As stated above, paraphilias are quite chronic, with a necessity of minimum of two years of treatment. But even so, predicting treatment outcomes have come out to be quite difficult. According to Brannon, "Long-term treatment gains appear to require approaches that address the underlying dynamics that go beyond the simple paraphilia itself. The morbidity or mortality of a paraphilia depends on the act practiced, the comorbidity involved, the patient's cooperation with the therapist, and whether or not the legal system is involved." (2013) Simply put, in order to make a good prognosis, it is necessary for the patient to have a cooperative attitude, ordinary sex life, motivation and desire for self development, and voluntary and positive approach
