Frotteurism
ICD-10 F65.81 is a billable code used to indicate a diagnosis of frotteurism.
Frotteurism is a paraphilic disorder characterized by the recurrent and intense sexual arousal from touching or rubbing against a non-consenting person, typically in a crowded public setting. This behavior often occurs in situations where the perpetrator can blend into a crowd, such as on public transportation or at large events. The individual may experience significant distress or impairment in social, occupational, or other important areas of functioning due to these urges. Frotteuristic fantasies may involve the individual imagining themselves in a sexual encounter with the victim, often without their knowledge or consent. The condition is classified under paraphilic disorders in the ICD-10, which are characterized by atypical sexual interests that may lead to non-consensual acts. Treatment often involves psychotherapy, cognitive-behavioral therapy, and sometimes pharmacotherapy to manage impulses and reduce the risk of acting on these urges. Understanding the psychological underpinnings, including impulse control issues and maladaptive behaviors, is crucial for effective intervention.
Detailed patient history, including sexual history and impulse control assessment.
Patients presenting with distress related to sexual urges or behaviors.
Consideration of legal implications and the need for a multidisciplinary approach.
Psychological evaluations and treatment plans focusing on behavioral interventions.
Therapeutic settings where patients discuss maladaptive sexual behaviors.
Emphasis on cognitive-behavioral strategies to manage impulses.
Used for therapy sessions addressing frotteuristic behaviors.
Document the focus of therapy and progress notes.
Psychiatrists should note any legal implications discussed during sessions.
The primary treatment for frotteurism typically involves psychotherapy, particularly cognitive-behavioral therapy, which focuses on managing impulses and addressing underlying psychological issues.
