20 years old girl Nelu enjoys wearing male clothes. Wearing male clothes gives her feeling of more confidence and after these episodes, she is an absolutely normal girl. The likely diagnosis is –
**Core Concept**
Transvestic fetishism is a psychological condition where an individual derives sexual gratification from wearing clothes traditionally associated with the opposite sex. In this case, Nelu's behavior is driven by a desire to experience a sense of confidence and normalcy, which is a deviation from her usual behavior.
**Why the Correct Answer is Right**
The correct diagnosis in this scenario is likely Transvestic Disorder (F65.5 in ICD-10), which is characterized by recurrent and intense sexual arousal from dressing in clothing of the opposite sex. This behavior is not better explained by another mental disorder and is causing significant distress or impairment in social, occupational, or other important areas of functioning. Nelu's behavior is not compulsive, and she is able to function normally after the episodes, which is a key distinguishing feature of Transvestic Disorder.
**Why Each Wrong Option is Incorrect**
**Option A:** Cross-dressing can be a symptom of various mental health conditions, including schizophrenia, bipolar disorder, and body dysmorphic disorder. However, in Nelu's case, there is no indication of any other underlying mental health condition that would explain her behavior.
**Option B:** Gender dysphoria is a condition where an individual experiences discomfort or distress due to a mismatch between their gender identity and the sex they were assigned at birth. While Nelu's behavior may involve cross-dressing, there is no indication that she experiences distress or discomfort related to her gender identity.
**Option C:** Histrionic Personality Disorder is characterized by excessive emotionality, attention-seeking behavior, and a need for constant approval. While Nelu's behavior may be attention-seeking, there is no indication that she exhibits other characteristic traits of Histrionic Personality Disorder.
**Clinical Pearl / High-Yield Fact**
Transvestic Disorder is a distinct psychiatric condition that should not be confused with other mental health conditions or with healthy cross-dressing behaviors. A diagnosis of Transvestic Disorder requires a comprehensive evaluation of the individual's behavior, including their motivations, frequency, and impact on their daily life.
**Correct Answer: D. Transvestic Disorder.**