# 200 - 6D3Z Paraphilic disorder, unspecified

# 6D3Z Paraphilic disorder, unspecified

591
Paraphilic disorders
Boundary with other mental disorders in the context of sexual behaviours that are 
atypical for the individual
Sexual behaviours that are atypical for the individual that do not reflect an underlying, persistent 
pattern of sexual arousal may occur in the context of some mental disorders, such as bipolar type 
I disorder during manic or mixed episodes, or dementia. If the sexual behaviours involved do 
not reflect an underlying, persistent pattern of sexual arousal, a diagnosis of paraphilic disorder 
involving solitary behaviour or consenting individuals should not be assigned.
Boundary with gender incongruence of adolescence or adulthood
Individuals who have a focused and intense pattern of sexual arousal involving cross-dressing 
might qualify for the diagnosis of paraphilic disorder involving solitary behaviour or consenting 
individuals if they are markedly distressed by having this pattern of arousal. A history of sexual 
excitement in association with cross-dressing can sometimes be a feature of gender incongruence 
that develops in adolescence or adulthood, but such a history is not a sufficient basis for diagnosing 
paraphilic disorder involving solitary behaviour or consenting individuals.
Paraphilic disorder, unspecified
6D3Z
Paraphilic disorders | Paraphilic disorder, unspecified

Clinical Descriptions and Diagnostic Requirements for ICD-11 Mental, Behavioural or Neurodevelopmental Disorders