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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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9 Reasons You Might Not Be Orgasming

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By Sophie Saint Thomas

While orgasms don’t define good sex, they are pretty damn nice. However, our bodies, minds, and relationships are complicated, meaning orgasms aren’t always easy to come by (pun intended). From dating anxiety to medication to too little masturbation, here are nine possible culprits if you’re having a hard time orgasming — plus advice on how to deal.

1. You expect vaginal sex alone to do it for you.

One more time, for the cheap seats in the back: Only about 25 percent of people with vaginas come from penetration alone. If you’re not one of them, that doesn’t mean anything is wrong with you or your body. As licensed psychotherapist Amanda Luterman has told Allure, ability to come from vaginal sex has to do with the distance between the vaginal opening and the clitoris: The closer your clit is to this opening, the more vaginal sex will stimulate your clit.

The sensation of a penis or a dildo sliding into your vagina can be undeniably delightful. But most need people need that sensation paired with more direct clitoral stimulation in order to come. Try holding a vibrator against your clit as your partner penetrates you, or put your or your partner’s hands to good use.

2. Your partner is pressuring you.

Interest in your partner’s pleasure should be non-optional. But when you’re having sex with someone and they keep asking if you’ve come yet or if you’re close, it can throw your orgasm off track. As somatic psychologist and certified sex therapist Holly Richmond points out, “Being asked to perform is not sexy.” If your partner is a little too invested in your orgasm, it’s time to talk. Tell them you appreciate how much they care, but that you’re feeling pressure and it’s killing the mood for you.

It’s possible that they’re judging themselves as a partner based on whether or not you climax, and they may be seeking a little reassurance that they’re making you feel good. If they are, say so; if you’re looking to switch it up, this is your opportunity to tell them it would be so hot if they tried this or that thing next time you hop in bed.

3. Your antidepressants are messing with your sex drive.

As someone who continues to struggle with depression, I can’t emphasize enough how important it is to seek treatment and take medication if you and your care provider decide that’s what’s right for you. Antidepressants can be lifesavers, and I mean that literally.

However, certain medications do indeed affect your ability to come. SSRIs such as Zoloft, Lexapro, and Prozac can raise the threshold of how much stimulation you need to orgasm. According to New York City sex therapist Stephen Snyder, author of Love Worth Making: How to Have Ridiculously Great Sex in a Long Lasting Relationship. “For some women, that just means you’re going to need a good vibrator,” says New York City sex therapist Stephen Snyder, author of Love Worth Making: How to Have Ridiculously Great Sex in a Long Lasting Relationship. “For others, it might mean your threshold is so high that no matter what you do, you’re just not going to be able to get there.”

If your current medication is putting a dramatic damper on your sex life, you have options, so talk to your doctor. Non-SSRI antidepressants such as Wellbutrin are available, while newer medications like Viibryd or Trintellix may come with fewer sexual side effects than other drugs, Snyder says. I’m currently having excellent luck with Fetzima. I don’t feel complete and utter hopelessness yet can also come my face off (a wonderful way to live).

4. Your birth control is curbing your libido.

Hormonal birth control can also do a number on your ability to climax, according to Los Angeles-based OB/GYN Yvonne Bohn. That’s because it can decrease testosterone levels, which in turn can mean a lower libido and fewer orgasms. If you’re on the pill and the sexual side effect are giving you grief, ask your OB/GYN about switching to a pill with a lower dose of estrogen or changing methods altogether.

5. You’re living with anxiety or depression.

“Depression and anxiety are based on imbalances between neurotransmitters,” OB/GYN Jessica Shepherd tells Allure. “When your dopamine is too high or too low, that can interfere with the sexual response, and also your levels of libido and ability to have sexual intimacy.” If you feel you may have depression or an anxiety disorder, please go see a doctor. Your life is allowed to be fun.

6. You’re not having sex for long enough.

A good quickie can be exciting (and sometimes necessary: If you’re getting it on in public, for example, it’s not exactly the time for prolonged foreplay.) That said, a few thrusts of a penis inside of a vagina is not a reliable recipe for mutual orgasm. Shepherd stresses the importance of foreplay, which can include oral, deep kissing, genital stimulation, sex toys, and more. Foreplay provides both stimulation and anticipation, making the main event, however you define that, even more explosive.

