I’m 22 and this has been another bag of bs I have to carry with me along with chronic pain, absolutely disgusting how this is used and prescribed like skittles to young people. We have clinical trials for a reason, how is this medicine considered safe and on the market? We really appreciate you discussing this, we need more people like you
@@JZGreengo If possible stop antidepressants. Believe in you and fight with depression or anxiety. 1 They are not real. 2 Exposed your self to this that makes you pain, anxiety. 3. Life is suffering. 4. Have a healthy life still. Clean food, sport, gym, cardio 3 times per week, good sleep. 5. You ar responsible for all the things in you life. Not Doctors, not family etc. 6. If you must do baby steps but do something never stop. Do personal development.
@@Mircea-cq8tb dude antidepressants gave me sexual dysfunction lol Believe me I’ve tried all the bs you’ve recommended, suckers like me have to tough it out and wait for old medicine to be replaced by a future medical revolution, current method of treating conditions is sick and disgusting for there to be people that think it saves lives is just a bonk on the head to me
@@Mircea-cq8tb what doctor? Lol who? The one you see once a year? I don’t need to be told what medications do and don’t cause SD, been through a lot of them, have more hands on experience than the majority of doctors
PSSD since 2019. People need to educate theirselves before it's too late...Loosing sexual function is hardcore, and loosing the ability to feel emotions or/and pleasure is even more hardcore. Thanks for your video, appreciate.
So sorry to hear. If possible and if ok with you - Which medication was it ? Were other treatments tried after stopping the causal agent and medical causes ruled out ? Are all antidepressants now stopped?
@Kiki Laker yes it is considered the same . There are newer antidepressants such as Vortioxetine , Agomelatine / also others such as bupropion , Mirtazapine which are not associated with this syndrome as they do not act through Serotonergic mechanisms.
I love your videos. You are able to explain things simply and concisely. When instructors can do that, you know they understand their subjects very well.
Thank you for mentioning PSSD post ssri sexual dysfunction, It needs to be talked about more. I believe its not as rare as were lead to believe. If anything its misdiagnosed because not much is know about it yet.
Is pssd is permanent ? I have lost the ability of feeling pleasure during sex ( forplay ) with girl ! I was on lexapro and clonazepam for 6 month... What should ii do ? 😢😢😢😢
@@SuperCody8881.5 years ago I took Escitalopram 10 mg and clonazepam 0.5 mg for 3 months and then stopped ! After stopping them....when I did sex I didn't feel any excitement when I touched girls body ! When girl touched my penis and suck it in her mouth I felt full pleasure Erection excitement and when I do masturbation I feel full pleasure Erection excitement and orgasm but when I try to touch n press girls body I feel nothing.... totally numbness ! How would I survive ????😢😢😢😢
This needs to be spoken about more when GPs prescribe SSRIs. Sertaline had a devastating effect on me. Stopped taking it early 2022 and it's taken a long time to see improvement. Switched to Bupropion which is far better with no emotional blunting. Had I known before I never would've taken Sertaline etc.
@@Randy_Batswinger I am sorry to hear about your experience with Sertraline. Those things are poison and should come with a warning as clear ad what you get on cigarettes.
I'm bowled over by how thorough you are. I bet everybody watching these videos wishes you were their GP. I certainly do. Your explanations are gold standard. Your videos on ADHD are especially impressive. Thank you.
Thank you for your feedback . Henry Miller the neurologist said - “psychiatry is neurology without the physical signs and required diagnostic virtuosity of the highest order .”
I don’t even bother going to the gp, they will just fob me off, tell me to do more exercise or something. I exercise 3 times a week and eat more than five potions of veg, lean protein etc a day, use alcohol twice a month, generally healthy, still depressed and have diminished libido 15 years later after taking ssris
@@PsychiatrySimplified I got some hands on bupropion myself through ‘less conventional channels’ all it did was give me a headache for three days. I stopped taking it and had some wine and fell asleep, next thing I found myself in a forest miles from home with no shoes on having sleepwalked, true story, also all my possessions on me were stolen.
I hear this a lot, that sexual dysfunction is a common occurence with depression, but for the life of me I don't believe this to be true at all. Sure, your want of sex might be lower but your ability sure as hell is still there - it's the last thing to go....
Started on setralin when I was 21. Now I’m 34. And I just quit taking it completely for about 4 weeks ago. I have done it by myself. I’ve changed so much after I started on antidepressants, and I want to get back to my feelings and my sex life😅! The first 3 weeks was hell! Cried over everything! But now I’m staring to feel a bit better.
wellbutrin can help with this, its an antidepressant that seemed to actually reverse this side effect for me. unfortunately i have bpd and it was causing mania so i had to go back on srris.
My penis get erection after thinking about sex but i m feeling sexual numbness with a girl during forplay 😢😢😢😢😢 I was on lexapro and clonazepam for 3.5 month
It is shocking that no research is being done on PSSD. I’ve been suffering from it since 2020. I mean look at all the comments about PSSD, we are all suffering but our Drs don’t care.
SSRI's were hell on my pre-existing sexual dysfunction as a result of being circumcised and having close to no feeling in my anatomy since birth as a result. There were other side effects ranging from psychologically horrifying to almost unbearable discomfort. Buproprion worked well for the depression but the problem was different - i could get aroused but not hold an erection because of the high blood pressure it created. You're correct in saying that this feeds on depression itself. This problem was so severe that i went my way on treating my depression, and have for 9 years now. Today i take a B complex designed for optimal absorption, and eat a ketogenic diet, work out a bit, get enough sun ( or artificial UV light ) and only 5% of my depression remains. I like this approach because i can feel and process the ups and downs of life as an ordinary person would. The reminder that i'm still a mentally ill person is rare and not severe. In a way, i'm sort of grateful that meds had side effects to the degree they did. Otherwise i would have never been given a taste of what a working brain felt like. That taste that SSRIs gave me made me think that, at the least, i am not unfixable, and maybe another way would work. Previous to trying SSRIs, believing that i could actually have a working mind was a foreign concept. I was so trapped in the darkness that i forgot what light looked like. So in that way, i am thankful i at least trued these drugs.
Good point, i unfortunately suffer from PSSD. But if there is any positive to take away from the whole experience it is that i will have a far greater appreciation for life once i am cured, and i have also learned so much about how the brain works and how corrupt the Pharmaceutical Industry is unfortunately. I hope that i can help other people recover with my newfound knowledge, once i am in a better state myself.
How long after getting off the medication did you feel like function got back to normal? Also did you taper off or did you just decide to quit one day.
@@richie6905 I was on SSRIs for a very short period of time ( weeks? ) and immediately quit after those crazy thoughts. I didn't experience a withdrawal, just a return to the usual depression. Went on wellbutrin for a few years, discovered the B vitamin thing, and have been off antidepressants for 18 years now.
SSRIs are more likely to cause sexual dyfunction than improve depression! These drugs can change you forever, one of the greatest sadnesses in medicine. Psychiatrists should be ashamed of what they do.
