Diagnosis information

Sexual masochism disorder

Core diagnostic criteria, specifiers, differential considerations, and documentation support in one open, scan-friendly view.

F65.51Paraphilic & Gender DysphoriaLocal clinical reference

Criteria: 2 criteria, A–B
Specifiers: 3 specifiers
Differentials: 3 considerations
Severity specifier: Not listed

Core diagnostic criteria

All criteria are shown. No expand controls or hidden sections.

A
Core criterion A
Over ≥6 months, recurrent and intense sexual arousal from the act of being humiliated, beaten, bound, or otherwise made to suffer, as manifested by fantasies, urges, or behaviours
B
Core criterion B
Fantasies, urges, or behaviours cause clinically significant distress or impairment in social, occupational, or other important areas of functioning

Specifiers

With asphyxiophilia: Arousal involves oxygen deprivation - particularly high mortality risk; specify.
In a controlled environment: Limited opportunity to engage in risky behaviours.
In remission: No distress, impairment, or risky behaviour for a sustained period.

Documentation support

Consistent with [Sexual Masochism Disorder] [specifier(s)]. Over a period of at least six months, there have been recurrent and intense sexual arousal from being humiliated, beaten, bound, or otherwise made to suffer; sexual arousal manifested by fantasies, urges, or behaviours; clinically significant distress or interpersonal difficulty related to these urges, or engagement in behaviours that pose risk of injury or harm, forming a persistent masochistic pattern. These symptoms have resulted in clinically significant distress or impairment, or risk to physical safety.

Adapt this supplied template to the assessment. It is not a substitute for diagnostic reasoning or local documentation requirements.

DSM-5 DiagnosisDSM-par-sexual-masochism-disorderSupplied local catalogue

Diagnosis information

Sexual masochism disorder

Core diagnostic criteria, specifiers, differential considerations, and documentation support in one open, scan-friendly view.

F65.51Paraphilic & Gender DysphoriaLocal clinical reference

Criteria: 2 criteria, A–B
Specifiers: 3 specifiers
Differentials: 3 considerations
Severity specifier: Not listed

Core diagnostic criteria

All criteria are shown. No expand controls or hidden sections.

A
Core criterion A
Over ≥6 months, recurrent and intense sexual arousal from the act of being humiliated, beaten, bound, or otherwise made to suffer, as manifested by fantasies, urges, or behaviours
B
Core criterion B
Fantasies, urges, or behaviours cause clinically significant distress or impairment in social, occupational, or other important areas of functioning

Specifiers

With asphyxiophilia: Arousal involves oxygen deprivation - particularly high mortality risk; specify.
In a controlled environment: Limited opportunity to engage in risky behaviours.
In remission: No distress, impairment, or risky behaviour for a sustained period.

Documentation support

Adapt this supplied template to the assessment. It is not a substitute for diagnostic reasoning or local documentation requirements.

DSM-5 DiagnosisDSM-par-sexual-masochism-disorderSupplied local catalogue