Category Archives: Depression

How to enjoy sex even when your mental ill-health is working against you

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Anxiety and low self-esteem can seriously impact your sex life

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Ever had one of those days when your brain seems to be dead set on working against you?

You’re planning a nice bit of sexy time – whether with a partner or simply some solo fun – but your head’s just not in it.

However much you might want to get jiggy with it, your brain is skipping around elsewhere and you just can’t concentrate, let alone roll around in orgasmic delight.

So what causes your head to seemingly separate from your body at just the moment you want to be able to focus on fun times?

All too often it boils down to lack of confidence in yourself and what you’re doing.

If you have problems with self esteem, it can trickle into all areas of your life – and that includes the bedroom.

The saying ‘first you have to love yourself’ is bit of a cliche – but like most cliches, it’s actually true. Many things can sap your confidence, both mental and physical.

For my friend Amy, the problem is a lack of confidence caused by physical issues.

The problem has grown over the years, to the stage where it’s such a big issue that she’s unsure how to even start working through it.

‘I was born with cerebral palsy and I also have ME and fibromyalgia,’ Amy says.

‘I’ve gone from being moderately active and social to spending most of my time at home and sleeping a lot.

‘I was never particularly confident with guys because I have always been overweight.

‘I’ve had four sexual partners so far, three men and a woman. All were basically one night stands that were pretty unsatisfactory for me (and probably them too).

‘I’ve not had sex in years now and have never really dated anyone.

‘I’m pretty fed up of that to be honest but I feel quite isolated socially and wary of anyone who might take an interest because I feel so unattractive.’

You need to learn to love yourself

My personal suggestion in any situation like this always boils down to that same cliche – you have to learn to love yourself first.

Mirrors, masturbation and practice is the key.

Look at yourself so that you’re used to what your own body looks like and learn what really turns you on.

If you practice this alone then you’ll have all the more confidence when it comes to getting down to it with someone else in the room.

Amy’s story is just one of many I hear all the time from people whose sex lives have become unsatisfactory through no fault of their own.

I spoke to relationship and sexuality counsellor Jennifer Deacon and asked for her general advice on separating sex from anxiety.

‘When you’re anxious it’s often hard to feel turned on – or even have any desire at all.

‘That in turn can feed the anxiety more, particularly if you’re in a relationship where you might feel you’re letting your partner down, bringing up a whole heap more anxiety.

‘As with any anxiety the first thing is to try and find that tricky balance between reflecting on what’s going on with your thoughts and over-analysing.

‘What’s stopping you – is it the thought of being naked with someone else? The physical acrobatics that you might feel you ought to be performing?

‘Or is your sexual desire being suppressed because of meds that you’re taking?

‘Try to reflect on what’s going on, and then work through the ‘what ifs’ and ‘shoulds’ that often make up a huge part of anxious thoughts.

‘If you have a partner, try to communicate with them what you need – for example if you’re missing intimacy but are scared of initiating hugs or cuddles because you’re not sure you want full sex, then try to find a way to talk about this with them.

‘If your anxiety has roots in a trauma that you’ve experienced then communication becomes even more important – both communicating with yourself as to what you need and want, and communicating with your partner so that they can support you.

‘Lack of libido can be a common side effect from medication so if you notice that your sexual desire has waned since you started a new medication or changed your dose, consider discussing this with your GP or specialist.’

Many prescription drugs do indeed have side effects that affect the libido – and doctors aren’t always up front about explaining the risks.

Okay, so ‘losing interest in sex’ might be a long way down the list of worrying potential side effects, but given that antidepressants often cause this issue, I’m always amazed that it isn’t discussed more.

Sex is a healthy part of life and if you still want it but struggle to get any joy out of it, that’s going to affect your happiness levels.

After literally decades of living with chronic anxiety, I’ve been through endless different drugs in the hope of finding one that will help without ruining the rest of my life.

The problem is that drugs affect everyone differently – what works brilliantly for one person can potentially have drastically negative effects on another.

