A 28-year-old man is brought by police after repeatedly watching a woman undress through her window without her knowledge over 8 months. He reports intense sexual arousal from spying on unsuspecting strangers who are naked or engaged in sexual activity, causing significant distress and work impairment. Physical examination is normal. What is the most likely diagnosis?
- A Exhibitionistic disorder
- B Voyeuristic disorder ✓
- C Frotteuristic disorder
- D Fetishistic disorder
Correct answer: B. Voyeuristic disorder
Explanation
Voyeuristic disorder involves intense sexual arousal from observing an unsuspecting person who is naked, disrobing, or engaging in sexual activity, persisting for at least 6 months, and causing clinically significant distress or functional impairment. Exhibitionistic disorder involves exposing one's genitals. Frotteuristic disorder involves touching or rubbing against a nonconsenting person. Fetishistic disorder involves arousal from nonliving objects or nongenital body parts.
Reference: Kaplan and Sadock's Comprehensive Textbook of Psychiatry, 11th ed.
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Written and medically reviewed by the StethoPrep medical team.