Objectives: To introduce a patient with bipolar disorder type1 who developed multiple paraphilic behavior. Case report: A 25 year old man with history of bipolar disorder type 1 along with paraphilic behaviors including frotteurism, fetishism, transvestism, voyeurism, and oppositional behaviors, lower than normal intelligence and possible history of attention deficit/hyperactivity disorder (ADHD) was referred and treated by valpiroic acid (Depakine), risoeridone, naltrexone, and finasteride. Conclusion: It is important to consider the psychiatric comorbidity of mood disorder and paraphilic disorders for proper evaluation and treatment of the patient and also for preventing the medication interactions.
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