Check out AJ Miller (divine truth) and tell me your opinion regarding the possibility to heal it according to his teachings about emotions. I firstly recommend the video with the title "Jesus on How to Remove Blocks to Feeling All of Our Emotions".
Amazing video my friend. I wish every psychiatrist took the time to explain at least the basic version of this to their patients. (I was unaware of the effect on NO also). Many thanks!
i wonder, who is responsible for PSSD caused by SSRI's? I think we who suffer from this permanent side effect caused by this medicine which was not listed should atleast all get some compensation for what happened to us.
@@ashuvijay7031 for many it sadly is. paroxetine has it even descriped in their prescription that is may cause permanent sexual dysfunctions. If this is the case for paroxetine, then it means any SSRI can cause this permanent damage, because all SSRI's medication work the same way.
@@RKCYOUTH really it is permanent ? Is there no solution for this ? I got Erection ! But I am unable to feel pleasure during sexual intercourse ! I am feeling sexual numbness !
@@ashuvijay7031 No permanent sexual dysfuction, its a myth it just take years to recover 1 or 2 could be more it depend on what you do.I was a finasteride user then i use effexor and diazepam, i stopped all those, after 3 years my erections and my sexual life is spot on, one thing that played the biggest role for me, quit porn not masturbation just porn, thank me later.
@@RKCYOUTH1.4 years ago I took Escitalopram 10 mg and clonazepam 0.5 mg for 3 months and then stopped ! After stopping them....when I did sex I didn't feel any excitement when I touched girls body ! When girl touched my penis and suck it in her mouth I felt full pleasure Erection excitement and when I do masturbation I feel full pleasure Erection excitement and orgasm but when I try to touch n press girls body I feel nothing.... totally numbness ! How would I survive ????😢😢😢😢
It's been something that's been hard to deal with for a long time. I dont think I've had an organism ... Ever. The only time I feel wet is when I am hardcore turned on but it (wet)will only last a short time.
@@PsychiatrySimplified1.4 years ago I took Escitalopram 10 mg and clonazepam 0.5 mg for 3 months and then stopped ! After stopping them....when I did sex I didn't feel any excitement when I touched girls body ! When girl touched my penis and suck it in her mouth I felt full pleasure Erection excitement and when I do masturbation I feel full pleasure Erection excitement and orgasm but when I try to touch n press girls body I feel nothing.... totally numbness ! How would I survive ????😢😢😢😢
Only one day taken of sertraline 50 mg can cause decrease libido..is it possible single medicine of sertraline 50 mg can cause decrease libido...i have taken sertraline 50 mg for one day only and experience decrease libido..now what can I do
I have PSSD cognitive and sexual disorder from Paroxetine that I took during 4 weeks in 2016 be aware of antidepressant it has killed my life Please if you have enduring cognitive or sexual disorder after SSRI write a comment ! encourage us to fight and find a treatment
Sorry to hear. PSSD is relatively rare - so other causes need to be ruled out and other things tried before PSSD Dx is made. There are favourable antidepressants and also ADs that can treat sexual dysfunction. Have you discussed this with your doctor?
@@hashamkhan3198 what I was trying to say is that PSSD is a specific diagnosis that is made after the SSRI ir SNRI is stopped - no depression is present - treatment modalities - other ADs and medications are trialled ant medical causes ruled out. When all this is done and there is still no benefit then a diagnosis of PSSD may apply.
Hey Hasham. I was damaged for multiple years by one course of a very strong antibiotic. Neurological problems. physical problems. You name it. i thought the situation was hopeless too. Some other people had it worse and became disabled for life. Yet... the human body has ways of repairing itself over time from so many things. In 5 years, your entire body will be composed of an entirely different set of cells, for example. Almost every part of the human body can regenerate. Hang in there, treat yourself well, and consider taking vitamins known to help with neurogenesis as a means of changing the odds of a full recovery.
It's not as rare as you think. It took me many years to figure out I was suffering with pssd bc most medical professionals are unaware of pssd. Many sufferers are told they are dealing with depression. This is why it's believed it's a rare condition. Ssri are the most common prescription worldwide.
I took fluoxetine 20mg , propranolol 20mg at morning and chlomipramine hcl 10mg , olanzapine 2.5mg at night for around six months and stopped taking now i got releif from depression and anxiety but my brain becomes slow, less productivity, memory problems, dullness, numbness, confusions, thinking ability decreased, more relax, and decreased intellegence...i stopped my medication since 2months but no improvement my brain becomes slow due to this drugs. Does this things will become normal plz reply if anyone knows ..does brain will work normal as it was before taking this drugs or this is permanant side effects..
It's difficult to comment because if depends on the underlying issues. You doctor is in the best position to provide recommendations on this. Wish you well.
This is a question for your treating doctor. Would be irresponsible for me to comment without an overall understanding and moreover am unable to comment on supplements that may not have an evidence base
I taken zoloft for 3 weeks I noticed my sex drive went away I immediately stopped taking it I got real upset with my doctor for not telling me the side effects part of sexual function Now it's been 3 weeks later and my sex drive is nowhere near the same like it was before I taken the medicine. To the point my wife thought I was cheating or not even into her anymore This is by far the scariest information I learned about this drug Can anyone help me with information I only taken Zoloft 25 MG for one week then 50mg for 2 weeks Does anyone know if it could cause me permanent damage for the 3 weeks I was on it?
Sorry to hear. There are many factors to take into account when faced with this situation. The complete wash out of the medication after stopping is around 2 weeks. Moreover the pre existing condition relapse also needs to be taken into account . Hormonal levels etc . Please have a discussion with your doctor regarding your concerns . Wish you well.
@@PsychiatrySimplified the dumbest thing to hear is speak to your doctor when this was the moronic person that caused the problem and didn’t even know or tell the patient about these side effects..
You have not addressed post SSRI sexual dysfunction. While on SSRI my husband had libido and sex dive. He discontinued SSRI and lost all sensation, sex drive and erection.
I am on risperidone and Escitalopram for almost an year. My doctor told me I am nearly okay and I will be off medications in a few months. I am 23 and I now have sexual dysfunction. Will my sexual ability will be back when i stop using them?
@@PsychiatrySimplifiedI took ssri and after stopping the medication I felt the loss of sensitivity sexual excitement arousal pleasure on touching girls body ! Is it libido loss ? Can wellbutrin fix it ? I feel girls body totally flat ! Only hands of girls are pleasurable for me ! Besides it I can get full arousal Excitement pleasure in blow job with girl!
@@PsychiatrySimplified plz help me ! I took ssri for 3 months 1.5 years ago and after stopping the medication I lost the ability to feel any kind of Sensitivity like warm feeling and intense pleasure on touching girls body...! Only their hands are pleasureable for me with romantic warm feeling just like pre ssri state ! My all other sexual functions are quite well ! I don't have genital numbness ed etc...what should I do ?
Thats messed up I was on it for 3weeks Stopped it immediately This is no joke Because I had a very fruitful sexual life before taking that garbage I'm going on 4 weeks off it And I have minimal arousal
@@MrRicoruizI wana talk to wid u...! I get arousal visually.....during masturbation sex chat....Even when a girl touch my sex organ I get arousal but when I try to touch a girl body I don't feel pleasure....! Is this pssd. ?
