A 26-year-old man reports recurrent, intense sexual fantasies and urges involving non-living objects (specifically women's shoes) for the past 3 years. He frequently masturbate while holding or smelling shoes and has purchased over 100 pairs. The behavior causes marked distress and occupational impairment due to frequent absences to engage in shoe-related sexual behavior. What is the most likely diagnosis?
- A Transvestic disorder
- B Fetishistic disorder ✓
- C Obsessive-Compulsive Disorder
- D Partialism
Correct answer: B. Fetishistic disorder
Explanation
Fetishistic disorder involves intense sexual arousal from nonliving objects or a highly specific focus on a nongenital body part, persisting for at least 6 months, and causing clinically significant distress or functional impairment. The objects are not limited to articles used in cross-dressing or genital stimulation devices. Transvestic disorder specifically involves cross-dressing. Partialism is a specifier of fetishistic disorder when the focus is a nongenital body part.
Reference: Diagnostic and Statistical Manual of Mental Disorders, 5th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.