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HomeConditionsSex & Sexual HealthSexual Masochism Disorder
Mental Health Condition

Sexual Masochism Disorder

Overview

Description

Sexual Masochism Disorder is characterized by recurrent and intense sexual arousal from the act of being humiliated, beaten, bound, or otherwise made to suffer. The fantasies, urges, or behaviors must cause clinically significant distress or impairment in social, occupational, or other important areas of functioning, or involve harm or risk of harm to self or others. Consensual sexual masochistic activities that do not cause distress or impairment are not considered a disorder.

Prevalence

Exact prevalence is unknown; masochistic fantasies are relatively common in the general population, but the disorder is rare. More frequently diagnosed in men.

Age of Onset

Fantasies may begin in adolescence; behaviors may emerge in late adolescence or early adulthood.

DSM-5 Code

302.83

ICD-10 Code

F65.51

Reviewed by the HeyPsych Medical Review Board
Board-certified psychiatrists and mental health professionals
Medical Review Board
Published: August 15, 2025
Last Updated: January 9, 2026
Last Reviewed: January 9, 2026

Diagnostic Criteria

Symptoms

Prognosis

Neurobiology

Risk Factors

Comorbidities

Warning Signs

Impact On Life

Treatment Goals

When To Seek Help

Real Life Examples

Evaluation Approach

Developmental Stages

Self Help Strategies

Treatment Approaches

Overdiagnosis Factors

Missed Diagnosis Factors

This information about mental health conditions is for educational purposes only. If you believe you may be experiencing symptoms of a mental health condition, please consult with a qualified healthcare professional for proper evaluation and diagnosis.

Seeking Help for Sexual Masochism Disorder?

If you recognize these symptoms in yourself or a loved one, know that help is available. Mental health conditions are treatable with options like Cognitive Behavioral Therapy, and early intervention can make a significant difference.
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