Treatment should be started ASAP , as it’s a time taking process . Would require pharmacotherapy as well as long term psychotherapy from experienced mental health professional.

Need to consult

Fetishistic disorder is a type of paraphilic disorder characterized by recurrent and intense sexual arousal from an object or body part that is not typically associated with sexual arousal. In the context of marriage, this may manifest as a fear or anxiety about being unable to engage in sexual activity with one's partner without the presence of the fetish object or body part. Treatment for fetishistic disorder may involve a combination of psychotherapy and medication. Psychotherapy: Cognitive-behavioral therapy (CBT): This type of therapy is a structured, goal-oriented treatment that helps individuals with fetishistic disorder recognize and challenge their irrational beliefs and thoughts about their fetish object or body part. CBT focuses on changing negative thinking patterns and behaviors that contribute to the anxiety and fear associated with the disorder. Exposure and response prevention (ERP) therapy: This type of therapy involves gradually exposing individuals with fetishistic disorder to their feared situations or objects, such as engaging in sexual activity without the presence of the fetish object or body part. This helps them to confront and overcome their fears and anxieties. Medication: Antidepressants: Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) are commonly prescribed medications for fetishistic disorder. These medications can help reduce anxiety and depression symptoms that often accompany the disorder. Anti-androgens: In some cases, medication that lowers Hormones levels may be prescribed to reduce sexual desire and arousal. It is important to note that treatment for fetishistic disorder can be challenging and may take time. It is essential to work with a mental health professional to determine the most effective treatment plan for your individual needs.

Hello there, A detailed medical and psychiatric history is always needed for every case. In addition, there is a need for detailed mental status examination of the case to come for a diagnosis and its management accordingly. Have you ever consulted a mental health professional for your problems? How long you have been having problems with this? As you want to change the problems associated with the this, Results are likely to be good. You need to consult a mental health professional for your problems where you can discuss your problems without any hinderance .

Hello, Consult for evaluation and treatment.