Aetiology
The exact cause of frotteuristic disorder is unknown, however, psychological factors such as poor impulse control, poor anger management, and traumatic experiences have been suggested as possible causes. Other risk factors may include alcohol and drug use, and a history of sexually deviant behavior.
Diagnosis
Frotteuristic disorder is typically diagnosed based on the patient’s reported history of behavior, which must include recurrent and intense sexual urges or fantasies involving touching or rubbing against a non-consenting person. Symptoms must be present for at least six months and cause significant distress or impairment in social, occupational, or other important areas of functioning.
Differential diagnosis
Frotteuristic disorder is a type of paraphilic disorder, and it may be difficult to distinguish from other forms of sexual deviance. It is important to rule out other paraphilic disorders, substance use disorders, and major depressive disorder.
Treatment
Treatment for frotteuristic disorder typically involves a combination of psychotherapy, medication, and lifestyle changes. Cognitive-behavioral therapy can help the patient identify and modify maladaptive thoughts and behaviors. Medication may be used to reduce the intensity of sexual urges, and lifestyle changes may help to reduce the risk of recurrence.
Prognosis
With proper treatment, the prognosis for frotteuristic disorder is generally good. The patient must remain compliant with treatment in order for it to be effective, and relapse is possible if treatment is discontinued.