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Paraphilias & Compulsive Behaviors DSM-5 302.83, 302.84 / ICD-11 6D35, 6D36

Sexual Masochism & Sexual Sadism Disorders

Arousal derived from receiving or inflicting physical or psychological suffering; diagnosed as a disorder only when non-consensual or causing severe personal impairment.

Diagnostic Code DSM-5 302.83, 302.84 / ICD-11 6D35, 6D36
Clinical Category Paraphilias & Compulsive Behaviors
Recommended Modalities Harm Reduction, Clinical Psychology
Medicare Rebates $141.85 / session with MHTP
Practice Location Albion Park & Telehealth

Diagnostic Formulation

DSM-5 302.83, 302.84 / ICD-11 6D35, 6D36

Arousal derived from receiving or inflicting physical or psychological suffering; diagnosed as a disorder only when non-consensual or causing severe personal impairment.

Core Clinical Symptoms & Presentations

Distress over pain-based erotic impulses
Risk of non-consensual escalation
Asphyxiophilia dangers

Evidence-Based Psychological Interventions

Harm reduction protocols
Consent framework education
Trauma-informed CBT

Neurodiversity & ADHD Overlap Lenses

Prefrontal Cortex Scaffolding & Dopaminergic Nuances

Extreme sensory stimuli seeking in hypo-aroused nervous systems.

Initiate Clinical Care

Consult with registered psychologist Sky Maree Steele to develop a tailored formulation and neuro-affirming treatment plan.

Standard Consultation: $260.00
Medicare Rebate (Item 80010): $141.85
Out-of-Pocket Gap: $118.15
Book Consultation Slot Complete Clinical Intake Form