The first antidepressant I was given was Prozac.

Back then it was the big name in drug therapy and widely considered to be suitable for everyone.

And yes, it helped my depression – but it also completely removed my ability to orgasm.

I still wanted to – my sex drive itself wasn’t affected in any way – but I simply couldn’t ‘get there’.

I still regale people about ‘that time I gave myself RSI through too much w*nking’ – it’s a funny story now, but at the time it was utterly true and completely miserable.

I went back to the doctor and had my meds changed.

At the last count, I think I’ve tried about thirteen different anxiety meds and I still haven’t found one that I can cope with.

Ironically, if I was happy to lose my libido then several of them would have been perfect – but why should we be expected to go without one of the most enjoyable life experiences?

Personally, that makes me just as miserable as being anxious or depressed, so it invalidates the positives anyway.

Currently I’m med-free – and not very happy about it – but at least I still have my sex life.

For some people, finding the right medication without it affecting their libido will be easy.

But everyone has to find their own balance – some might prefer to take the meds and sacrifice their physical enjoyment.

But it’s okay to want both.

Complete Article HERE!

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4 things we really need to stop saying (and believing) about depression and sex

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It’s time to change your mind

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I always say that sex and depression is the intersection of two taboo topics.

It’s especially hard to talk about the two together because, frankly, it can be hard to talk about either topic separately.

Today, we’re going to look at some commonly held (and oft-repeated) beliefs that really need to be retired in the name of destroying the stigma around these important topics.

Also, they are just not true.

Depression is hard enough to cope with on its own. Don’t make it worse by piling on unfair, untrue cliches. Know the truth about sex and depression and help end the stigma.

Depressed people don’t want to have sex anyway

In 2014, I launched a survey on the impact of depression and its treatment on sexual function and relationships.

A total of 1,100 people took that survey.

In 2015, I started interviewing participants and only then did I spot the massive flaw in my survey: it only allowed for people to give responses about decreased libido.

When I conducted a second round of interviews in 2016 I asked, ‘Did depression impact your sex life? If so, how?’ and more than 29% of the respondents reported increased sexual activity during depressive episodes.

Don’t stick it in the crazy

Stop with this. It’s ableist and frankly it’s ridiculous.

Depression is not an STI and we don’t need to quarantine all the people with depression so they don’t sexually infect you.

Certainly you get to choose who you do and do not engage in sexual activity with, but reciting a (not at all clever) catchphrase, that is based in nothing, about dismissing an entire group of people just helps further stigma and makes people feel like they need to hide their own mental illness struggles.

Sex isn’t important enough to worry about when you’re fighting depression

A scenario that came up over and over in my research was patients being dismissed by doctors or the other people in their lives when they objected to sexual side effects because sex isn’t important enough to worry about ‘at a time like this’.

In some cases, the respondents believed it – ‘I didn’t worry about sex because there were more important things to worry about!’

Listen, yes, sometimes depression treatment is a fight to stay alive and we do whatever it takes, other times, it’s about maintenance and we are allowed to want more than just survival.

People with depression are allowed to want to actually live, and for a lot of people that includes sex.

You have to love yourself first before you can love anyone else

A lot of people will never love themselves.

When we tell people they are ineligible for love until they have hit this self-love goal (I know no one who has done this), what we are really doing is telling them that they have to be a better person in order to be loved.

Another variation on this is, ‘you have to get yourself together first’.

These are all nonsense, and the domain of people who want others to believe that relationships shouldn’t involve any baggage.

Everyone’s got baggage. You don’t need to pretend yours isn’t there to be loveable.

Complete Article HERE!

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Men, Depression and Sex

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As anyone who has been depressed will tell you, depression isn’t just about feeling blue.

