Apart from fulfilling either or both of these criteria, a person diagnosed with exhibitionistic disorder must engage in exhibitionistic behavior, engage in exhibitionistic fantasies, or experience exhibitionistic urges for a minimum of half a year.
If an affected individual does not meet all necessary criteria, he or she will not meet the standard for an exhibitionistic disorder diagnosis, even if he or she has clear exhibitionistic tendencies that meet the definition for a paraphilia.
From this you may ask what’s the difference between dogging and your average exhibitionist couple.
Compared to exhibitionism, dogging is more organized and the couple performing the act sends an invitation for “watchers” to come see them have sex.
In some cases, doctors combine therapy with medications from a group of antidepressant/anti-anxiety drugs called SSRIs (selective serotonin reuptake inhibitors).