BCM

A: Pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent, beginning by early adulthood and present in variety of contexts, 4 or more of following:

1) Suspects, without sufficient basis, that others are exploiting, harming or deceiving him/her
2) Preoccupied with unjustified doubts about the loyalty or trustworthiness of friends or associates
3) Reluctant to confide in others because of unwarranted fear that info will be used maliciously against him/her
4) Reads hidden, demeaning, or threatening meanings into benign remarks or events
5) Persistently bears grudges
6) Perceives attacks on his/her character or reputation that are not apparent to others and is quick to react angrily or counterattack
7) Has recurrent suspicions, without justification, regarding fidelity of spouse or sexual partner
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Terms in this set (55)
A: Pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent, beginning by early adulthood and present in variety of contexts, 4 or more of following:

1) Suspects, without sufficient basis, that others are exploiting, harming or deceiving him/her
2) Preoccupied with unjustified doubts about the loyalty or trustworthiness of friends or associates
3) Reluctant to confide in others because of unwarranted fear that info will be used maliciously against him/her
4) Reads hidden, demeaning, or threatening meanings into benign remarks or events
5) Persistently bears grudges
6) Perceives attacks on his/her character or reputation that are not apparent to others and is quick to react angrily or counterattack
7) Has recurrent suspicions, without justification, regarding fidelity of spouse or sexual partner
Paranoid Personality Disorder
A: Pervasive pattern of detachment from social relationships and a restricted range of expression of emotions in interpersonal settings, beginning by early adulthood and present in a variety of contexts, as indicated by 4 or more of following:

1) Neither desires nor enjoys close relationships, including being part of family
2) Almost always chooses solitary activities
3) Has little, if any, interest in having sexual relations
4) Takes pleasure in a few, if any, activities
5) Lacks close friends or confidants other than 1st degree relatives
6) Appears indifferent to the praise or criticism of others
7) Shows emotional coldness, detachment, or flat affect
Schizoid Personality Disorder
¡A: Pervasive pattern of social and interpersonal deficits marked by acute discomfort with, and reduced capacity for, close relationships as well as by cognitive or perceptual distortions and eccentricities of behavior, beginning by early adulthood and present in a variety of contexts, with 5 or more of following:

¡1) Ideas of reference
¡2) Odd beliefs or magical thinking that influences behavior and are inconsistent with subcultural norms (superstitious, belief in clairvoyance or "sixth sense")
¡3) Unusual perceptual experiences
¡4) Odd thinking and speech
¡5) Suspiciousness or paranoid ideation
¡6) Inappropriate or constricted affect
¡7) Behavior/Appearance that is odd, eccentric, peculiar
¡8) Lack of close friends or confidants
¡9) Excessive social anxiety that does not diminish with familiarity and tends to be associated with paranoid fears rather than negative judgements about self
Schizotypal Personality Disorder
A: A pervasive pattern of disregard for and violation of the rights of others occurring since age of 15 years, as indicated by 3 or more of following:

¡1) Failure to conform to social norms with respect to lawful behavior, repeatedly performing acts that are grounds for arrest
¡2) Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure
¡3) Impulsivity or failure to plan ahead
¡4) Irritability and aggressiveness
¡5) Reckless disregard for safety of self or others
¡6) Consistent irresponsibility
¡7) Lack of remorse
Antisocial Personality Disorder
¡A: Pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity by early adulthood and present in a variety of contexts, as indicated by 5 or more of following:

¡1) Frantic efforts to avoid real or imagined abandonment
¡2) Pattern of unstable and intense interpersonal relationships, alternating between extremes of idealization and devaluation
¡3) Identity disturbance, unstable self image or sense of self
¡4) Impulsivity in at least 2 areas that are potentially self damaging (spending, sex, substance abuse, reckless driving)
¡5) Recurrent suicidal behavior, gestures, threats or self mutilating behaviors
¡6) Affective instability due to a marked reactivity of mood
¡7) Chronic feelings of emptiness
¡8) Inappropriate, intense anger, or difficulty controlling anger
¡9) Transient, stress-related paranoid ideation or severe dissociative symptoms
