Case Report: 16-Year-Old Male with Autistic Disorder with Preoccupation with Female Feet

This paper highlights clinical challenges faced when diagnosing and then treating an individual presenting to a child and
adolescent psychiatry clinic because of unwelcome comments he made to female peers about their feet. Novel use of exposure
therapy helped him effectively decrease his comments from 1 to 2 times per month to once every 6 months. Conceptualizing this
case as the individual’s failed attempts toward relationships with females instead of sexual harassment led to diminution
of problematic behavior. Implications for diagnosis and treatment of individuals with Autistic Disorder displaying problematic
behaviors are presented.