and Managing Fetishism: Seeking Help and Guidance - Psychiatry

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The fetishism is becoming increasingly severe?


Hello, doctor.
I have had a fetish since elementary school, often wearing tight clothing like stockings.
Later, it developed into cross-dressing, and I frequently feel the urge to buy women's clothing, which I can't resist, even though I know it's not appropriate.
How can I alleviate or resolve this situation? Additionally, I feel a desire to modify parts of my body to resemble a woman's, such as my chest or waist, but I do not wish to undergo gender transition.
I am afraid I might develop a paraphilia and do something foolish.
How can I avoid this? Where can I find a doctor? I have visited a psychiatrist, but they suggested I might need to seek hypnotherapy.
Are there any doctors in Taichung or Taipei that I can consult? Thank you for your help!

Jiangyu, 10~19 year old female. Ask Date: 2017/08/16

Dr. Wang Yazhen reply Psychiatry


Hello, regarding fetishism or cross-dressing disorder, these behaviors involve the use of objects or dressing as the opposite sex to stimulate sexual arousal (including fantasies, impulses, or actions).
Generally, initially, these behaviors may evoke sexual desire, but as one ages, the instances of sexual arousal may gradually decrease, leaving only feelings of comfort and enjoyment.
Each individual's developmental process is different, and improvement may occur over time.
Currently, recommended treatments may include psychotherapy.
Hypnotherapy is considered an alternative treatment, typically conducted by certified physicians or psychologists; however, most hospitals do not offer hypnotherapy.
It is advisable to undergo an evaluation and diagnosis by a physician and discuss appropriate treatment options before making a decision.
Thank you.

Reply Date: 2017/08/16

More Info


Understanding and managing fetishism can be a complex journey, especially when it intertwines with feelings of confusion or anxiety about one's identity and desires. It’s important to approach this topic with sensitivity and an open mind, recognizing that many people experience similar feelings and that seeking help is a positive step.

Fetishism, in its broadest sense, refers to a strong sexual attraction to specific objects, materials, or body parts that are not typically considered sexual in nature. In your case, it seems that your experiences with fetishism have evolved over time, leading to a desire to wear clothing typically associated with women and even a wish to alter your body to reflect those feelings. It’s crucial to understand that these feelings do not inherently indicate a desire to transition or change your gender identity; rather, they may simply reflect your personal preferences and attractions.

First and foremost, it’s essential to acknowledge that having a fetish or cross-dressing does not make you a bad person or indicate that you are on a path to making drastic changes that you are uncomfortable with. Many individuals explore their identities and preferences in ways that are healthy and consensual. The key is to find a balance that allows you to express yourself while also feeling comfortable and secure in your identity.

To address your concerns about managing these feelings, consider the following steps:
1. Self-Reflection: Take some time to reflect on your feelings and desires. Journaling can be a helpful tool to explore your thoughts and emotions without judgment. Understanding the root of your feelings may help you gain clarity on what you truly want and how to express it.

2. Seek Professional Help: It’s great that you’ve already reached out to a psychiatrist. However, if you feel that the suggestions provided (like hypnosis) do not resonate with you, it might be beneficial to seek a therapist who specializes in gender identity, sexuality, or fetishism. Cognitive Behavioral Therapy (CBT) can be particularly effective in helping individuals understand and manage their thoughts and behaviors.

3. Support Groups: Consider joining support groups, either online or in-person, where you can connect with others who share similar experiences. This can provide a sense of community and understanding, helping you feel less isolated in your feelings.

4. Educate Yourself: Learning more about fetishism and gender identity can help demystify your experiences. There are numerous resources available, including books, articles, and reputable websites that discuss these topics in depth.

5. Set Boundaries: If you find that your desires are leading you to engage in behaviors that make you uncomfortable or that you feel are harmful, it’s important to set boundaries for yourself. This might mean limiting your purchases of certain clothing or finding alternative ways to express your feelings that do not involve buying items that cause you distress.

6. Explore Gender Expression: If you feel comfortable, consider exploring your gender expression in safe and private spaces. This could involve trying on clothing or experimenting with makeup in a way that feels right for you, without the pressure of external judgment.

7. Find a Specialist: If you are looking for a therapist in Taichung or Taipei, consider searching for professionals who specialize in LGBTQ+ issues, sexual health, or fetishism. Websites like Psychology Today allow you to filter therapists by specialty and location.

Remember, it’s perfectly okay to have these feelings, and seeking help is a sign of strength. You are not alone in this journey, and with the right support, you can navigate your feelings in a way that is healthy and fulfilling. Take your time, be patient with yourself, and don’t hesitate to reach out for help when you need it.

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