Don't take meds. I'm furious at how powerless I'm left not being told about any of these long lasting effects... Look at changes you can do in your life. Depression is a natural response to an "unnatural habit". Viagra/cialis have been seen to negatively affect fertility in studies.
As someone who has been on every family of anti depressants for OCD and major depression for the past 36 years the side effect of not being able to climax has been the bane of my life. Unfortunately the only two drugs that didn’t help my OCD/depression didn’t have any side effects. I’ve lost count of how many times I’ve faked an orgasm . Excellent video but nothing that I haven’t tried. The only thing is a drug holiday but this does not work for all drugs due to the half life and you risk the drug not working again if you do this often. Thanks for sharing.
Bout the same story man. Been on everything under the sun for bout 30 yrs for OCD/crippling anxiety. I'm now 44, never really had problems with ED or "finishing". Well my family dr put me on Clomipramine last yr & it has been my miracle drug. I've never felt this good mind & body since my teen yrs. But...now I have ED. And I can't "finish". I have faked a lot of orgasms the past yr also, it's embarrassing & a big shot to the male ego. I keep thinking it will get better or just fix itself one day bf my girlfriend starts getting suspicious! So it's a Catch 22, continue to take my miracle med & feel great or stop taking it only for sex & that's a small part of life compared to all the other hrs in a day. It's a lot to think about. So you're not alone in the fight man!😂💪
Hello doctor!!!I have been suffering from anxiety and depression the last 5-6 years of my life.At first I was using duloxetine for 4 years which was helpful but not 100% so we decided to switch to Lexapro.Lexapro is treating my symptoms much better but it gives me low libido and erectile dysfunction while on cymbalta I had perfect sexual function.I don't wanna stop Lexapro because it helps a lot but despite being on a low dosage of 5mg I am not fully functional sexually.Do think asking my doctor about an add on medication like agomelatine would worth it?I was Also thinking about Wellbutrin but I have a strong feeling that it will increase my anxiety.
I'm on sertraline for OCD and depression. It works well but it causes orgasm issues. it's only gotten worse as I've gotten older, as I've had to increase the dosage over the years. Anyone have any suggestions?
Towards the latter part of the video we covered treatment options. Adding agents / switching are two strategies. These can be discussed with your doctor.
@@PsychiatrySimplified what the hell ssri did me ! I took ssri and after stopping the medication I lost my sensitivity excitement warm feeling arousal pleasure on touching girls body ! Now girls body feels me like boys body ! How it can happen ?
@@ashuvijay7031 been seeing your posts on other channels. I will be honest with you. What happened was your brain could not handle the toxicity of this medication and it caused kind of a damage to it. And as with every bad condition with the brain regular and intensive cardio excersise could improve your ability to feel the sensation if you havent tried it already. Eating healthy and living healthy lifestyle is also important you should beware of excesive drinking of alcohol or smoking, best would be not to drink and smoke at all, because since your brain has been intoxicated like that bef9re it will be less tolerant to other toxins like alcohol and you could worsen or lose your other s3xual functions over time which most probably wont happen if youll be ccareful. I know that not feeling it when you touch a girl can suck but if your sensation wont improve you should be glad that you have all your other functions working and focus on that. There are so many people that would give anything to be in state like you. Also i have heard that ginko biloba can help in some cases too but thats not something i have experience with. I didnt mean to scare you if so im sorry but im certain at that this info is useful if you want to maintain your health.
thank u for this amazing,comprehensiver and life saving video.i have gad and ptsd and until now this is the best video about solution for sexual dysfunction and alternatives.better than many psychiatrists which are not interested to find the time to find alternatives and suitable solutions for everyone out there that has mental illness.
Sir give me some information plz, I didn't taken any ssri( and any antidepressant drug)in my entire life but i have pssd like symptoms , what happens with me
My life is essentially over because I trusted my doctor when I asked about permanent side effects. “There is no such thing.” Now I am here 2 years later off meds with emotional blunting and numb genitals
@@PsychiatrySimplified1.4 years ago I took Escitalopram 10 mg and clonazepam 0.5 mg for 3 months and then stopped ! After stopping them....when I did sex I didn't feel any excitement when I touched girls body ! When girl touched my penis and suck it in her mouth I felt full pleasure Erection excitement and when I do masturbation I feel full pleasure Erection excitement and orgasm but when I try to touch n press girls body I feel nothing.... totally numbness ! How would I survive ????😢😢😢😢
@@PsychiatrySimplified Dr sahb mere doctor ne anxiety ke liye prescribe ki hai psychiatrist ne lakein is ke side effects ki waja se mein yeh istemal nhi krna chahta
I am on paxil 37.5 mg controlled realse tablets from 4 months. My dr told me to take it for 8 months then gradually stop it.My panic attacks , pounding heart and anxiety, premature ejaculation went away . Without any side effects but people say ssri damages your brain permanently or it will make you impotent i am really scared and confused about its further use please help
@@PsychiatrySimplifiedI took ssri and after stopping the medication I felt the loss of sensitivity sexual excitement arousal pleasure on touching girls body ! Is it libido loss ? Can wellbutrin fix it ? I feel girls body totally flat ! Only hands of girls are pleasurable for me ! Besides it I can get full arousal Excitement pleasure in blow job with girl!
@@PsychiatrySimplified plz help me ! I took ssri for 3 months 1.5 years ago and after stopping the medication I lost the ability to feel any kind of Sensitivity like warm feeling and intense pleasure on touching girls body...! Only their hands are pleasureable for me with romantic warm feeling just like pre ssri state ! My all other sexual functions are quite well ! I don't have genital numbness ed etc...what should I do ?
Dr sahb maine escitalopram oxalate 10 mg khayi thi 14 days tak fir sideeffect dekhke fauran withdraw kardi uske baad se kabhi nhin khayi. Jab maine dawa khayi 18 years ka tha Abhi 9 months ho gyh aur penile numbness feel hoti hai aur low libido and inability to reach orgasm kya yeh puri taranh recover ho jaaega apney aap?
It would have a lower incidence but has some serotonergic activity so can do. For antidepressants that have minimal or no risk ; agomelatine, bupropion, vortioxetine, moclobemide.
@@PsychiatrySimplifiedI took ssri and after stopping the medication I felt the loss of sensitivity sexual excitement arousal pleasure on touching girls body ! Is it libido loss ? Can wellbutrin fix it ? I feel girls body totally flat ! Only hands of girls are pleasurable for me ! Besides it I can get full arousal Excitement pleasure in blow job with girl!
I took ssri and after stopping the medication I felt the loss of sensitivity sexual excitement arousal pleasure on touching girls body ! Is it libido loss ? Can wellbutrin fix it ? I feel girls body totally flat ! Only hands of girls are pleasurable for me ! Besides it I can get full arousal Excitement pleasure in blow job with girl!
