Diagnosis information

Fetishistic disorder

Core diagnostic criteria, specifiers, differential considerations, and documentation support in one open, scan-friendly view.

F65.0Paraphilic & Gender DysphoriaLocal clinical reference

Criteria: 3 criteria, A–C
Specifiers: 4 specifiers
Differentials: 4 considerations
Severity specifier: Not listed

Core diagnostic criteria

All criteria are shown. No expand controls or hidden sections.

A
Core criterion A
Over ≥6 months, recurrent and intense sexual arousal from either the use of non-living objects or a highly specific focus on non-genital body part(s), as manifested by fantasies, urges, or behaviours
B
Core criterion B
Fantasies, urges, or behaviours cause clinically significant distress or impairment
C
Core criterion C
Fetish objects are not limited to articles of clothing used in cross-dressing or devices designed for genital stimulation

Specifiers

Body parts: Arousal focused on a specific non-genital body region (e.g. feet, hair).
Nonliving objects: Arousal focused on particular objects (e.g. shoes, leather garments, underclothing).
In a controlled environment: Limited opportunity to engage with fetish objects.
In remission: No distress or impairment for a sustained period.

Documentation support

Consistent with [Fetishistic Disorder] [specifier(s)]. Over a period of at least six months, there have been recurrent and intense sexual arousal involving the use of nonliving objects or a highly specific focus on non-genital body parts; sexual arousal manifested by fantasies, urges, or behaviours; marked distress or interpersonal difficulty related to these interests, forming a persistent fetishistic pattern. These symptoms have resulted in clinically significant distress or impairment in social, occupational, or interpersonal functioning.

Adapt this supplied template to the assessment. It is not a substitute for diagnostic reasoning or local documentation requirements.

DSM-5 DiagnosisDSM-par-fetishistic-disorderSupplied local catalogue