ASWB Clinical Exam 2025 – 400 Free Practice Questions to Pass the Exam

The statement that sexual arousal must result from cross-dressing is a defining characteristic of Transvestic Disorder as defined in the DSM-5. In this context, individuals with the disorder experience recurrent and intense sexual arousal from the act of cross-dressing, which is the core feature that distinguishes it from other paraphilic disorders. This arousal is not just a matter of enjoyment or preference for cross-dressing; it is critical that the cross-dressing behavior is linked to sexual excitement or gratification to qualify as a disorder.

The disorder may also involve feelings of distress or impairment in social, occupational, or other important areas of functioning; however, it is the association between cross-dressing and sexual arousal that is fundamental to the diagnosis. Other aspects mentioned in the incorrect options do not accurately reflect the nuances of the disorder as described in the DSM-5. Therefore, D is the accurate statement regarding Transvestic Disorder.