Domination and submission is listed as a paraphilic disorder by the American Psychiatric Association.

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Domination and submission (DS) is not listed as a paraphilic disorder in the current edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) published by the American Psychiatric Association. However, certain DS behaviors may be considered problematic if they cause significant distress, impairment, or harm to oneself or others, or if they involve non-consensual or illegal behaviors.

Domination and Submission Is Listed as a Paraphilic Disorder by the American