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There you have it. Now, is anyone interested in digging a little?
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Not really.
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What I have learned by myself once I discovered this was an actual "thing" is that there is no cure. There is no treatment. There is no therapy for sexual sadism.
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You stopped reading the DSM too soon, for it says:
Treatment and Outcome
Treatment aims
The aims of treatment are: to reduce sadistic behavior; to improve the patient's sexual functioning with consenting partners; to prevent relapse.
Pharmacological treatment
Very little data have been collected about treatment modalities or treatment efficacy for sexual sadism. Antidepressants and hormonal therapies have been tried.
Antidepressant medication Most antidepressant medications given for paraphilias, including sexual sadism, are thought to work by treating the 'obsessional' nature of the disorder and by taking advantage of the sexual side-effect profile of these medications.
Selective serotonin reuptake inhibitors (e.g. fluoxetine**, fluvoxamine**, paroxetine**) generally have fewer side effects than the tricyclic antidepressants (e.g. clomipramine**, imipramine**) and may be considered first-line agents, especially for patients on few or no other medications.
Appropriate dosages have not been determined, but it is generally accepted that medications should be prescribed in doses similar to those given in the treatment of obsessive-compulsive disorder or depression. Doses can be adjusted until symptoms are controlled or side-effects become intolerable.
** off-label use
Standard dosage
Standard doses are: fluoxetine: 20mg/day (maximum dose 60mg/day); fluvoxamine: 100mg/day initially (maximum dose 300mg/day); paroxetine: 20mg/day (maximum dose 50mg/day); clomipramine: 30-150mg/day; imipramine: 75mg/day initially, then up to 150-200mg/day.
Now, are you willing to go digging with a therapist so you don't continue to downgrade? TC