Borderline Personality Disorder
¡A: Pervasive pattern of excessive emotionality and attention seeking, beginning by early adulthood and present in a variety of contexts, as indicated by 5 or more of following:

¡1) Uncomfortable in situations in which he/she is not the center of attention
¡2) Interaction with others is often characterized by inappropriate sexual behavior
¡3) Displays rapidly shifting and shallow expressions of emotions
¡4) Consistently uses physical appearance to draw attention to self
¡5) Has style of speech excessively impressionistic and lacking in detail
¡6) Shows self-dramatization, theatrical or exaggerated expression of emotion
¡7) Suggestible (easily influenced by others)
¡8) Considers relationships to be more intimate than they actually are
Histrionic Personality Disorder
¡A: Pervasive pattern of grandiosity, need for admiration, and lack of empathy, beginning by early adulthood, as indicated by 5 or more of following:
¡1) Grandiose sense of self-importance (expects to be recognized as superior without commensurate achievements)
¡2) Preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love
¡3) Believes he/she is special and unique, can only be understood by or should associate with other special or high status people
¡4) Requires excessive admiration
¡5) Sense of entitlement
¡6) Interpersonally exploitative (taking advantage of others for personal gain)
¡7) Lacks empathy
¡8) Is often envious of others or believes others envy him/her
¡9) Shows arrogant, haughty behaviors or attitudes
Narcissistic Personality Disorder
¡A: Pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation, beginning by early adulthood and present in a variety of contexts, as indicated by 4 or more of following:

¡1) Avoids occupational activities that involve interpersonal contact because fear rejection, criticism or disapproval
¡2) Unwilling to get involved unless certain of being liked
¡3) Restraint with intimate relationships due to fear of being ridiculed
¡4) Preoccupied with being criticized or rejected
¡5) Inhibited in new interpersonal situations due to feelings of inadequacy
¡6) Views self as socially inept, personally unappealing or inferior to others
¡7) Unusually reluctant to take personal risks or engage in new activities due to fear of embarrassment
Avoidant Personality Disorder
¡A: Pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation, beginning by early adulthood and present in a variety of contexts, as indicated by 5 or more of following:

¡1) Difficulty making everyday decisions without excessive reassurance or advice from others
¡2) Needs others to assume responsibility for most major areas of his/her life
¡3) Difficulty expressing disagreement with others because fear of loss of support or approval
¡4) Difficulty initiating projects on own
¡5) Goes to excessive lengths to obtain nurturance and support from others
¡6) Feels uncomfortable or helpless when alone due to exaggerated fears of being unable to care for themself
¡7) Urgently seeks another relationship as source of care/support when close relationship ends
¡8) Unrealistically preoccupied with fears of being left to take care of self
Dependent Personality Disorder
¡A: Pervasive pattern of preoccupation with orderliness, perfectionism, and mental/interpersonal control, at the expense of flexibility, openness, and efficiency, begins in early adulthood as indicated by 4 or more of following:
¡1) Preoccupied with details, rules, lists, order, organization, schedules to extent that major point of activity is lost
¡2) Shows perfectionism that interferes with task completion
¡3) Excessively devoted to work and productivity, excludes leisure activities and friendships
¡4) Over-conscientious, scrupulous, inflexible about morality, ethics or values
¡5) Unable to discard worn out clothes, worthless objects even when a there is a lack of sentimental value
¡6) Reluctant to delegate tasks or work to others
¡7) Adopts miserly spending style toward self and others (hoards money)
¡8) Shows rigidity and stubbornness
Obsessive Compulsive Personality Disorder