Thanks for making this video. I've been on Zoloft and switched to Venlafaxine a couple of years ago. Getting in to a new relationship caused me issues with being able to climax so my doctor moved from from 300mg of standard release Venlafaxine (taken as 150 in the morning and 150 in the evening) to 300mg of extended release Venlafaxine taken just in the morning. Is switching to an extended release version likely to change much if the dose is the same?
In theory it is the same medication and the mechanism of venlafaxine induced sexual dysfunction remains the same. Having said that in some cases patients may notice differences. Evidence suggests that if an SNRI is needed desvenlafaxine has a lower incidence of sexual side effects. There are other agents with even lower risk outlined in video. Wish you well.
Is it true that some people experience permanent and irreversible sexual dysfunction from taking antidepressants? I have read about people who say after stopping their anti-depressant, years and years later, some even decades later, Never regained their normal sexual function.
There is an entity called PSSD. Post ssri sexual dysfunction which is associated with non return of normal sexual function. The true prevalence is unknown. We talk about it in the video and others have spoken about it in comments section.
@@PsychiatrySimplified Oh ok, thank you. I was wondering what that stood for (PSSD). I have experienced it myself, the dysfunction, not permanent non-return of function, and for me, that was worse. Plus, I didn’t need the antidepressant, I have (moderate/severe)ADD, And they trying to treat with anti-depressants, Vistaril and gabapentin. It was ridiculous. I had a GeneSight test done and a GenoMind test done. They are very helpful but they do not tell you about the sexual side effects, those tests are more about a particular enzyme you might have that would increase your risk for adverse effects on certain medication‘s and things like, an enzyme that would cause other medication‘s to be less effective and other medication‘s to be more effective, etc. and the only adverse effect it tends to mention with specificity is skin rashes. I am on Vyvanse now, but when they had me on mirtazapine, Wellbutrin and gabapentin, it made me suicidal. I’m 100% sure the Gabapentin causes suicidal thoughts. The prescribing physician did not mention any of the black box warnings, it was actually very cruel for her to not tell me what to look out for. Her negligence nearly cost me my life.
It depends. This can be within a week or two. But overall depends on pre-existing factors etc. The probability of a quick resolution ( wash out of Lexapro is 2 weeks) is high. This is general information only and not medical advice. Wish you well
@@PsychiatrySimplified it has been almost two weeks tappering down to 5mg lexapro and augmenting with agomelatine and no improvement. What should I do if the situation does not improve please?
@@perkylovemuffin We can't provide specific advice, sorry - as that would be inappropriate. Your prescriber should be able to explain the plan based on your individual characteristics and formulation. Sexual dysfunction is divided into phases - libido, arousal, erection, orgasm and for each one can then address accordingly. Baseline function and deviation from this should be taken into account. We wish you well. For a detailed review with options - please see this - psychscenehub.com/psychinsights/sexual-dysfunction-with-antidepressants/
Best to discuss this with your doctor. Few Aspects here in general. Depression and anxiety is associated with sexual dysfunction. There are other antidepressants that do not affect or minimally affect sexual dysfunction. In most cases stopping SSRI’s resolves SD ; but risk of relapse of Illness should be taken into account. Medical evaluation also important. Wish you well
Greetings Dr.Sunil, I am very happy to see such a detailed analysis of antidepressants side effects and tips to management,my question is that I am taking Divalproex Sodium 500 mg twice a day, Respiridone 3 mg 1 tab and Procyclidine HCl 5 mg 1 tab for bipolar Affective Disorder for more than 10 years,I am having sexual dysfunction,I would like to ask whether Ginko Biloba is safe to take a long with the these medicines and how many milligrams a day is enough?
Can you make a video on newer antipsychotics cariprazine , lumetaperone. What are your thoughts please ? Cab cariprazine be used as monotherapy for schizoaffective - bipolar subtype?
Good idea. Will do one on newer APs. Here is an article I've written on cariprazine. Cariprazine has evidence for bipolar depression and schizoaffective disorder . Will add both to list. psychscenehub.com/psychinsights/cariprazine-mechanism-of-action-psychopharmacology-clinical-application/
I'm seeing my doc tomorrow re my trazodone prescription. I take it for sleep and it works like a charm. But nearly the whole time I've been on it I've experienced every sexual issue possible (low libido, weak orgrasms, difficulty orgasming, weak orgasms, ed, low semen volume). Testosterone and estrogen blood levels are at the levels of a 20 year old athlete. Perhaps I'm a rarity but the symptoms are very real and so are the negative sexual effects on self esteem and relationships.
Sorry to hear . While trazodone generally is associated with low incidence of sexual dysfunction - individuals do tend to have side effects like the ones you mentioned . Do discuss this with your doctor. If it’s only sleep being addressed there are other options. We have a video on insomnia . Wish you well.
@@PsychiatrySimplified Thanks. I'll check that video out. Right now I'm thinking (although I could be wrong) that with my trazodone and TRT combination my serotonin levels are too high, which inversely affects NO and dopamine - which seems to explain all my sexual symptoms. Hopefully there's something that's effective as trazodone for sleep that doesn't elevate serotonin.
If you have a lower sex drive and erectile distinction when on antidepressants and then you come of antidepressants dose it usually go back to normal so you don’t have sexual disfunction anymore?
What is the reason that when you stop taking antidepressants you suddenly have no vaginal lubrication? During my treatment with 50 mg of sertraline for 8 months I had no problems with my discharge, only with my libido and emotional numbness but since I stopped taking it I no longer have any vaginal discharge and I still have no libido or being able to feel any kind of romantic feelings. It's been 2 and a half months since I stopped taking it completely, I'm hoping to get back to normal, but I'm very afraid that I won't.
Sorry to hear. This may be part of a withdrawal syndrome. However in such cases it is advisable to see a doctor and preferably even a gynaecologist / endocrinologist to rule out other causes of sexual dysfunction as hormonal aspects should be ruled out. In females , hormonal aspects play a major part both in treatment of depression and sexual dysfunction. Wish you well.
San antidepressants ek nahi hote. Bahut see antidepressant hai jo Sexual dysfunction nahi dete. Aur bhi hai Jo libido bada sakte hai kyon ki depression mein libido kam ho jata hai. Yaha likha hai article - psychscenehub.com/psychinsights/sexual-dysfunction-with-antidepressants/#:~:text=Sexual%20dysfunction%20is%20a%20persistent,causes%20distress%20to%20the%20patient.&text=Sexual%20dysfunction%20(SD)%20is%20a,is%20also%20associated%20with%20depression.
It is an SSRI like Zoloft so all SSRIs are associated with sexual dysfunction. The severity may vary - lexapro(escitalopram) tends to have a lower incidence of side effects than other SSRIs but this again may vary. We have covered medications that are less likely to lead to sexual dysfunction in the video.
Hey doc, i ve lost my libido from past 3 months due to antidepressants. And ive been off from antideprassants now but i am never aroused . What should i do now , please help me ....
I took ssri and after stopping the medication I felt the loss of sensitivity sexual excitement arousal pleasure on touching girls body ! Is it libido loss ? Can wellbutrin fix it ? I feel girls body totally flat ! Only hands of girls are pleasurable for me ! Besides it I can get full arousal Excitement pleasure in blow job with girl!