7. You’re recovering from sexual trauma.

Someone non-consensually went down on me as part of a sexual assault four years ago, and I’ve only been able to come from oral sex one time since then. Post-traumatic stress disorder is common among survivors of sexual trauma; so are anxiety and orgasm-killing flashbacks, whether or not the survivor in question develops clinical PTSD. Shepherd says sexual trauma can also cause hypertonicity, or increased and uncomfortable muscle tension that can interfere with orgasm. If you’re recovering from sexual trauma, I encourage you to find a therapist to work with, because life — including your sex life — can get better.

8. You’re experiencing body insecurity.

Here’s the thing about humans: They want to have sex with people they’re attracted to. Richmond says it’s important to remember your partner chooses to have sex with you because they’re turned on by your body. (I feel confident your partner loves your personality, as well.) One way to tackle insecurity is to focus on what your body can do — for example, the enormous pleasure it can give and receive — rather than what it looks like.

9. You’re shying away from masturbation.

Our partners don’t always know what sort of stimulation gets us off, and it’s especially hard for them to know when we don’t know ourselves. If you’re not sure what type of touch you enjoy most, set aside some time and use your hands, a sex toy, or even your bathtub faucet to explore your body at a leisurely pace. Once you start to discover how to make yourself feel good, you can demonstrate your techniques to your partner.

Complete Article HERE!

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Long-term sexual satisfaction: What’s the secret?

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Once the flutters of a new relationship are over, for many, the slog of everyday life sets in. But how do you keep the spark alive?

Sex is a key factor in most romantic relationships. In fact, earlier this year, Medical News Today reported that the “afterglow” that newlywed couples feel for up to 2 days after having sex is associated with greater marital satisfaction.

But last week, a new study showed that 34 percent of women and 15 percent of men who had lived with their partner for at least 1 year had lost interest in sex.

There are many factors that can affect sexual desire. Find out how much sex has the greatest effect on happiness, why some people lose interest, and what factors contribute to long-term sexual satisfaction.

How much sex is enough?

In a 2016 paper, Amy Muise, Ph.D. – a postdoctoral fellow in the Department of Psychology at the University of Toronto Mississauga in Canada – explains that there is plenty of evidence that “[…] the more sex people reported, the happier they felt.”

However, Dr. Muise also questions whether trying to have sex as “frequently as possible” is actually going to have the desired effect, particularly in light of the busy lives that many people lead.

Is the pressure of having frequent sex getting in the way of happiness?

Dr. Muise reports a clear relationship between the frequency of sex and happiness. What she found was that people who had sex once per week or more often were significantly happier than those who had sex less often.

But study participants who had sex on several occasions per week were not happier than those who had sex once each week.

The results were true for individuals who were in a romantic relationship, including women, older participants, and those in long-term relationships who tend to have less sex.

Interestingly, having sex had a greater effect on the participants’ happiness than income. So if sex makes us happy, why do so many people lose interest?

Who loses interest in sex?

There is plenty of evidence that being in a long-term relationship, being a woman, and increasing age are linked to a drop in sexual frequency.

Last year, MNT reported that women’s sexual desire decreased in long-term relationships. However, over the 7-year study period, the participants’ ability to reach orgasm improved – especially in those who had been in the same relationship the entire time.

So, for women, staying with a partner means better orgasms but less interest in sex, according to the research.

Last week, we reported on a new study published in BMJ Open that adds to the body of evidence showing that women’s interest in sex decreases in relationships.

Prof. Cynthia Graham, from the Centre for Sexual Health Research at the University of Southampton in the United Kingdom, found that more than 34 percent of women who had lived with their partner for at least 1 year lacked interest in sex, while only 15 percent of men did.

The biggest turn-offs

Prof. Graham identified a number of factors that were associated with the drop in sexual desire found in her study.

For women, these were having young children, having been pregnant in the past year, living with their partner, being in a longer relationship, not sharing the same level of sexual interest, and not sharing the same sexual preferences.

For both genders, health conditions (including depression), not feeling close to their partner during sex, being less happy with their relationship, and having sex less often than they were interested in all contributed to a drop in sexual interest.

