A 26-year-old man reports repeated episodes over two years of exposing his genitals to unsuspecting women in parks, experiencing strong sexual arousal while doing so. He has never touched the women and denies wanting sexual contact with them. The behaviour persists despite legal consequences and he is troubled by it. What is the most likely diagnosis?
- A Frotteuristic disorder
- B Voyeuristic disorder
- C Exhibitionistic disorder ✓
- D Transvestic disorder
Correct answer: C. Exhibitionistic disorder
Explanation
Recurrent arousal from exposing the genitals to an unsuspecting stranger, lasting over six months and acted upon despite distress, fulfils DSM-5 criteria for exhibitionistic disorder. Voyeurism is ruled out because there is no observing of others' private activities, and frotteurism is ruled out by the absence of physical contact. Transvestic disorder concerns arousal from cross-dressing, not exposing oneself.
Reference: Diagnostic and Statistical Manual of Mental Disorders, 5th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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