For a diagnosis of a paraphilic disorder,the person needs to have acted upon the urge.

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In order to be diagnosed with a paraphilic disorder, an individual does not necessarily need to have acted upon their urges. The criteria for diagnosis include experiencing recurrent, intensive sexual urges or fantasies involving non-human objects, non-consenting individuals, or suffering or humiliation of oneself or one's partner, and these urges or fantasies must cause significant distress or impairment in social, occupational, or other important areas of functioning. However, if an individual with a paraphilic disorder does act on their urges in a non-consensual or harmful way, they may also meet criteria for another disorder such as exhibitionistic or sexual sadism disorder.

For a Diagnosis of a Paraphilic Disorder,the Person Needs to Have