Unusual or atypical patterns of sexual attraction that involve sexual arousal in response to atypical stimuli. These atypical patterns of sexual arousal may be labeled by others as deviant, bizarre, or "kinky". The range of atypical stimuli include nonhuman objects such as underwear, shoes, leather, or silk, to humiliation or experience of pain in oneself or one's partner, or children and other persons who do not or cannot grant consent. The DSM-5 includes a class of mental disorders called paraphilic disorders. For a paraphilic disorder to be diagnosed, the paraphilia must cause personal distress or impairment in important areas of daily functioning, or involve behaviors presently or in the past in which satisfaction of the sexual urge involved harm, or risk of harm, to other people.

Alternative or atypical sexual preferences are sexual preferences that are outside of the mainstream or what is considered normal in a culture. Paraphilias are persistent and recurring sexual desires, urges fantasies, or intense behaviors involving unusual objects, activities, or even situations. This activity discusses the evaluation and treatment of paraphilia and paraphilic disorders.

Aversion is defined as an unwillingness to engage in sexual activity, as well as avoidance of any touching or communication that could lead to sexual involvement. A lack of libido, low sex drive, inhibited sexual desire, or arousal dysfunction are common symptoms of this syndrome.

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