A man with voyeuristic disorder completed court-mandated treatment five years ago. He reports no urges to observe unsuspecting persons, no related fantasies, and no acting on any such urge since finishing therapy while living freely in the community. According to DSM-5, which specifier applies?

• A In full remission
• B In a controlled environment
• C No specifier applies until lifelong abstinence is documented
• D In remission ✓

Explanation

DSM-5 allows the specifier 'in remission' for a paraphilic disorder when the individual has not experienced distress or impairment from, or has not acted on, the paraphilic urges for at least 5 years while living in an uncontrolled environment. Option B applies only when the person is currently in an institution or other controlled setting, which is not the case here. Full remission is not a DSM-5 specifier term for paraphilic disorders.

Reference: Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 5th ed.

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Written and medically reviewed by the StethoPrep medical team.