Table 68-2 General criteria for paraphilia-related disorders

A. Over a period of at least 6 months, there are recurrent, intense
sexual urges and sexually arousing fantasies involving culturally
normative aspects of sexual expression that increase in frequency or
intensity so as to significantly interfere with the expression of
reciprocal, affectionate sexual activity.
B.
The fantasies, sexual urges, or behaviors cause clinically significant
distress or impairment in social, occupational, or other important
areas of functioning.
C. These fantasies, urges, and behaviors do
not occur exclusively during an episode of another primary Axis I
disorder (e.g., bipolar disorder, psychoactive substance abuse) or a
general medical condition (e.g., brain injury, dementia, prescription
drug use)