¡A: Disruption of identity characterized by 2 or more distinct personalities, which may be described as an experience of possession and it involves marked discontinuity in sense of self, accompanied by alterations in affect, behavior, consciousness, memory, perception, cognition and sensory functioning B: Recurrent gaps in the recall of everyday events, important personal information and/or traumatic events that are inconsistent with ordinary forgettingDissociative Identity Disorder¡A: Inability to recall important autobiographical information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forgetting ¡B: Symptoms cause significant distress or impairment in important areas of functioning ¡C: Disturbance is not attributable to the physiological effects of a substance or other medication or neurological condition ¡D: Disturbance is not better explained by dissociative identity disorder, PTSD, acute stress disorder, somatic symptom disorder or major or mild neurocognitive disorderDissociative Amnesia¡A: Presence of persistent or recurrent experiences of depersonalization, derealization or both: ¡1. Depersonalization: experiences of unreality, detachment, or being an outside observer with respect to one's thoughts, feelings, sensations, body or actions ¡2. Derealization: experiences of unreality or detachment with respect to surroundings (for example, individuals or objects are experienced as unreal, dreamlike, foggy or visually distorted) ¡B: During the depersonalization or derealization experiences, reality testing remains intactDepersonalization/derealization disorder¡A: One or more somatic symptoms that are distressing and cause significant disruption of daily life ¡B: Excessive thoughts, feelings, or behaviors related to the somatic symptoms or associated health concerns as manifested by at least 1 of the following: ¡1) Disproportionate and persistent thoughts about the seriousness of the symptom(s) ¡2) Persistently high level of anxiety about health/symptoms ¡3) Excessive time and energy devoted to symptoms or health concerns ¡C: The state of being symptomatic is persistent, although the symptoms may vary and typically lasts more than 6 monthsSomatic Symptom Disorder¡A: Preoccupation with having a serious illness ¡B: Somatic symptoms are not present or are mild in intensity. If another medical condition is present, the preoccupation is clearly excessive or disproportionate ¡C: High level of anxiety about health and the individual is easily alarmed about personal health status ¡D: Individual performs excessive health related behaviors (repeated check ups)or exhibits maladaptive avoidance (avoids doctors / hospitals etc.) ¡E: Illness preoccupation is present for at least 6 months ¡F: Illness related preoccupation is not better explained by another mental disorderIllness Anxiety Disorder¡A: One or more symptoms of altered voluntary motor or sensory function ¡B: Clinical findings are incompatible with symptoms of recognized neurological or medical conditions ¡C: The symptom or deficit is not better explained by another medical/mental disorder ¡D: The symptom or deficit causes clinically significant distress or impairment in social, occupational, or other areas of functioning ¡Specify symptom type: ¡With weakness or paralysis ¡With abnormal movement ¡With swallowing symptoms ¡With speech symptoms ¡With attacks or seizures ¡With anesthesia or sensory loss ¡With special sensory symptoms ¡With mixed symptoms ¡Acute episode ¡Persistent ¡With psychological stressor ¡Without psychological stressorConversion DisorderDiagnostic Criteria: Imposed on Self ¡A: Falsification of physical or psychological symptoms, or induction of injury associated with identified deception ¡B: Individual presents themselves as ill, impaired or injured ¡C: The deceptive behavior is evident even in the absence of obvious external rewards ¡D: Behavior is not better explained by another medical/mental disorder ¡Specify: ¡Single episode ¡Recurrent episodes (two or more) Diagnostic Criteria: Imposed on another ¡A: Falsification of physical signs and symptoms, induction of injury or disease in another associated with identified deception ¡B: individual presents another individual as being ill, injured or impaired ¡C: Deceptive behavior is evident in the absence of obvious external rewards ¡D: Behavior is not better explained by another medical/mental health condition ¡Specify: ¡Single episode ¡Recurrent episodes (two or more)Factitious Disorder¡A: The presence of 1 or more delusions for a duration of 1 month or longer ¡B: Criteria A for schizophrenia has NEVER been metDelusional Disorder¡A: Presence of 1 or more of the following, symptoms. At least one of these has to be 1), 2), or 3). ¡1) Delusions ¡2) Hallucinations ¡3) Disorganized speech ¡4) Grossly disorganized or catatonic behavior ¡B: Duration of the episode is at least 1 day but not longer than 1 month, with eventual return to pre-episode functioningBrief Psychotic Disorder¡A: 2 or more of the following, each present for a significant amount of time during a 1 month period. At least one of these has to be 1), 2), or 3): ¡1) Delusions ¡2) Hallucinations ¡3) Disorganized speech ¡4) Grossly disorganized or catatonic behavior ¡5) Negative symptoms ¡B: An episode of the disorder lasts at least 1 month but less than 6 monthsSchizophreniform Disorder¡A: 2 or more of the following, each