This literally feels less like "gimme feet pics" and more so an obsession of shoes than anything.
Also, yes, Emile has mentioned a misdiagnosis but I'm certain he's questioned said diagnosis in one of the TRG playthroughs, plus I've seen both physical traits and verbal as a long time fan. This is pretty much a PyroCynical situation and if it gets to a point where he'll wear it on his sleeve that he's got a weird obsession with shoes and feet then so be it.
On Emily's response to his apology I love how she says that there's at least "half a dozen" other victims. Saying six would make it sound not as serious (even then, no real proof of those six being affected by his "creepiness") so saying "half a dozen" definitely gives off a more harsh language vibe. I know that sounds incredibly fucking stupid but as someone who's seen such tactics and even used words in debates, numbers are ineffective, especially exacts.