Age was another factor. Men experienced the lowest levels of interest in sex between the ages of 35 and 44, while for women, this was between 55 and 64.

Julia Velten, Ph.D. – a postdoctoral fellow at the Mental Health Research and Treatment Center at Ruhr University Bochum in Germany – reported that when men felt that their partner expected them to always initiate sex, it had a negative effect on their sexual satisfaction.

Sexual desire discrepancy, which is the difference between the actual and desired frequency of sex, was a negative factor for both men and women.

Sexual function also played a role for the couples in Dr. Velten’s study. Men were affected by their partner’s lack of sexual function, such as lack of arousal, while women were more affected by the partner’s distress about their own sexual problem, such as erectile dysfunction.

How does masturbation fit into the picture?

On this topic, research findings do not agree. In a study involving couples living in Prague, Kateřina Klapilová, Ph.D. – from the Department of General Anthropology at Charles University in Prague – found that for women, masturbation negatively affected their sexual satisfaction.

But masturbation had no effect on men in these couples.

Meanwhile, Prof. Graham found that men who had recently masturbated were less interested in sex, while masturbation was not related to a change in women’s sex drive.

Prof. Graham told MNT that in her previous research, she had “found striking gender differences in factors associated with frequency of masturbation in men and women.”

She added that “when men were having less partnered sex, they tended to masturbate more often, whereas the reverse was true for women.”

With 51.7 percent of male and 17.8 percent of female participants reporting to have masturbated in the 7 days prior to study interviews, this is clearly a factor that is important in many relationships.

But just how masturbation contributes to or distracts from long-term sexual satisfaction remains to be seen.

With significant levels of both men and women reporting a drop in sexual interest and satisfaction, is there a secret to keeping the spark alive?

The secret to sexual satisfaction

Dr. Klapilová’s study found that for both men and women, penile-vaginal intercourse and the consistency of being able to reach vaginal orgasm were associated with sexual satisfaction.

She points to the “special role that vaginal orgasm (as distinct from other orgasm triggers) had in maintaining higher-quality intimate relationships.”

Anik Debrot, Ph.D. – alongside Dr. Muise and other colleagues from the University of Toronto Mississauga – recently studied the link between affection and sexual activity.

In her study paper, which was published this year in the journal Personality and Social Psychology Bulletin, she explains that “when engaging in sex, people not only seek an intimate connection, but indeed experience more affection, both when having sex and in the next several hours.”

“Thus, sex within romantic relationships provides a meaningful way for people to experience a strong connection with their partner,” she adds.

To her, this indicates that sex is important in romantic relationships because of the emotional benefits that we feel. Dr. Debrot suggests, “[When sex may be impaired], affection could help maintain well-being despite decreased sex frequency.”

The effect of time

A study by Prof. Julia Heiman, from the Department of Psychological & Brain Sciences at Indiana University in Bloomington, studied 1,000 couples in five countries (Brazil, Germany, Japan, Spain, and the United States).

Although the length of the couples’ relationships ranged from 1 to 51 years, half had been together for at least 25 years.

Prof. Heiman found that “[w]omen reported significantly more sexual satisfaction than men and men more relationship satisfaction.” In particular, “Men who valued their partner’s orgasm were more likely to report relationship happiness.”

Women’s sexual satisfaction increased from 40 percent at the start of the relationship to 86 percent once they had been with their partner for 40 years.

From these studies, penile-vaginal sex, affection, and the time spent in the relationship are key ingredients to a happy sex life. But there is one more factor that could be key: open communication.

Talking about sex

In Dr. Velten’s study, open communication about sexual wishes and frequencies had a positive effect on the quality of sex that the participants reported.

Likewise, participants in Prof. Graham’s study who found it easy to talk about sex with their partner were more interested in sex.

She told MNT that “[their] findings underline that open communication with a partner about sex is one of the most important things you can do to try to maintain sexual interest in a relationship.”

Sexual desires and preferences are, by nature, intrinsically personal and individual. Research in this field is complex, and while studies can show associations and trends, they will not be able to tease apart the reasons for an individual’s sexual satisfaction.