present for a significant amount of time during a 1 month period. At least one of these has to be 1), 2), or 3): ¡1) Delusions ¡2) Hallucinations ¡3) Disorganized speech ¡4) Grossly disorganized or catatonic behavior ¡5) Negative symptoms ¡B: For a significant portion of time, since onset of symptoms, there has to be markedly decreased function in one or more major life areas (work, school, relationships, self care as compared to prior functioning level) which is below the level achieved prior to onset ¡C: Continuous signs of disturbance persist for at least 6 months and must have at least 1 month of symptoms from Criteria A and may include prodromal or residual symptoms.Schizophrenia¡A: An uninterrupted period of illness in which there is a major mood episode (major depressive or manic) concurrent with Criteria A of schizophrenia ¡B: Delusions or hallucinations for 2 or more weeks in the absence of a major mood episode, during the lifetime of the illness C: Symptoms that meet criteria for a major mood episode are present for the majority of the total duration of the active and residual portions of the illnessSchizoaffective¡A: Presence of one or both of the following: ¡1) Delusions ¡2) Hallucinations ¡B: There is evidence from the history, PE or lab findings of both 1 and 2: ¡1) The symptoms in Criteria A developed during or soon after substance intoxication or withdrawal or after exposure to a medication ¡2) The involved substance / medication is capable of producing the symptoms in Criteria A C: The disturbance is not better explained by a psychotic disorder that is not substance / medication induceSubstance/Medication Induced Psychotic Disorder¡A: The clinical picture is dominated by 3 or more of the following symptoms: ¡1. Stupor (i.e. no psychomotor activity; not actively relating to environment) ¡2. Catalepsy (i.e. passive induction of a posture held against gravity) ¡3. Waxy flexibility (i.e. slight, even resistance to positioning by examiner) ¡4. Mutism (i.e. no, or very little, verbal response) ¡5. Negativism (i.e. opposition or no response to instructions or external stimuli) ¡6. Posturing (i.e. spontaneous or active maintenance of a posture against gravity) ¡7. Mannerism (i.e. odd, circumstantial caricature of normal actions) ¡8. Stereotypy (i.e. repetitive, abnormally frequent, non-goal-directed movements) ¡9. Agitation, not influence by external stimuli ¡10. Grimacing ¡11. Echolalia (i.e. mimicking another's speech) ¡12. Echopraxia (i.e. mimicking another's movements)Catatonia¡A: A predominant complaint of dissatisfaction with sleep quantity or quality, associated with 1 or more of the following symptoms: ¡1) Difficulty initiating sleep ¡2) Difficulty maintaining sleep, characterized by frequent awakenings or problems returning to sleep after awakenings ¡3) Early morning awakenings with inability to return to sleep ¡B: The sleep disturbance causes clinically significant distress or impairment in functioning ¡C: The sleep difficulty occurs at least 3 nights per week ¡D: The sleep difficulty is present for at least 3 months E: The sleep difficulty occurs despite adequate opportunity for sleepInsomnia¡A: Recurrent periods of an irrepressible need to sleep, lapsing into sleep, or napping occurring within the same day. These must have been occurring at least 3 times per week over the past 3 months ¡B: The presence of at least 1 of the following: ¡1) Episodes of cataplexy, defined as either (a) or (b), occurring at least a few times per month: ¡A) In individuals with long standing disease, brief (seconds to minutes) episodes of sudden bilateral loss of muscle tone with maintained consciousness that are precipitated by laughter or joking ¡B) In children or in individuals within 6 months of onset, spontaneous grimaces or jaw-opening episodes with tongue thrusting or a global hypotonia, without any obvious emotional triggers ¡2) Hypocretin deficiency, as measured using CSF hypocretin-1 immunoreactivity values. Low CSF levels of hypocretin-1 must not be observed in the context of acute brain injury, inflammation or infection ¡3) Nocturnal sleep polysomnography showing rapid eye movement (REM) sleep latency less than or equal to 15 minutes, or a multiple sleep latency test showing a mean sleep latency less than or equal to 8 minutes and 2 or more sleep onset REM periodsNarcolepsy¡A: Recurrent episodes of incomplete awakening from sleep, usually occurring during the first 1/3 of the major sleep episode, accompanied by either one of the following: ¡1) Sleepwalking: repeated episodes of rising from bed during sleep and walking about. While sleepwalking an individual has a blank, staring face, is relatively unresponsive and can be awakened only with great