Sadomasochism, unspecified
ICD-10 F65.50 is a billable code used to indicate a diagnosis of sadomasochism, unspecified.
Sadomasochism, unspecified, refers to a paraphilic disorder characterized by the practice of deriving sexual pleasure from the infliction or reception of pain, humiliation, or bondage. This condition is classified under paraphilic disorders in the ICD-10, which are characterized by atypical sexual interests that may cause distress or impairment in social, occupational, or other important areas of functioning. Individuals with this disorder may engage in consensual sadomasochistic activities, but when these behaviors lead to significant distress or impairment, they may be diagnosed with this condition. The diagnosis requires a thorough assessment of the individual's sexual history, psychological state, and the impact of these behaviors on their daily life. It is essential to differentiate between consensual practices and those that may indicate a more serious psychological issue, such as impulse control disorders or personality disorders. Clinicians must consider the broader context of the individual's mental health, including any co-occurring conditions such as anxiety or depression, which may influence their sadomasochistic behaviors.
Detailed patient history, assessment of sexual behaviors, and impact on functioning.
Patients presenting with distress related to sexual practices, or those with co-occurring mood or anxiety disorders.
Consideration of cultural and social factors influencing sexual behaviors.
Thorough sexual history and assessment of consent and safety in practices.
Patients seeking therapy for sexual dysfunction or distress related to paraphilic interests.
Focus on safe practices and informed consent in therapeutic settings.
Used for therapy sessions addressing issues related to sadomasochism.
Document the focus of therapy and any progress made.
Psychiatrists should note the patient's history and any co-occurring conditions.
F65.50 refers to sadomasochism that is unspecified and may be consensual, while F65.51 specifically addresses non-consensual sadomasochistic behaviors.
