The Treatment of Fetishism in An Adolescent with Attention Deficit Hyperactivity Disorder

Fetishism is characterized by recurrent, intense sexual fantasy or behavior involving theuse of nonliving objects, such as women’s undergarments, over a period of at least sixmonths. This disorder occurs mostly in males and usually begins in adolescence. The neurobiological etiologies of fetishism remain unclear, and studies on treatment were limited. Wepresent a 14- year-old boy with attention deficit hyperactivity disorder with fetishisticbehavior who was treated successfully with 36 mg extended-release methylphenidate dailya n d 4 mo n t h s o f c o g n i t i v e – r a t i o n a l emo t i v e p s y c h o t h e r a p y