I am working with a patient who I believe has transvestism fetish which I know little about. He is a straight married with children male who only seems to want to wear lingerie during sexual activity and when masturbating. He reports this behavior started when he was 10 to 12 years old. Can youre shed some light on this. This has caused him a lifetime of secrecy, distress and shame.
Hello, Welcome to Chat Doctor Transvestism fetish usually remain hidden, and they are secretive in their behavior. A lot of individuals repent their behavior and have guilty of their behavior. This result in severe distress to individual and they usually with Chat Doctor.  Loss of confidence result in poor work life. Treatment for this sexual perversion is lengthy, and need long term follow up. Patients are usually advised Cognitive Therapy to find out faulty cognitive distortions and cognitive restructuring is done. Aversion therapy is also very useful in feminism. Apart from psychological methods the patients are prescribed medication for underlying anxiety. Fluoxetine, Paroxetine have good result in decreasing undesirable behavior. Thanks, hope this helps you.