Kowsar Arch Neurosci 2322-5769 6 1 2018 10 9 10.5812/ans.67009 Farzaneh Dehghani Department of Psychiatry, Research Center of Addiction and Behavioral Sciences, Shahid Sadoughi University of Medical Sciences, Yazd, IR Iran, Department of Psychiatry, Research Center of Addiction and Behavioral Sciences, Shahid Sadoughi University of Medical Sciences, Yazd, IR Iran Azadeh Rahavi Department of Psychiatry, Research Center of Addiction and Behavioral Sciences, Shahid Sadoughi University of Medical Sciences, Yazd, IR Iran Reza Bidaki Department of Psychiatry, Research Center of Addiction and Behavioral Sciences, Shahid Sadoughi University of Medical Sciences, Yazd, IR Iran, Diabetes Research center, Shahid Sadoughi University of medical sciences, Yazd, Iran Case Report 2018 9 26 2018 2 1 2018 10 9 2019 01 31 Introduction : Multiple paraphilia is characterized as a disorder that includes three or more paraphilias; for instance pedophilia, exhibitionism, or rape together make up multiple paraphilia. It is hard to estimate prevalence rates of paraphilias due to changes in criterion with time and in divergent cultures. Case Presentation : Our case is a young man whose marriage lead to exacerbation of his paraphilic behavior and more substance abuse. He represented with multiple type of paraphilia simultaneously, which can occur rarely. Conclusions : There’s a possibility of different paraphilia occurrence at the same time and to prevent further aversive consequences of the aggregation of paraphilia; devising a treatment plan for such patients would avoid devastating conditions. http://archneurosci.com/en/articles/67009.html https://neoscriber.org/cdn/dl/e454eb86-cbc1-11e8-89b7-0ffcdb15be0a