Is fetishism considered a mental illness?

Whether fetishism constitutes a mental illness depends on the severity of symptoms. When an individual relies solely on specific objects for sexual pleasure without affecting others or impairing social functioning, it is classified as a paraphilic disorder rather than a psychotic illness. However, if the condition is accompanied by hallucinations, delusions, or extreme behaviors such as violence or property damage due to fetish-related actions, it may indicate a comorbid psychiatric disorder. A detailed analysis is as follows:

When the condition manifests only as a fetishistic preference, the individual typically maintains normal cognition, emotional regulation, and social interactions, with deviations limited to the realm of sexual psychology. If the use of specific objects to fulfill needs does not cause harm to themselves or others, this is considered a psychological and behavioral issue that can be improved through psychological interventions.

If individuals with fetishism exhibit clear psychiatric symptoms—such as a delusional belief in the magical properties of objects, engaging in illegal acts like theft or coercion to obtain objects, or experiencing thought disorders and emotional dysregulation—it suggests the possible presence of a concurrent mental illness, requiring professional medical treatment.

Daily care should emphasize psychological counseling and avoid discrimination or blame. Patients should be encouraged to proactively seek professional help and develop healthy hobbies to redirect their focus. Family members and friends should offer understanding and support to help establish appropriate sexual knowledge and behavioral patterns.