There is little research on the causes of exhibitionistic disorder, and what research does exist comes predominantly from men in the criminal justice system who have been convicted of sexual misconduct. Therefore, it is difficult to know about the psychiatric states of those in the general population.
Conditions that occur along with exhibitionistic disorder can include depressive, bipolar, anxiety, and substance use disorders; hypersexuality; attention-deficit/hyperactivity disorder; other paraphilic disorders; and antisocial personality disorder.