Paraphilia without symptoms of primary psychiatric disorder: a case report

Background: Paraphilias are recurrent and arousing fantasies, thoughts, and behaviors that cause distress to suferers and surrounding people. This case report details the challenge of managing multiple paraphilias with compulsive sexual behavior. Case presentation: A 48-year-old Malay man presente...

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Main Authors: Pang, Nicholas Tze Ping, Masiran, Ruziana, Alimuddin, Aishah Siddiqah
Format: Article
Published: BioMed Central 2023
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author Pang, Nicholas Tze Ping
Masiran, Ruziana
Alimuddin, Aishah Siddiqah
author_facet Pang, Nicholas Tze Ping
Masiran, Ruziana
Alimuddin, Aishah Siddiqah
author_sort Pang, Nicholas Tze Ping
collection UPM
description Background: Paraphilias are recurrent and arousing fantasies, thoughts, and behaviors that cause distress to suferers and surrounding people. This case report details the challenge of managing multiple paraphilias with compulsive sexual behavior. Case presentation: A 48-year-old Malay man presented with compulsive sexual behavior, encompassing voyeuristic, frotteurism, and exhibitionistic behavior, increasing progressively over the years, with accompanying overvalued ideas of erotomania. Despite the high level of dysfunction occupationally and socially, there were no apparent psychotic, manic, or depressive symptoms. An organic workup was unremarkable, and he was diagnosed with multiple paraphilias. Treatment with selective serotonin reuptake inhibitors was commenced, and psychologically he was managed with techniques specifc to compulsive sexual behavior. Conclusion: Though rare in the literature, both paraphilic disorders and compulsive sexual behaviors are very distressing to suferers and their families alike, and thorough biopsychological investigations are essential to ensure reversible causes are not overlooked.
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spelling upm.eprints-1090372024-10-14T07:07:57Z http://psasir.upm.edu.my/id/eprint/109037/ Paraphilia without symptoms of primary psychiatric disorder: a case report Pang, Nicholas Tze Ping Masiran, Ruziana Alimuddin, Aishah Siddiqah Background: Paraphilias are recurrent and arousing fantasies, thoughts, and behaviors that cause distress to suferers and surrounding people. This case report details the challenge of managing multiple paraphilias with compulsive sexual behavior. Case presentation: A 48-year-old Malay man presented with compulsive sexual behavior, encompassing voyeuristic, frotteurism, and exhibitionistic behavior, increasing progressively over the years, with accompanying overvalued ideas of erotomania. Despite the high level of dysfunction occupationally and socially, there were no apparent psychotic, manic, or depressive symptoms. An organic workup was unremarkable, and he was diagnosed with multiple paraphilias. Treatment with selective serotonin reuptake inhibitors was commenced, and psychologically he was managed with techniques specifc to compulsive sexual behavior. Conclusion: Though rare in the literature, both paraphilic disorders and compulsive sexual behaviors are very distressing to suferers and their families alike, and thorough biopsychological investigations are essential to ensure reversible causes are not overlooked. BioMed Central 2023-12 Article PeerReviewed Pang, Nicholas Tze Ping and Masiran, Ruziana and Alimuddin, Aishah Siddiqah (2023) Paraphilia without symptoms of primary psychiatric disorder: a case report. Journal of Medical Case Reports, 17 (1). art. no. 46. pp. 1-4. ISSN 1752-1947 https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-023-03774-8 10.1186/s13256-023-03774-8
spellingShingle Pang, Nicholas Tze Ping
Masiran, Ruziana
Alimuddin, Aishah Siddiqah
Paraphilia without symptoms of primary psychiatric disorder: a case report
title Paraphilia without symptoms of primary psychiatric disorder: a case report
title_full Paraphilia without symptoms of primary psychiatric disorder: a case report
title_fullStr Paraphilia without symptoms of primary psychiatric disorder: a case report
title_full_unstemmed Paraphilia without symptoms of primary psychiatric disorder: a case report
title_short Paraphilia without symptoms of primary psychiatric disorder: a case report
title_sort paraphilia without symptoms of primary psychiatric disorder a case report
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