The DSM-IV-TR allows for several of the victimizing paraphilias to be diagnosed as disorders, if they are acted upon, even if they do not cause distress or interpersonal difficulties for the person who engages in the behavior.

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The DSM-IV-TR does allow for several of the victimizing paraphilias to be diagnosed as disorders, even if the person engaging in the behavior does not experience distress or interpersonal difficulties. For instance, exhibitionism, voyeurism, and frotteurism may be diagnosed as disorders if acted upon, regardless of whether or not the person experiences distress or impairment in functioning. This is different from other disorders, such as anxiety disorders, which require the presence of distress or impairment for a diagnosis to be made.

The DSM-IV-TR Allows for Several of the Victimizing Paraphilias to Be