Does Mild Fetishism Require Treatment? the Need for Therapy - Psychiatry

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Does mild fetishism require treatment?


Hello Dr.
Lin: I am the "girlfriend who felt scared" from before.
Thank you for answering my questions about my boyfriend's fetish.
Now, I have a question: does my boyfriend's behavior count as mild symptoms? Is there a need for him to see a psychologist? Or should I gradually help him shift his focus towards nature (since he usually spends a lot of time in front of the computer)? Is it okay for me to guide him in this process?

Shāo shāo fàng xīn de nǚ yǒ, 20~29 year old female. Ask Date: 2005/05/17

Dr. Lin Yanhong reply Psychiatry


Hello: Individuals with fetishism typically wear clothing of the opposite sex only when they have sexual urges or fantasies to seek pleasure.
Why is this the case? A deeper psychological evaluation is necessary to understand this.
Cross-dressing, on the other hand, often involves a desire to dress as the opposite sex consistently, rather than just during moments of need.
Unlike fetishism, individuals with cross-dressing tendencies may have a persistent desire to present themselves as the opposite sex rather than just wearing such clothing occasionally.
This condition is best addressed by a professional psychologist.
You can offer to support him in facing this issue, unless he does not perceive it as a problem and is unwilling to seek improvement.
Consulting a professional physician is the best course of action.
Dr.
Lin

Reply Date: 2005/05/17

More Info


Mild fetishism, which refers to a strong sexual attraction to specific objects, materials, or body parts, can often be a normal part of human sexuality. Many individuals may have mild fetishes that do not interfere with their daily lives or relationships. However, the need for treatment largely depends on the degree to which the fetish impacts the individual’s functioning, relationships, and overall well-being.

In your case, it seems that your boyfriend's fetish may be mild, especially if it does not cause distress or dysfunction in his life or your relationship. If his interest in certain objects or materials is not harmful and does not lead to any negative consequences, it may not require professional intervention. However, if you notice that his fetish is becoming more consuming, leading to distress, or interfering with your relationship, it may be beneficial to seek therapy.

Therapy can provide a safe space for individuals to explore their feelings and behaviors related to their fetishes. A mental health professional can help assess whether the fetish is part of a broader pattern of sexual behavior that might need addressing. Cognitive-behavioral therapy (CBT) is often effective in helping individuals understand their thoughts and behaviors and can assist in developing healthier coping strategies.

As for your suggestion of gradually introducing him to nature and encouraging him to engage in activities outside of his usual routine, this can be a positive approach. Engaging in outdoor activities can help reduce screen time and promote a healthier lifestyle. It may also provide opportunities for bonding and shared experiences, which can strengthen your relationship. However, it’s essential to approach this with sensitivity and understanding, ensuring that he does not feel pressured or judged for his interests.

If you decide to encourage him to seek therapy, it’s important to frame it positively. You might express that therapy is a space for personal growth and understanding, rather than a sign of something being wrong. Emphasizing that many people seek therapy for various reasons, including exploring their sexuality, can help normalize the idea.

In summary, whether mild fetishism requires treatment depends on its impact on the individual’s life and relationships. If it is not causing distress or dysfunction, it may not be necessary to seek therapy. However, if concerns arise, therapy can be a valuable resource for understanding and managing these feelings. Encouraging healthy activities and open communication can also foster a supportive environment for both of you. If you have further concerns or if his behavior changes, consulting a mental health professional can provide clarity and guidance.

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