Diagnostic criteria for 302.89 Frotteurism
( cautionary statement )

Frotteurism involves intense, recurrent fantasies of, and/or actual touching and rubbing the genitalia against a non-consenting person, in association with sexual arousal. The behavior usually occurs in crowded places, and the individual usually fantasizes an exclusive, caring relationship with the victim. However, the person generally tries to escape detection after touching the victim. By definition, there is significant distress or impairment in social, occupational or other important areas of functioning. Main disorder characteristics are:

• Repeatedly for at least 6 months, the patient has intense sexual desires, fantasies or behaviors that involve touching and rubbing against a person who doesn't consent to this behavior.
• This causes clinically important distress or impairs work, social or personal functioning.

Associated Features:

Most perpetrators are aged 15-25 years.
Frotteurism has been noted to be equally common among older, shy, inhibited individuals.

Differential Diagnosis:

Some disorders have similar or even the same symptoms. The clinician, therefore, in his/her diagnostic attempt has to differentiate against the following disorders which need to be ruled out to establish a precise diagnosis.

Mental Retardation
Substance Intoxication
Manic Episode
Schizophrenia

Cause:

Most acts of frottage occur when the person is between 15 to 25 years of age, and declines thereafter.

Treatment:

The treatment of paraphilias in general may involve the use of medications and/or behavioral therapy.

Counseling and Psychotherapy:

Yes

Pharmacotherapy:

Medroxyprogesterone is sometimes used to decrease sexual desire.