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HomeConditionsSex & Sexual HealthSexual Sadism Disorder
Mental Health Condition

Sexual Sadism Disorder

Overview

Description

Sexual Sadism Disorder is characterized by recurrent and intense sexual arousal from the physical or psychological suffering of another person, as manifested by fantasies, urges, or behaviors. The diagnosis requires that the individual has acted on these urges with a nonconsenting person, or that the fantasies, urges, or behaviors cause clinically significant distress or impairment in functioning. Consensual sadomasochistic activities are not considered a disorder unless they cause distress, impairment, or involve nonconsensual acts.

Prevalence

Exact prevalence is unknown; sexual sadistic fantasies are present in a subset of the general population, but the disorder is rare. More commonly diagnosed in men, particularly in forensic populations.

Age of Onset

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

DSM-5 Code

302.84

ICD-10 Code

F65.52

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 Sadism 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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