Which of the following conditions qualifies as a paraphilic disorder?

A paraphilic disorder typically involves intense and persistent sexual interests that are atypical, and these interests may lead to distress or impairment in functioning. In the context of this question, experiencing significant distress in relation to an urge is critical. The DSM-5 specifically identifies a paraphilic disorder when an individual experiences distress or impairment due to their paraphilic urges, even if they do not act on those urges.

In this case, the individual who does not act on the urge but experiences significant distress is most aligned with the definition of a paraphilic disorder. This highlights that the mere presence of a paraphilic urge does not constitute a disorder; rather, it is the accompanying distress or impairment that qualifies it as such.

The other options describe scenarios where the individual is either acting on urges with consenting adults or engaging in behavior without distress, which does not fit the diagnostic criteria for a paraphilic disorder according to the DSM-5. Therefore, understanding the significance of distress in the context of paraphilic disorders is essential for identifying whether a diagnosis is warranted.