Exhibitionism
ICD-10 F65.2 is a billable code used to indicate a diagnosis of exhibitionism.
Exhibitionism is characterized by a strong desire to expose one's genitals to unsuspecting individuals, often resulting in sexual arousal. This behavior is typically considered a paraphilic disorder when it causes significant distress or impairment in social, occupational, or other important areas of functioning. Individuals with exhibitionism may engage in this behavior as a means of expressing their sexual identity or as a maladaptive coping mechanism for underlying psychological issues. The condition is often associated with impulse control disorders, where the individual struggles to manage urges that conflict with societal norms. It may also intersect with personality disorders, particularly those involving antisocial traits, where the individual shows a disregard for the feelings and rights of others. Treatment often involves psychotherapy, focusing on impulse control, understanding the underlying motivations for the behavior, and developing healthier coping strategies. In some cases, pharmacological interventions may be considered to help manage urges.
Comprehensive mental health evaluation, including history of behavior, impact on functioning, and treatment plan.
Patients presenting with legal issues due to exhibitionistic behavior, or those seeking therapy for impulse control.
Consideration of the patient's social context and potential legal ramifications is crucial for accurate coding.
Detailed psychological assessment, including behavioral observations and patient self-reports.
Patients seeking therapy for distress related to their exhibitionistic urges or behaviors.
Therapeutic approaches should be documented, including cognitive-behavioral strategies aimed at impulse control.
Used for therapy sessions addressing exhibitionistic behaviors.
Document the focus of therapy, including specific behaviors discussed and treatment goals.
Psychiatrists and psychologists should ensure that treatment plans are tailored to address impulse control and underlying psychological issues.
The primary treatment for exhibitionism typically involves psychotherapy, focusing on impulse control, understanding the motivations behind the behavior, and developing healthier coping mechanisms. In some cases, medication may be prescribed to help manage urges.