So all the strategies are just waiting gettingnof the drug or go on another . But the question is ... how do you fix it ? Im off the drugs for 4 months. But have servere pssd, I feel so much better off the drug then on it but I got pssd now... and it been like that for years. What do I do to fix it ???
@@PsychiatrySimplified well I have in the past but they only tested testosterone level and said it was fine. When I mentioned how do I fix it , they just said thats psychosomatic and being of the medications is making it worse .... so I should go back on.... any suggestions you might have to guide me in a better direction will be appreciated.
I was prescribed paroxetine 25 mg only for premature ejaculation problem for 6 months but im facing erectile dysfunction....will my erection becomes normal after tapering and stopping paroxetine?
Hi , it is not a separate article on PSSD. But an article overall on SD with antidepressants that also touches on PSSD . Here it is psychscenehub.com/psychinsights/sexual-dysfunction-with-antidepressants/
I was prescribed zoloft about 30 years ago now and it imeaditly caused me to have retrograde ejaculation. This means that the emission goes backwards, into the bladder. I only took the drug for about 2 weeks and was told that the condition would reverse. It didn't. If I had wanted to father a child I would not have been able to. Now it is causing me to be incontinent. I dribble pee after urinating. I now for sure that this was also caused by zoloft becase it involves the same muscles that are used for ejaculation. I was not warned about this before I took the shit. Needless to say I am furious. If anyone sees this and would like to join me in a class action law suit please let me know and I will provide contact information.
I have back pain enlargement of prostate and PTSD my psychiatrist prescribed Cymbalta it created pain at the base of the penis and I could hardly urinate. So my conclusions were it made my prostate worse it like killed the Terazosin I’m taking not even the myrbetriq worked so I stopped taking it. It took 3 days for my other medication to work so I could urinate. So what should I tell my psychiatrist in my up coming appointment
Sorry to hear that - Cymbalta can have anticholinergic side effects and can lead to urinary retention in some individuals; always let your psychiatrist know of any side effects. Wish you well.
Hi doc I’ve been taking atomoxetine for about a year and a half for ADHD treatment should I worry about PSSD or not kinda stressing rn and heavily considering stopping taking it
Atomoxetine does not have Serotonergic activity which is linked to sexual dysfunction . From an individual stand point the question is best posed to your prescriber who will carry out an individual risk benefit analysis for you.
Sir I am suffering from body dysmorphic disorder and I am good than before but not much,,, i am taking sertraline125 respiredon4,, even though I am not feeling any further improvement,,, still depressed what to do
We will be doing a video on body dysmorphic disorder soon. Essentially psychological therapy needs to be combined with medication as there is a significant psychological component to this condition. Specific psychological therapy such as exposure response prevention . Ps not medical advice. Please discuss this with your doctor. Also doses of ssri ‘a need to be at higher end of spectrum . Rx is similar to OCD. Please see this video Obsessive Compulsive Disorder Simplified | Diagnosis and Treatment of OCD | A Psychiatrist Explains ruclips.net/video/vCvdq-DFyHo/видео.html
Firstly PSSD should be definitively diagnosed and ensuring depression and anxiety and other medical causes of sexual dysfunction are ruled out. Treating PSSD is challenging, and many strategies have been suggested and tried, including serotonergic antagonists and dopaminergic agonists ( bupropion) There is still no definitive treatment for PSSD. Low-power laser irradiation and phototherapy have shown some promising results. ( 2018)
@@PsychiatrySimplified PSSD needs to be talked about more. All to often it goes misdiagnosed as depression, underlying depression, and psychological. Ive tried bupropion and I ended up in the hospital, as well it did nothing for PSSD. Low-power laser irradiation and phototherapy helps for erectile dysfunction, but does nothing for sexual desire, and libido. Again PSSD isnt erectile dysfunction ED meds work, but do nothing for libido, and sexual desire.
@@SuperCody888 thanks for sharing this experience. Agree a lot is not known and it is an under recognised side effect. Hopefully better treatments are available for this distressing condition.
@@PsychiatrySimplifiedI took ssri and after stopping the medication I felt the loss of sensitivity sexual excitement arousal pleasure on touching girls body ! Is it libido loss ? Can wellbutrin fix it ? I feel girls body totally flat ! Only hands of girls are pleasurable for me ! Besides it I can get full arousal Excitement pleasure in blow job with girl!
@@SuperCody888I took ssri and after stopping the medication I felt the loss of sensitivity sexual excitement arousal pleasure on touching girls body ! Is it libido loss ? Can wellbutrin fix it ? I feel girls body totally flat ! Only hands of girls are pleasurable for me ! Besides it I can get full arousal Excitement pleasure in blow job with girl!
Fluoxetine also activates the 5HT2A receptors as do all ssris. There may be individual differences in how people react to each medication but as a class SSRIs are associated with SD. Only fluvoxamine at 100 mg or less is associated with lower risk due to it's 5 HT1A Agonist activity.
So you are saying serotonin itself reduces nitric oxide? Can you please provide the study that shows that we're not talking about the medication but the actual neurotransmitter serotonin decreases nitric oxide? Because if you take tryptophan, you can actually increase your nitric oxide levels. Can you be specific with your presentation and can you provide studies that show serotonin it self reduces nitric oxide?? Pub med , Google scholar article etc
Not serotonin - but the antidelressant class SSRI - Paroxetine was also shown to be significantly more a potent inhibitor of the NOS enzyme activity than nortriptyline (Finkel et al. 1996). Similarly, several established antidepressants of distinct chemical classes, including imipramine, paroxetine, citalopram and tianeptine, have all been shown to inhibit hippocampal NOS activity in vivo when applied locally in the brain in therapeutically relevant concentrations (Wegener et al. 2003)
@@PsychiatrySimplifiedI m feeling nothing when try to touch a girl body ! But when a girl touch my penis...I get pleasure ! What is this ????😢😢😢 I took Escitalopram 10 mg and clonazepam 0.5 mg for 3.5 months
Hi doctor .why 60 mg fluoxetine giving me sexual dysfunction but 50 mg is not.as soon as i come down to 50 mg i get boner and morning wood .my doctor decided to add 12.5 paxil along with 50 mg fluoxetine.im hypertension patient so my psyc dint want me to put on bupropion .so the combination I'm taking is good combo or not .my cousin takes paroxetine and he doesn't have sexual side effect
Sorry to hear. At 50 mg is the illness is treated adequately? In general two ssris are not prescribed. There are other strategies of augmentation that can be considered to add to ssri that treat deprrssion but do not lead to secual dysfunction. E.g agomelatine, mirtazapine or bupropion. But this requires a discussion with the doctor and depends on Sx that need to be treated. Ps not medical advice. We have done videos on agomelatine, mirtazapine.
