Exhibitionistic Disorder

Exhibitionistic disorder is characterized by sexual arousal derived from exposing one’s genitals to non-consenting individuals, usually strangers.

Exhibitionistic Disorder

Exhibitionistic disorder is characterized by sexual arousal derived from exposing one’s genitals to non-consenting individuals, usually strangers. Typically emerging in late adolescence or early adulthood, this disorder often persists into later life if untreated. The act of exposure is frequently accompanied by tension and excitement, followed by relief or gratification. Individuals may plan exposure episodes carefully and experience significant distress if unable to act on urges.

Exhibitionistic disorder can severely impair social, occupational, and relational functioning. In Saudi Arabia, cultural norms emphasizing modesty and public decorum increase the risk of legal consequences and social ostracism. Individuals may internalize shame, leading to secrecy and avoidance of help-seeking. The disorder is associated with impulsivity, low empathy, and difficulty forming intimate relationships, often co-occurring with other paraphilic interests or personality disorders.

Symptoms and warning signs:

  • Persistent sexual arousal from exposing genitals
  • Acting on urges in inappropriate settings
  • Preoccupation with planning exposure
  • Distress or anxiety when urges cannot be acted upon

Causes and risk factors:

  • Early sexual experiences or conditioning
  • Impulse control difficulties
  • Personality traits such as thrill-seeking or low empathy

Treatment approaches:

  • CBT targeting maladaptive sexual behaviors
  • Social skills and empathy training
  • Behavioral interventions such as aversive conditioning
  • Pharmacotherapy for impulse or arousal control

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