnosis.
A paraphilia is defined as an intense sexual arousal to atypical objects, situations, or individuals, which may lead to distress or impairment in functioning.
A paraphilia becomes a disorder when it causes significant distress or impairment in social, occupational, or other important areas of functioning.