@@PsychiatrySimplified i have a question doctor .is paxil more potent than prozac ?? I'm taking 60 mg Prozac but seems like not working even tho I'm in full dose .my main problem is my whole body i feel something is pulling from inside even while walking it's difficult for me and also i cant even sit for more than minute and also severe headache .somehow this fluoxetine seems working comparing to my past medication but still it's not satisfying .i think it's very severe chronic anxiety .do u think it's paxil good choice .in my case .
@@nirmanshrestha2038 in the context of depression agitation should be ruled out. Anxiety should be differentiated from agitation where the person feels underlying anxious distress affecting sleep; racing thoughts, sleep difficulties. Please have a look at the video on melancholic depression and mixed features and see if this needs to be discussed with your doctor. It's not possible to comment specifically on this forum as clinical examination is necessary. Do discuss your concerns with your doctor. Wish you well.
Here is an article that covers a range of options - psychscenehub.com/psychinsights/sexual-dysfunction-with-antidepressants/#:~:text=Sexual%20dysfunction%20is%20a%20persistent,causes%20distress%20to%20the%20patient.&text=Sexual%20dysfunction%20(SD)%20is%20a,is%20also%20associated%20with%20depression.
M still very shocked with the immediate good result I derived with your herbs Dr emuakhe from Africa.once again thanks for introducing your great herbs to me..
I’m 22 and this has been another bag of bs I have to carry with me along with chronic pain, absolutely disgusting how this is used and prescribed like skittles to young people. We have clinical trials for a reason, how is this medicine considered safe and on the market? We really appreciate you discussing this, we need more people like you
@Aspect617 Neuroleptics, SSRIs, Benzodiazepines and SNRIs
@@JZGreengo If possible stop antidepressants. Believe in you and fight with depression or anxiety. 1 They are not real. 2 Exposed your self to this that makes you pain, anxiety. 3. Life is suffering. 4. Have a healthy life still. Clean food, sport, gym, cardio 3 times per week, good sleep.
5. You ar responsible for all the things in you life. Not Doctors, not family etc.
6. If you must do baby steps but do something never stop. Do personal development.
@@Mircea-cq8tb dude antidepressants gave me sexual dysfunction lol
Believe me I’ve tried all the bs you’ve recommended, suckers like me have to tough it out and wait for old medicine to be replaced by a future medical revolution, current method of treating conditions is sick and disgusting for there to be people that think it saves lives is just a bonk on the head to me
@@JZGreengo The Doctor said that some medication don’t have SD side effects.
@@Mircea-cq8tb what doctor? Lol who? The one you see once a year? I don’t need to be told what medications do and don’t cause SD, been through a lot of them, have more hands on experience than the majority of doctors
PSSD since 2019. People need to educate theirselves before it's too late...Loosing sexual function is hardcore, and loosing the ability to feel emotions or/and pleasure is even more hardcore. Thanks for your video, appreciate.
So sorry to hear. If possible and if ok with you - Which medication was it ? Were other treatments tried after stopping the causal agent and medical causes ruled out ? Are all antidepressants now stopped?
I also got this but from accutane since 2019
PSSD since 2019 as well
It was also caused by Mirtazapine/Remeron
@Kiki Laker yes it is considered the same . There are newer antidepressants such as Vortioxetine , Agomelatine / also others such as bupropion , Mirtazapine which are not associated with this syndrome as they do not act through Serotonergic mechanisms.
Thank you for mentioning PSSD, I'm glad a doctor brings it up, usually I'm the one educating doctors and psychiatrists about it !!
More research needed on PSSD
I love your videos. You are able to explain things simply and concisely. When instructors can do that, you know they understand their subjects very well.
Thank you 🙏🏼
Thank you for mentioning PSSD post ssri sexual dysfunction, It needs to be talked about more. I believe its not as rare as were lead to believe. If anything its misdiagnosed because not much is know about it yet.
Is pssd is permanent ? I have lost the ability of feeling pleasure during sex ( forplay ) with girl ! I was on lexapro and clonazepam for 6 month... What should ii do ? 😢😢😢😢
@@ashuvijay7031 at this time theres no known cure. A very small percentage of people do recover, but its rare.
@@SuperCody8881.5 years ago I took Escitalopram 10 mg and clonazepam 0.5 mg for 3 months and then stopped ! After stopping them....when I did sex I didn't feel any excitement when I touched girls body ! When girl touched my penis and suck it in her mouth I felt full pleasure Erection excitement and when I do masturbation I feel full pleasure Erection excitement and orgasm but when I try to touch n press girls body I feel nothing.... totally numbness ! How would I survive ????😢😢😢😢
Thank you for these videos. It has been more informative than any doctor has ever been in my mental health journey!
Nervous system
Very common: Concentration impaired
Common: somnolence, insomnia, dizziness, tremor, headache, nervousness, anxiety,
paraesthesia, decreased libido, agitation, drugged feeling, myoclonus, CNS
stimulation, confusion, impaired concentration, depression, emotional lability,
vertigo, abnormal dreams (including nightmares)#, hyperthesia+.
Uncommon: abnormal thinking+, akinesia, alcohol abuse, amnesia+, ataxia, convulsion,
depersonalisation+, hallucinations, hyperkinesia+, hypertonia+, incoordination,
lack of emotion, manic reaction, paranoid reaction.
Rare: abnormal electroencephalograph, abnormal gait, antisocial reaction,
choreoathetosis, circumoral paraesthesia, delirium, delusions, diplopia, drug
dependence, dysarthria, dyskinesia, dystonia, euphoria, fasciculations, grand
mal convulsions, hostility+, hyperalgesia, hypokinesia, hysteria, increased
libido, manic depressive reaction, meningitis, myelitis, neuralgia, neuropathy,
nystagmus, psychosis, psychotic depression, increased reflexes, restless legs
syndrome (RLS), stupor, withdrawal syndrome.
Thanks for your very useful presentation!
Glad you found it helpful
Very useful video! Thanks for explaining all the hidden issues in a simplified fashion.
Glad you found it helpful
This needs to be spoken about more when GPs prescribe SSRIs. Sertaline had a devastating effect on me. Stopped taking it early 2022 and it's taken a long time to see improvement. Switched to Bupropion which is far better with no emotional blunting. Had I known before I never would've taken Sertaline etc.
Can I ask how long you were taking Setraline for?
@@kathylyndsey316 I think about 2-3 years. Certainly through the pandemic and a bit either side.
@@Randy_Batswinger I am sorry to hear about your experience with Sertraline. Those things are poison and should come with a warning as clear ad what you get on cigarettes.
How are you today on welbutrin 😊
I'm bowled over by how thorough you are. I bet everybody watching these videos wishes you were their GP. I certainly do. Your explanations are gold standard. Your videos on ADHD are especially impressive. Thank you.
Thank you for your feedback . Henry Miller the neurologist said - “psychiatry is neurology without the physical signs and required diagnostic virtuosity of the highest order .”
@@PsychiatrySimplified I'm more of a Glen Miller man myself. Now there was virtuosity for you. 🎶🎺 🙂
I don’t even bother going to the gp, they will just fob me off, tell me to do more exercise or something. I exercise 3 times a week and eat more than five potions of veg, lean protein etc a day, use alcohol twice a month, generally healthy, still depressed and have diminished libido 15 years later after taking ssris
@@Phoenix-ov5gg has bupropion or other activating agents been trialled? And hormonal tests and medical issues ruled out?
