For a Paraphilic Disorder to Be Diagnosed Per the DSM-5

For a paraphilic disorder to be diagnosed per the DSM-5, the presence of paraphilia must also include personal distress or impairment in important areas of daily functioning or __________.

A) involve behaviors presently or in the past in which satisfaction of the sexual urge involved harm, or risk of harm, to other people.
B) cause legal problems for the individual.
C) result in loss of sexual interest and activity for the rest of the life.
D) involve the joining of a community of like-minded people.