Following campaigns from advocacy organizations including the , the current version of the DSM, , excludes consensual BDSM from diagnosis when the sexual interests cause no harm or distress.
The most reported issue amongst respondents was not finding enough time to be in role with most adopting a lifestyle wherein both partners maintain their dominant or submissive role throughout the day.
Safewords are words or phrases that are called out when things are either not going as planned or have crossed a threshold one cannot handle.
Leather and BDSM are seen as two parts of one whole.
Retrieved 13 August 2018.
The BDSM activities that the couples partook in varied in sexual to nonsexual significance for the partners who reported doing certain BDSM activities for "couple bonding, stress release, and spiritual quests".