Choking

Choking, in the context of sexual activity and kink, refers to the act of restricting air or blood flow to the brain by applying pressure to the neck. This can heighten sensations, intensify orgasms, or serve as a power-play dynamic in a kink or sexual context. It is also commonly referred to as "erotic asphyxiation" or "breath play."

Origins and Popularity: The concept of deriving pleasure from restricted airflow is not new and can be traced back centuries. Over the years, the practice has evolved and entered the BDSM and kink communities as a form of play, often indicative of a power dynamic between partners.

Physiology: Restricting airflow or blood flow can cause a build-up of carbon dioxide in the bloodstream, which can produce a light-headed or euphoric sensation. This, combined with sexual stimulation, can intensify orgasmic responses. However, this also comes with significant risks.

Safety Concerns:

  1. Brain Damage: Oxygen deprivation can quickly cause brain damage. Permanent damage can occur in just a few minutes of oxygen deprivation.

  2. Accidental Death: Misjudging pressure, duration, or an individual's limits can lead to accidental death.

  3. Unpredictable Reactions: The body's response to restricted airflow can be unpredictable. Some may experience panic, heart irregularities, or fainting.

  4. Pressure on the Neck: The neck houses crucial blood vessels, airways, and the spinal cord. Excessive pressure can lead to injury or death.

Safety Guidelines:

  1. Open Communication: Always discuss boundaries and signals before engaging in any kink or BDSM activity.

  2. Never Alone: It's advised to never engage in breath play alone due to the heightened risks.

  3. Stop Immediately: If someone uses a safe word, feels uncomfortable, or shows signs of distress, stop immediately.

  4. Learn the Anatomy: Understand where the major blood vessels and airways are located and the difference between restricting blood flow versus airflow.

  5. Avoid Drugs or Alcohol: These can impair judgment and increase risks.

  6. Always Be Prepared: Have a safety plan in place, and consider having safety scissors or other emergency tools nearby.

Legal and Social Considerations: In some jurisdictions, even consensual choking can be considered assault. It's essential to understand the laws in your area. Additionally, since this practice carries inherent risks, it may be stigmatized or misunderstood in broader society.

Choking, as a form of erotic asphyxiation, is a kink practice that many find pleasurable but comes with significant risks. Education, clear communication, and prioritising safety is critical.


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At Progressive Therapeutic Collective, we are proudly sex-positive and kink-affirming counselling and sex therapy practice. We work hard to reduce shame and instead, encourage open and supportive conversations about our sexual selves.

We work across Australia via telehealth.

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