Paraphilia: Concepts, Classifications, Epidemiology, Attributes and Management

Abstract

Paraphilia have always been a debatable and under-researched topic in
psychiatric domain, with lots of cultural myths associated with its
origin. The aetiology is unclear, with several theories forwarded but none
having universal acceptance. Psychotherapy was the mainstay of
treatment until antidepressants were found to be effective. With the
milieu gradually incorporating several anti-androgens, Gonadotrophin
Releasing Hormone (GnRH) and Luteinizing Hormone (LH) analogues;
pharmacotherapy was introduced after better understanding developed
through extensive research.