6D33

ICD-11 MMS 2026-01

Coercive sexual sadism disorder

Description

Coercive sexual sadism disorder is characterised by a sustained, focused and intense pattern of sexual arousal—as manifested by persistent sexual thoughts, fantasies, urges or behaviours—that involves the infliction of physical or psychological suffering on a non-consenting person. In addition, in order for Coercive Sexual Sadism Disorder to be diagnosed, the individual must have acted on these thoughts, fantasies or urges or be markedly distressed by them. Coercive Sexual Sadism Disorder specifically excludes consensual sexual sadism and masochism.

Index terms

  • Coercive sexual sadism disorder

Exclusions from above levels

  • QE62 – Uncomplicated bereavement
  • QE84 – Acute stress reaction

Sibling codes

  • 6D30 – Exhibitionistic disorder
  • 6D31 – Voyeuristic disorder
  • 6D32 – Pedophilic disorder
  • 6D34 – Frotteuristic disorder
  • 6D35 – Other paraphilic disorder involving non-consenting individuals
  • 6D36 – Paraphilic disorder involving solitary behaviour or consenting individuals
  • 6D3Z – Paraphilic disorders, unspecified

Foundation entity

Coercive sexual sadism disorder – http://id.who.int/icd/entity/1890228613

Part of: 06: Mental, behavioural or neurodevelopmental disorders