I don’t think that there is any ‘secret’ to long-term sexual satisfaction! Human sexuality is too diverse and ‘fluid’ for this to be the case – but […] open communication about sex with a partner should go some way to preventing sexual problems from developing.”

— Prof. Cynthia Graham

Talking about sex may be a good starting point. Finding a way to fit sex into the pressures of daily life may be challenging, but affection and time together might well help.

Complete Article HERE!

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Study Finds Stereotypes About Boys, Girls Begin at Early Age

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Girls look in a mirror as they put makeup on during a beauty and fashion fair inspired by the U.S. “Beautycon” event, a gathering of fashion bloggers and YouTube personalities, May 28, 2016, in Paris. Researchers found that in most of the world’s cultures, by the time girls are 10 years old, they have been taught that their key asset is their physical appearance.

By Carol Pearson

Whether children live in Baltimore, Beijing, Nairobi or New Delhi, by the time they are 15, boys are told to go outside and have adventures, while girls are told to stay indoors and do housework. Furthermore, most girls are told that if they are raped or have sex, they are the ones at fault.

A new study by adolescent-health specialists interviewed 450 poor children and their parents about gender expectations in a total of 15 high-, low- and middle-income countries. The children included in the study, the first of its kind, were between the ages of 10 and 14.

“When we started this work, there was no research at all, no understanding at all of young adolescents,” said Robert Blum, director of the Global Early Adolescent Study at Johns Hopkins University in Baltimore, Maryland. “There was an assumption that these were young children, and they aren’t cued into gender-based violence, gender messages, rape and things of that nature.

“What we see is that around the world, young people have keen awareness, and they’re very cued in to what’s going on.”

The key finding was that rigidly held and enforced gender expectations are linked to increased lifelong health risks — everything from HIV and depression to violence and suicide.

Messages internalized

“We found children at a very early age, from the most conservative to the most liberal societies, quickly internalize this myth that girls are vulnerable and boys are strong and independent,” Blum told VOA. “And this message is being constantly reinforced at almost every turn, by siblings, classmates, teachers, parents, guardians, relatives, clergy and coaches.”

The researchers found that in most cultures, by the time girls are 10 years old, they have been taught that their key asset is their physical appearance.

Lead researcher Kristin Mmari said no matter where they are, girls are concerned about their bodies, and others’ attitudes to them. “In New Delhi, the girls talked about their bodies as a big risk that needs to be covered up, while in Baltimore, girls told us their primary asset was their bodies and they need to look appealing, but not too appealing.”

Indian youth hold candles during a protest against sexual violence in New Delhi, Feb. 9, 2015.

Venkatraman Chandra-Mouli of the World Health Organization said violence against women is so pervasive that one in three women experience violence from their husbands or other sexual partners. “Social norms accept that a woman has to be beaten,” Chandra-Mouli said.

He and other researchers involved in the study of adolescents’ gender norms discussed their findings at the National Press Club in Washington.

Pressure on boys

The researchers found that boys do not emerge unscathed from gender expectations. They found that the pressure boys face to become physically strong and independent make them more likely to be victims of physical violence and homicide, and more likely to take up unhealthy habits like tobacco, drug and alcohol use.

The study was a collaboration between the Johns Hopkins Bloomberg School of Public Health and the World Health Organization. The Journal of Adolescent Health has published a supplement to its October issue incorporating a number of articles on the subject, along with commentaries by Blum, Chandra-Mouli and others.

Adolescents are torn between opposing expectations, the study showed, especially girls.

In Shanghai, for example, girls are told they should be economically independent, and that they should not rely on men for financial support. At the same time, girls are told their husbands will divorce them if they don’t do housework.

The goal was to understand the factors in early adolescence that predispose young people to subsequent sexual health risks and promote healthy sexuality.

The conclusion was that societies wishing to have healthier adolescents and young adults, free of gender stereotypes, must intervene, where necessary, before children reach age 10. Chandra-Mouli said WHO hopes to use the data from the study to shape programs to change misunderstandings about gender norms.

Blum said the researchers will measure changes in their subjects three times over five years to see how perceptions of gender affect individuals’ lives and how programs change the outcome.

Complete Article HERE!

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