6D36/F65.5 Paraphilic disorder involving solitary behaviour or consenting individuals



Paraphilic disorder involving solitary behaviour or consenting individuals is a mental disorder characterized by an individual’s strong preference for sexual activities with a partner who is not a family member or romantic partner. This disorder may develop as a result of various factors, including genetic predisposition, childhood trauma, or cultural influences.


Diagnosis of this disorder is based on a physical examination and a detailed history of the individual’s sexual activities. Diagnosis of the disorder may also include psychological testing to determine if the individual has any underlying mental health issues that could be contributing to the disorder.

Differential diagnosis

Differential diagnosis for this disorder includes other paraphilic disorders, such as exhibitionism, voyeurism, and frotteurism. It is important to distinguish this disorder from other paraphilias, as the treatment and prognosis may vary depending on the type of disorder.


Treatment for this disorder may include psychotherapy, medications, and in some cases, hospitalization. Cognitive-behavioral therapy may be used to help the individual identify and modify any underlying thoughts and behaviors that could be contributing to the disorder. Medications, such as selective serotonin reuptake inhibitors and mood stabilizers, may be prescribed to help manage the patient’s symptoms.


The prognosis for this disorder is generally good with proper treatment. With proper treatment, individuals can learn to manage their symptoms and develop healthy relationships with other people.

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