There are different theories related to this disorder, many stemming from the psychoanalytic camp. They suggest that childhood trauma (e.g., sexual abuse, or other significant sexual experience) or significant childhood experiences can manifest itself in exhibitionistic behavior.
This diagnosis is used for heterosexual males who have sexually arousing fantasies, urges, or behaviors involving cross-dressing (wearing female clothing). To be considered diagnosable, the fantasies, urges, or behaviors must cause significant distress in the individual or be disruptive to his or her everyday functioning.
Treatment typically involves psychotherapy aimed at uncovering and working through the underlying cause of the behavior.
Prognosis is fair. With some individuals, there may also be an underlying discomfort with gender identity which will complicate treatment prognosis. As with most disorders in this category, other issues may arise as treatment progresses and should be addressed.