A group of psychiatric disorders characterized by abnormally intense and persistent sexual interests and desires (manifested as urges, fantasies, or behaviors) accompanied by significant distress or functional impairment and/or harm to others

• Fetishistic disorder
  • Persistent and intense sexual arousal related to, and a fixation on, nonliving objects (e.g., shoes) or nongenital parts of the body (e.g., feet, hair)
  • Criteria of exclusion: Sexual arousal is limited to sex toys and/or clothing used for crossdressing.
• Transvestic disorder
  • Persistent and intense sexual arousal caused by wearing clothes associated with the opposite gender that cause clinically significant distress and/or functional impairment.
  • Cross-dressing for artistic purposes and in settings where it causes no distress and/or functional impairment to the individual is not a disorder and should not be diagnosed as such.
  • Cross-dressing and transvestic disorder must be distinguished from the practice of transfeminine and transmasculine individuals dressing according to the gender they identify with.