psychiatric disorders
Voyeuristic Disorder
Key Points
Most people with voyeuristic behaviors do not meet the clinical criteria for a voyeuristic disorder. Voyeuristic behaviors are the most common sexual behaviors likely to involve law enforcement. Diagnose voyeuristic disorder only in adults over 18 years of age if the condition has been present for≥6 months and if patients have acted on their sexual urges with a nonconsenting person or if their fantasies, intense urges, or behavior causes clinically significant distress or impairs functioning. Most people with voyeuristic behaviors do not seek medical help; treat patients who have been incarcerated for a sexual offense with psychotherapy and SSRIs first, and if additional treatment is needed and if informed consent is obtained, treat with antiandrogen medications. 