@@PsychiatrySimplified I got some hands on bupropion myself through ‘less conventional channels’ all it did was give me a headache for three days. I stopped taking it and had some wine and fell asleep, next thing I found myself in a forest miles from home with no shoes on having sleepwalked, true story, also all my possessions on me were stolen.
I hear this a lot, that sexual dysfunction is a common occurence with depression, but for the life of me I don't believe this to be true at all. Sure, your want of sex might be lower but your ability sure as hell is still there - it's the last thing to go....
Started on setralin when I was 21. Now I’m 34. And I just quit taking it completely for about 4 weeks ago. I have done it by myself. I’ve changed so much after I started on antidepressants, and I want to get back to my feelings and my sex life😅! The first 3 weeks was hell! Cried over everything! But now I’m staring to feel a bit better.
Glad you are feeling better .
I am with you . I just decreased my dose of paroxetine 😢
@@ShaniTechHubHow many years you have used antidepressants
Pssd since 2 years after 3 months on Lexapro. This drugs should be banned.
I know how can this not lead to lawsuits? You deserve millions for the suffering. Sue your doctor, and the pharmacy company
wellbutrin can help with this, its an antidepressant that seemed to actually reverse this side effect for me. unfortunately i have bpd and it was causing mania so i had to go back on srris.
Frisium 5 MG helped me
My penis get erection after thinking about sex but i m feeling sexual numbness with a girl during forplay 😢😢😢😢😢 I was on lexapro and clonazepam for 3.5 month
@@kaylaisradis wellburtin positive Effect temporary or permanent for this problem. ?
It is shocking that no research is being done on PSSD. I’ve been suffering from it since 2020. I mean look at all the comments about PSSD, we are all suffering but our Drs don’t care.
I wana fill case against them
@@ashuvijay7031bro give me yr number im from india
SSRI's were hell on my pre-existing sexual dysfunction as a result of being circumcised and having close to no feeling in my anatomy since birth as a result.
There were other side effects ranging from psychologically horrifying to almost unbearable discomfort.
Buproprion worked well for the depression but the problem was different - i could get aroused but not hold an erection because of the high blood pressure it created. You're correct in saying that this feeds on depression itself.
This problem was so severe that i went my way on treating my depression, and have for 9 years now. Today i take a B complex designed for optimal absorption, and eat a ketogenic diet, work out a bit, get enough sun ( or artificial UV light ) and only 5% of my depression remains.
I like this approach because i can feel and process the ups and downs of life as an ordinary person would. The reminder that i'm still a mentally ill person is rare and not severe.
In a way, i'm sort of grateful that meds had side effects to the degree they did. Otherwise i would have never been given a taste of what a working brain felt like. That taste that SSRIs gave me made me think that, at the least, i am not unfixable, and maybe another way would work.
Previous to trying SSRIs, believing that i could actually have a working mind was a foreign concept. I was so trapped in the darkness that i forgot what light looked like. So in that way, i am thankful i at least trued these drugs.
Thanks for sharing your experience. It's valuable. 🙏🏼
@@PsychiatrySimplified You're welcome, thanks for continuing to post interesting talks ^_^
Good point, i unfortunately suffer from PSSD. But if there is any positive to take away from the whole experience it is that i will have a far greater appreciation for life once i am cured, and i have also learned so much about how the brain works and how corrupt the Pharmaceutical Industry is unfortunately. I hope that i can help other people recover with my newfound knowledge, once i am in a better state myself.
How long after getting off the medication did you feel like function got back to normal? Also did you taper off or did you just decide to quit one day.
@@richie6905 I was on SSRIs for a very short period of time ( weeks? ) and immediately quit after those crazy thoughts.
I didn't experience a withdrawal, just a return to the usual depression. Went on wellbutrin for a few years, discovered the B vitamin thing, and have been off antidepressants for 18 years now.
SSRIs are more likely to cause sexual dyfunction than improve depression! These drugs can change you forever, one of the greatest sadnesses in medicine. Psychiatrists should be ashamed of what they do.
It's far too late for prevention since I was on anti deppresents years ago and now at 63 the damage has been done. This is beyond frustrating
Sorry to hear.
Check out AJ Miller (divine truth) and tell me your opinion regarding the possibility to heal it according to his teachings about emotions. I firstly recommend the video with the title "Jesus on How to Remove Blocks to Feeling All of Our Emotions".
Amazing video my friend. I wish every psychiatrist took the time to explain at least the basic version of this to their patients. (I was unaware of the effect on NO also). Many thanks!
Thank you for your feedback 🙏🏼
i wonder, who is responsible for PSSD caused by SSRI's? I think we who suffer from this permanent side effect caused by this medicine which was not listed should atleast all get some compensation for what happened to us.
Is it permanent really ?
@@ashuvijay7031 for many it sadly is. paroxetine has it even descriped in their prescription that is may cause permanent sexual dysfunctions. If this is the case for paroxetine, then it means any SSRI can cause this permanent damage, because all SSRI's medication work the same way.
@@RKCYOUTH really it is permanent ? Is there no solution for this ? I got Erection ! But I am unable to feel pleasure during sexual intercourse ! I am feeling sexual numbness !
@@ashuvijay7031 No permanent sexual dysfuction, its a myth it just take years to recover 1 or 2 could be more it depend on what you do.I was a finasteride user then i use effexor and diazepam, i stopped all those, after 3 years my erections and my sexual life is spot on, one thing that played the biggest role for me, quit porn not masturbation just porn, thank me later.
@@RKCYOUTH1.4 years ago I took Escitalopram 10 mg and clonazepam 0.5 mg for 3 months and then stopped ! After stopping them....when I did sex I didn't feel any excitement when I touched girls body ! When girl touched my penis and suck it in her mouth I felt full pleasure Erection excitement and when I do masturbation I feel full pleasure Erection excitement and orgasm but when I try to touch n press girls body I feel nothing.... totally numbness ! How would I survive ????😢😢😢😢
It's been something that's been hard to deal with for a long time. I dont think I've had an organism ... Ever. The only time I feel wet is when I am hardcore turned on but it (wet)will only last a short time.
Sorry to hear. It is distressing. There are antidepressants that are associated with a lower propensity for sexual side effects.
@@PsychiatrySimplified1.4 years ago I took Escitalopram 10 mg and clonazepam 0.5 mg for 3 months and then stopped ! After stopping them....when I did sex I didn't feel any excitement when I touched girls body ! When girl touched my penis and suck it in her mouth I felt full pleasure Erection excitement and when I do masturbation I feel full pleasure Erection excitement and orgasm but when I try to touch n press girls body I feel nothing.... totally numbness ! How would I survive ????😢😢😢😢
Only one day taken of sertraline 50 mg can cause decrease libido..is it possible single medicine of sertraline 50 mg can cause decrease libido...i have taken sertraline 50 mg for one day only and experience decrease libido..now what can I do
I have PSSD cognitive and sexual disorder from Paroxetine that I took during 4 weeks in 2016 be aware of antidepressant it has killed my life
Please if you have enduring cognitive or sexual disorder after SSRI write a comment ! encourage us to fight and find a treatment
What have you tried to fix it?
