Disorder characterized by recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving cross-dressing in a heterosexual male. the fantasies, urges, or behaviors cause clinically significant distress or impairment in social, occupational or other areas of functioning. (from apa, dsm-iv, 1994)

Transvestic fetishism is a psychiatric diagnosis applied to people who are sexually aroused by the act of cross-dressing and experience significant distress or impairment – socially or occupationally – because of their behavior. It differs from cross-dressing without distress or impairment, and/or for entertainment or other purposes that do not involve sexual arousal...