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Overview of Paraphilias and Paraphilic Disorders

Last full review/revision Apr 2021| Content last modified Apr 2021

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Diagnosis

Treatment

Transvestism involves recurrent, intense sexual arousal from cross-dressing. Transvestic disorder is transvestism that causes significant distress or substantially interferes with daily functioning.

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, MD, East Tennessee State University
Most cross-dressers have transvestism rather than transvestic disorder.
Doctors diagnose transvestic disorder when people are greatly distressed by or cannot function well because of their desire to cross-dress.
No drugs are reliably effective, but psychotherapy, when needed, may help people accept themselves and control behaviors that could cause problems in their life.
The term cross-dressers is usually used to refer to people with transvestism. Transvestite is a less acceptable term.
Heterosexual males who dress in women’s clothing typically begin such behavior in late childhood. This behavior is associated, at least initially, with intense sexual arousal.
Cross-dressers may cross-dress for reasons other than sexual stimulation—for example, to reduce anxiety, to relax, or, in the case of male cross-dressers, to experiment with the feminine side of their otherwise male personalities.
Later in life (sometimes in their 50s or 60s), some men who were cross-dressers only in their teens and twenties develop gender dysphoria. They may seek to change their body through hormones and genital (sex-reassignment) surgery.
When a partner is cooperative, cross-dressing may not hurt a couple’s sexual relationship. In such cases, cross-dressing men may engage in sexual activity in partial or full feminine attire.
When a partner is not cooperative, cross-dressers may feel anxious, depressed, guilty, and ashamed about their desire to cross-dress. In response to these feelings, these men often purge their wardrobe of female clothing. This purging may be followed by additional cycles of accumulating female clothes, wigs, and makeup, with more feelings of guilt and shame, followed by more purges.
A doctor's evaluation, based on specific criteria
Doctors diagnose transvestic disorder when
People have been repeatedly and intensely aroused by cross-dressing, and the arousal has been expressed in fantasies, intense urges, or behaviors.
As a result, people feel greatly distressed or become less able to function well (at work, in their family, or in interactions with friends).
They have had the condition for 6 months or more.
Most cross-dressers do not have transvestic disorder.
Transvestism is considered a disorder and thus requires treatment only if it causes distress, interferes with functioning, or leads to behavior likely to result in injury, loss of a job, or imprisonment.
Social and support groups for men who cross-dress are often very helpful.
Psychotherapy, when needed, is focused on helping people accept themselves and control behaviors that could cause problems.
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Transvestite and Crossdressing Models

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SmugMug + Flickr .

Connecting people through photography.

Sophie really loved her VIP badge :)
Lots more photos on my website! www.just-jessica.com/gallery.asp
Lots more photos on my website! www.just-jessica.com/gallery.asp
Lots more photos on my website! www.just-jessica.com/gallery.asp
This was when my makeup artist friend gave me a makeover sometime ago, check out his site www.themakeoverrooms.co.uk/
showing the tops of the hold up stockings
(Rescuing a few photos from my broken website)
white off the shoulder top & light blue floral skirt
long straight wig,Leather jacket,sleeveless :)
I bought a new camera, so had to try it out. I'd left it on manual focus but it actually looks ok.
animal print, socks in sandals, ewwwww
Just digging out some old photos, this one was from last March
I think this was on sophs 30th, or might have been transpocalypse. I think becky photoshopped this one a bit, looks better :)
(Rescuing a few photos from my broken website)
I think petticoats are great for flirting. Just look at the men when you twirl around. It's such fun being a girl.
Feeling very mellow yellow, or maybe just looking like a lemon?!
I've worn this outfit many times but none quite so well as this night in 2003. This is one of my all time favorites. Sweet, innocent and outrageously sexy at the same time! Love it.
Not the best pic ever, but i kinda like the chavness of this outfit ;)
Following my trip to Rochester I popped into Bluewater. I think I've done as much as I can for now with these Bluewater shows, so this is a brief record (which you can watch here: youtu.be/sNPoujnXcvI ) of that stroll through the store and onto the infamous balcony, posted as it's likely to be my last visit there for a while.
It also includes a brief, but failed, tribute to Joe C who has been so kind and generous recently, thank you Joe.
Not worn this since i bought it, it seems to fit much better now :)
Front shot of the new wig I'm going to buy. I just love going to this shop and the owner is just great. She took this pic and the other for me.
Sometimes I can be a right little devil!
Love this stretchy little dress. The makeup was just right! Break out the camera! Sorry I haven't been posting so much lately. Been busy trying to straighten out my head. Happy Valentines Day!
This is exactly how it should have always been, since I was knee high to my mother I knew I should really be wearing dresses like all the other girls. Now that I am it is the most wonderful release and I finally feel that true contentment that comes with my body looking the way my head always wanted it too.
Dressed and ready to go out. Feeling great. Hope he likes the outfit.
200,000 hit's on Barb's profile is reason to celebrate! Thank you everyone for all your kind words and support. Stay Pretty, Be Sweet!
Here's a snapshot from a couple of walks in a new location for me, at the riverside on the Medway at Rochester in Kent, which you can watch here: youtu.be/b6dmSEe11NQ . Also a chance to try out a new top teamed, as always, with a nice mini skirt and stilettos.
There will also be an announcement soon about my OnlyFans channel where I'll be able to show all those clips that I can't show here.

Some of these are good enough to make you wonder if you've hit on a chick with a dick

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If i ever hit on a chick that looked like any of them i would expect someone to shoot me in the kneecaps

no... they all still look like dudes

I GOTTA GET A PIC OF THE ONE THAT COMES IN MY WORK OR SHOULD I SAY THE COUPLE BOTH MALE TO FEMALE. I DONT UNDERSTAND WHY 2 MEN WOULD WANT TO BECOME LESBIANS

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