Man and woman with pensive expression --- Image by © Ocean/Corbis

It is an incredibly complex condition which brings with it a whole slew of emotional, mental and physical symptoms with it. For men and women both, part of the problem can revolve around their sexuality – and this in turn can cause problems in a relationship at the time when the depressed person most needs the support.  Fortunately, there are ways to help treat this particular problem and restore intimacy and pleasure to a relationship.

Depression and Male Sexuality

It is common for both men and women to experience sexual problems as part of their depression – but the ways in which this presents itself can be different.  Healthline notes that in men, depression will often express itself as feelings of low-esteem, anxiety and guilt and this, in turn, can cause problems with erectile dysfunction, delayed orgasm, premature ejaculation or just a loss of interest in sex itself.

There is still a lot we just don’t know about exactly how depression affects the brain. But according to Net Doctor, researchers have learned that the chemical changes which take place when someone has this condition can lead to an increase in emotional withdrawal and low energy levels so that activities like sex, which require a connection to your partner as well as physical energy to perform, can become a challenge.  This can be hurtful for the person’s partner and make them feel unwanted or unloved, putting a strain on the relationship that can, in itself, be difficult to deal with.

To make matters worse, many antidepressants are notorious for their side effect of causing sexual dysfunction or loss of interest.  Included in this group are MAOI inhibitors, SSRI’s and SSNRI’s and both tetracyclic and tricyclic antidepressants. 

What to Do

So the long and short of it is, both depression itself and some of the treatments for depression can both put a damper on a guy’s sex life. So what are some solutions to the problem?

Get the Treatment You Need

Depression is not a choice that people make – and it is usually not a problem that goes away by itself. If you have not yet been diagnosed, talk to your doctor about the symptoms you are having and get started on a plan of care that involves the combination of medications, therapy and lifestyle changes that are right for you.

If you are already being treated for depression and suspect that your anti-depressants might be putting the kybosh on your sex life, find out if you can switch medications. While it might take a little time to take effect, there are some drugs which do not seem to effect one’s libido, including Wellbutrin and Remeron.

Exercise

Both Healthline and Everyday Health recommend regular exercise – preferably with your partner – as part of a program to help reconnect sexually. First, it gives you and your partner time together doing something enjoyable and this alone can be good for a relationship. It also helps to release feel-good chemicals like endorphins that help fight depression naturally and keeps you in good shape so that you feel good about yourself and the way you look. All this can go a long way to enhancing your sex life.

Take Your Time

According to Everyday Health, sex therapist Dr. Sandra Caron also has a few tips for couples who are struggling to overcome the barrier that depression has placed on their sives.  She recommends, first of all, that couples engage in more foreplay and other physical expressions of intimacy – hand holding, caressing, massage – before engaging in intercourse itself.  Depression tends to slow down all responses, so taking this extra time to achieve arousal can help enhance the pleasure for both partners.  She also recommends the use, if needed, of estrogen creams or lubricants and even erotica (like lingerie or sexy movies) to help sparthe mood.

Open Up

Probably the most important advice for men who are trying to reconnect with their partner sexually is to open up and communicate with your partner. This can be more difficult for men to do in general, but is even more of a challenge when it comes to talking about intimate issues like sexuality, desire and arousal. But being honest about how you are feeling and letting your partner know that it is the depression that is a problem and not a loss of interest or a loss of love can be an incredibly powerful way to overcome this challenges and get support from your loved one at a time when you need it the most.  Also, partners can be more understanding and supportive if they understand more about what is going on – otherwise, it is easy to interpret a low mood or lack of responsiveness as being hostile or unloving.

In short, depression is a difficult condition with a whole slew of symptoms that go far beyond just feelings of sadness or being blue.  And when depression begins to affect a person’s sexuality, this in turn can lead to a strain on intimate partner relationships.  However, while there are no quick solutions to this problem, getting on a treatment program that is tailored to someone’s individual needs as well as exercising regularly, spending time with a partner to engage in more foreplay and simply opening up and talking about the problem can all help to reignite the sexual spark in a relationship – and hopefully make the battle against depression that much easier.

Complete Article HERE!

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