quence would not meet criteria for fetishisti c disorder, as the threshold required by Crite-
rion B would not be met. For example, an indi vidual whose sexual partner either shares or
can successfully incorporate his interest in caressing, smelling, or licking feet or toes as an
important element of foreplay would not be  diagnosed with fetishistic disorder; nor
would an individual who prefers, and is not di stressed or impaired by, solitary sexual be-
havior associated with wearing rubber garments or leather boots.
Comorbidity
Fetishistic disorder may co-occur with othe r paraphilic disorders as well as hypersexual-
ity. Rarely, fetishistic disorder may be associated with neurological conditions.
Transvestic Disorder
Diagnostic Criteria 302.3 (F65.1)
A. Over a period of at least 6 months, recurrent and intense sexual arousal from cross-
dressing, as manifested by fantasies, urges, or behaviors.
B. The fantasies, sexual urges, or behaviors cause clinically significant distress or impair-
ment in social, occupational, or other important areas of functioning.
Specify if:
With fetishism: If sexually aroused by fabrics, materials, or garments.
With autogynephilia:  If sexually aroused by thoughts or images of self as female.
Specify if:
In a controlled environment:  This specifier is primarily applicable to individuals living
in institutional or other settings where opportunities to cross-dress are restricted.
In full remission:  There has been no distress or impairment in social, occupational,
or other areas of functioning for at least 5 years while in an uncontrolled environment.