difficulty. ¡2) Sleep terrors: recurrent episodes of abrupt terror arousals from sleep, usually beginning with a panicky scream. There is intense fear and signs of autonomic arousal (mydriasis, tachycardia, rapid breathing, sweating) during each episode. There is relative unresponsiveness to efforts of others to comfort the individual during the episodes. ¡B: No or little dream imagery is recalled ¡C: Amnesia for the episodes is presentNon rapid eye movement sleep arousal disorder¡A: Repeated occurrences of extended, extremely dysphoric, and well-remembered dreams that usually involve efforts to avoid threats to survival, security or physical integrity and that generally occur during the second half of the major sleep episode ¡B: On awakening from the dysphoric dreams, the individual rapidly becomes oriented and alertNightmare Disorder¡A: Repeated episodes of arousal during sleep associated with vocalization and/or complex motor behaviors ¡B: These behaviors arise during rapid eye movement (REM) sleep and therefore usually occur more than 90 minutes after sleep onset, are more frequent during the later portions of the sleep period, and uncommonly occur during daytime naps ¡C: Upon awakening from these episodes, the individual is completely awake, alert and not confused or disoriented ¡D: Either of the following: ¡1) REM sleep without atonia on polysomnographic recording ¡2) A history suggestive of REM sleep behavior disorder and an established synucleinopathy diagnosis (e.g. Parkinson's disease, multiple system atrophy)Rapid Eye Movement Sleep Behavior Disorder¡A: An urge to move the legs, usually accompanied by or in response to uncomfortable and unpleasant sensations in the legs, characterized by all of the following: ¡1) The urge to move the legs begins or worsens during periods of rest or inactivity ¡2) The urge to move the legs is partially or totally relieved by movement ¡3) The urge to move the legs is worse in the evening or at night than during the day, or occurs only in the evening or at night ¡B: The symptoms of Criteria A occur at least 3 times per week and have persisted for at least 3 monthsRestless leg syndrome¡syndrome of acquired, progressive, but usually gradual, cognitive declineDementia¡A: A disturbance in attention (i.e. reduced ability to direct, focus, sustain and shift attention) and awareness (reduced orientation to the environment) ¡B: The disturbance develops over a short period of time (usually hours to a few days), represents a change from baseline attention and awareness, and tends to fluctuate in severity during the course of a day ¡C: An additional disturbance in cognition (e.g. memory deficit, disorientation, language, visuospatial ability or perception) ¡D: The disturbances in Criteria A and C are not better explained by another preexisting, established or evolving neurocognitive disorder and do not occur in the context of a severely reduced level of arousal, such as comaDelirium-Increase HR, BP, body temp, metabolism - Increased energy/mental alertness - Feelings of exhilaration - Tremors - Reduced appetite - Anxiety/panic - Paranoia - Violence - Psychosis - Weight loss - Insomnia - Irritability - Cardiovascular complications - Stroke - Seizures - Addiction - Dental problems (meth) - Nasal damage (cocaine)Stimulants-Hallucinations -Lowered inhibition -Chills -Sweats -Teeth clenching -Muscle cramping -Increase tactile sensationMDMA-Sedation -Muscle relaxation -Confusion -Memory loss -Loss of coordination -Nausea/vomiting -Headache -Impaired coordination -Disorientation -Unconsciousness -Seizures -Coma -Decreased heart rate, breathing, blood pressureDepressants-HALLUCINATIONS! -Altered states of perception -Nausea -Increased body temperature, heart rate, blood pressure -Loss of appetite -Sweating -Nervousness -Panic -Paranoia -Numbness -Dizziness -Tremors -weakness -Rapid shifts in emotion -Impulsive behaviorHallucinogens¡Analgesia ¡Impaired memory ¡Delirium ¡Respiratory depression ¡Impaired motor function ¡DEATHKetamine¡Euphoria ¡Relaxation ¡Slowed reaction time ¡Distorted sensory perception ¡Increase heart rate and appetite ¡Impaired memory ¡Psychosis ¡Cough ¡Frequent respiratory infections ¡AddictionMarijunana¡Varies by chemical ¡Stimulation ¡Loss of inhibition ¡Headache ¡Nausea/vomiting ¡Slurred speech ¡Loss of motor coordination ¡wheezing ¡Cramps ¡Memory impairment ¡Unconsciousness ¡Muscle weakness ¡Depression ¡Sudden deathInhalants¡High blood pressure ¡Blood clotting ¡Hostility and aggression ¡Acne ¡Reduced sperm production ¡Shrunken testicles ¡Breast enlargement ¡Masculine characteristicsSteriods¡Euphoria ¡Impaired coordination ¡Confusion ¡Dizziness ¡Sedation ¡Nausea ¡Slowed or arrested breathing ¡DEATHHeroin¡Fatal at extremely