Frotteurism, also known as 'frottage” is derived from the French verb 'frotter” meaning 'friction” and is defined as a person who becomes sexually aroused by the act of rubbing up against a non consenting person for sexual gratification. First described in the literature in 1886 by Krafft-Ebing in Psychopathia Sexualis, it entered the DSM- III as an atypical paraphilia in 1980. It is a paraphilia that often manifests co morbid with other paraphilias including exhibitionism and voyeurism which are also courtship disorders. A frotteuristic act carries legal implications for the perpetrator, and victims report a number of negative outcomes as a consequence of victimization. While there do exist case reports that discuss the existence of frotteurism co morbid with affective disorders including major depression, limited case reports are known that present with co-morbidity of psychosis/Schizophrenia or Schizoaffective disorder.

Here we present the case of Mr. X a 22 year old male, who was first diagnosed with Schizoaffective disorder which was after the development of his frotteurism. Furthermore in the case his frotterurim was not directly caused by his psychotic or mood symptoms. In this report, we want to illustrate frotteurism as a co-morbid condition in an individual with schizoaffective disorder, as well as the legal, pharmacological and therapeutic course of treatment he has been receiving in an outpatient setting. Reporting this case will add to the very limited literature on managing a patient with concurrent Frotteurism and Schizoaffective disorder.