small doses! ¡Pinpoint pupils ¡Dizziness ¡Extreme sleepiness ¡Loss of consciousness ¡Very low BP ¡Confusion ¡Slowed or stopped breathing ¡Blue nails or lipsfentanyl / carfentanil¡A: A marked incongruence between one's experienced / expressed gender and assigned gender, of at least 6 months duration, as manifested by at least 6 of the following: ¡1) A strong desire to be of the other gender or an insistence that one is the other gender ¡2) In boys, a strong preference for cross-dressing or simulating female attire; or in girls, a strong preference for wearing only typical masculine clothing and a strong resistance to the wearing of typical feminine clothing ¡3) A strong preference for cross-gender roles in make-believe play or fantasy play ¡4) A strong preference for the toys, games, or activities stereotypically used or engaged in by the other gender ¡5) A strong preference for playmates of the other gender ¡6) In boys, a strong rejection of typically masculine toys, games and activities and a strong avoidance of rough-and-tumble play; or in girls, a strong rejection of typically feminine toys, games and activities ¡7) A strong dislike of one's sexual anatomy ¡8) A strong desire for the primary and/or secondary sex characteristics that match one's experienced genderGender Dysphoria in children¡A: A marked incongruence between one's experienced / expressed gender and assigned gender, of at least 6 months duration, as manifested by at least 2 of the following: ¡1) A marked incongruence between one's experienced / expressed gender and primary and/or secondary sex characteristics ¡2) A strong desire to be rid of one's primary and/or secondary sex characteristics because of a marked incongruence with one's experienced / expressed gender ¡3) A strong desire for the primary and/or secondary sex characteristics of the other gender ¡4) A strong desire to be of the other gender ¡5) A strong desire to be treated as the other gender ¡6) A strong conviction that one has the typical feelings and reactions of the other genderGender Dysphoria in adults¡A: At least 1 of the 3 following symptoms must be experienced on almost all of all occasions of sexual activity: ¡1) Marked difficulty in obtaining an erection during sexual activity ¡2) Marked difficulty in maintaining an erection until the completion of sexual activity ¡3) Marked decrease in erectile rigidity ¡B: The symptoms of Criteria A have persisted for a minimum duration of approximately 6 monthsErectile Dysfunction¡A: Lack of, or significantly reduced, sexual interest / arousal, as manifested by at least 3 of the following: ¡1) Absent / reduced interest in sexual activity ¡2) Absent / reduced sexual / erotic thoughts or fantasies ¡3) No / reduced initiation of sexual activity, and typically unreceptive to a partner's attempts to initiate ¡4) Absent / reduced sexual excitement / pleasure during sexual activity in almost all or all sexual encounters ¡5) Absent / reduced sexual interest / arousal in response to any internal or external sexual / erotic cues ¡6) Absent / reduced genital or non-genital sensations during sexual activity in almost all or all sexual encounters B: The symptoms of Criteria A have persisted for a minimum duration of approximately 6 monthsFemale sexual interest / arousal disorder¡A: Persistently or recurrently deficient (or absent) sexual / erotic thoughts or fantasies and desire for sexual activity. The judgement of deficiency is made by the clinician, taking into account factors that affect sexual functioning, such as age and general and sociocultural contexts of the individual's life ¡B: The symptoms of Criteria A have persisted for a minimum duration of approximately 6 monthsMale hypoactive sexual desire disorderrecurrent and intense sexual arousal from observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activityVoyeuristic disorderrecurrent and intense sexual arousal from the exposure of one's genitals to an unsuspecting personExhibitionistic disorderrecurrent and intense sexual arousal from touching or rubbing against a nonconsenting personFrotteuristic disorderrecurrent and intense sexual arousal from the act of being humiliated, beaten, bound or otherwise made to sufferSexual masochism disorderrecurrent and intense sexual arousal from the physical or psychological suffering of another personSexual sadism disorderrecurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving sexual activity with a prepubescent child or children (age 13 or younger)Pedophilic disorderrecurrent and intense sexual arousal from either the use of nonliving objects or a highly specific focus on non-genital body partsFetishistic disorderrecurrent and intense sexual arousal from cross-dressingTransvestic disorder