It is said bupron help to counter pssd
Its amazing to me that drs prescribe this life altering crap without telling their patients!
It's been 7 months l am having pssd 😔 and no emotions at all , it's looks like my life has been ruined .
Sorry to hear. PSSD is relatively rare - so other causes need to be ruled out and other things tried before PSSD Dx is made. There are favourable antidepressants and also ADs that can treat sexual dysfunction. Have you discussed this with your doctor?
@@PsychiatrySimplifiedSir i want to say that pssd is not that rare I have talked to many people who are suffering from this more than 15 years
@@hashamkhan3198 what I was trying to say is that PSSD is a specific diagnosis that is made after the SSRI ir SNRI is stopped - no depression is present - treatment modalities - other ADs and medications are trialled ant medical causes ruled out. When all this is done and there is still no benefit then a diagnosis of PSSD may apply.
Hey Hasham.
I was damaged for multiple years by one course of a very strong antibiotic. Neurological problems. physical problems. You name it. i thought the situation was hopeless too.
Some other people had it worse and became disabled for life.
Yet... the human body has ways of repairing itself over time from so many things. In 5 years, your entire body will be composed of an entirely different set of cells, for example. Almost every part of the human body can regenerate.
Hang in there, treat yourself well, and consider taking vitamins known to help with neurogenesis as a means of changing the odds of a full recovery.
It's not as rare as you think. It took me many years to figure out I was suffering with pssd bc most medical professionals are unaware of pssd. Many sufferers are told they are dealing with depression. This is why it's believed it's a rare condition. Ssri are the most common prescription worldwide.
I took fluoxetine 20mg , propranolol 20mg at morning and chlomipramine hcl 10mg , olanzapine 2.5mg at night for around six months and stopped taking now i got releif from depression and anxiety but my brain becomes slow, less productivity, memory problems, dullness, numbness, confusions, thinking ability decreased, more relax, and decreased intellegence...i stopped my medication since 2months but no improvement my brain becomes slow due to this drugs. Does this things will become normal plz reply if anyone knows ..does brain will work normal as it was before taking this drugs or this is permanant side effects..
It's difficult to comment because if depends on the underlying issues. You doctor is in the best position to provide recommendations on this. Wish you well.
@@PsychiatrySimplified its because of alopathic drugs now i dont want to eat more.i want to heal naturally or any ayurvedic treatment.
I’m taking citalopram 10mg does morning or night make a difference to reduce sexual side effects
@@thebeginning2595 no not really. Drug holidays have been proposed psychscenehub.com/psychinsights/sexual-dysfunction-with-antidepressants/
please keep making videos about this. and cognitive impairment depression and pssd symptoms
hey doctor can we use ashwaganda as an alternative to ssri
This is a question for your treating doctor. Would be irresponsible for me to comment without an overall understanding and moreover am unable to comment on supplements that may not have an evidence base
The the gp left this info out when he prescribed snri for me....
I taken zoloft for 3 weeks
I noticed my sex drive went away
I immediately stopped taking it
I got real upset with my doctor for not telling me the side effects part of sexual function
Now it's been 3 weeks later and my sex drive is nowhere near the same like it was before I taken the medicine.
To the point my wife thought I was cheating or not even into her anymore
This is by far the scariest information I learned about this drug
Can anyone help me with information
I only taken Zoloft 25 MG for one week then 50mg for 2 weeks
Does anyone know if it could cause me permanent damage for the 3 weeks I was on it?
Sorry to hear. There are many factors to take into account when faced with this situation. The complete wash out of the medication after stopping is around 2 weeks. Moreover the pre existing condition relapse also needs to be taken into account . Hormonal levels etc . Please have a discussion with your doctor regarding your concerns . Wish you well.
@@PsychiatrySimplified thank you
Its been 4 weeks
I hope it completely gets out of my body
That drug is horrible
@Jericho Rangel how are u now
how have you been?
@@PsychiatrySimplified the dumbest thing to hear is speak to your doctor when this was the moronic person that caused the problem and didn’t even know or tell the patient about these side effects..
Please help. I have stopped taking lexapro and trazadone after using it for one month. I stopped months ago and I want my normal life back.
You have not addressed post SSRI sexual dysfunction. While on SSRI my husband had libido and sex dive. He discontinued SSRI and lost all sensation, sex drive and erection.
This is something I will do in another video. Thank you for bringing this up. It is a topic that deserves another video.
We have done a video on PSSD on this channel
I am on risperidone and Escitalopram for almost an year. My doctor told me I am nearly okay and I will be off medications in a few months. I am 23 and I now have sexual dysfunction. Will my sexual ability will be back when i stop using them?
Hello, how's your condition now
@@avhbe5681 I still haven't stop taking medicines. So there is no change in my condition.
Yes, in the vast majority of the cases it will come back to normal after stopping.
Please make video on PSSD
Will keep this on the list
@@PsychiatrySimplifiedI took ssri and after stopping the medication I felt the loss of sensitivity sexual excitement arousal pleasure on touching girls body ! Is it libido loss ? Can wellbutrin fix it ? I feel girls body totally flat ! Only hands of girls are pleasurable for me ! Besides it I can get full arousal Excitement pleasure in blow job with girl!
@@PsychiatrySimplified plz help me ! I took ssri for 3 months 1.5 years ago and after stopping the medication I lost the ability to feel any kind of Sensitivity like warm feeling and intense pleasure on touching girls body...! Only their hands are pleasureable for me with romantic warm feeling just like pre ssri state ! My all other sexual functions are quite well ! I don't have genital numbness ed etc...what should I do ?
I took SSRI’s for 1 month and now 3 years later I still have sexual dysfunction & can’t feel any emotions/pleasure.
Sorry to hear. This persistent side effect is not well known.
Thats messed up
I was on it for 3weeks
Stopped it immediately
This is no joke
Because I had a very fruitful sexual life before taking that garbage
I'm going on 4 weeks off it
And I have minimal arousal
@@MrRicoruizsame here I m getting no arousal !
@@MrRicoruizI wana talk to wid u...! I get arousal visually.....during masturbation sex chat....Even when a girl touch my sex organ I get arousal but when I try to touch a girl body I don't feel pleasure....! Is this pssd. ?
@@MrRicoruizmy arousal also killed
Don't take meds. I'm furious at how powerless I'm left not being told about any of these long lasting effects... Look at changes you can do in your life. Depression is a natural response to an "unnatural habit".
Viagra/cialis have been seen to negatively affect fertility in studies.
As someone who has been on every family of anti depressants for OCD and major depression for the past 36 years the side effect of not being able to climax has been the bane of my life. Unfortunately the only two drugs that didn’t help my OCD/depression didn’t have any side effects. I’ve lost count of how many times I’ve faked an orgasm . Excellent video but nothing that I haven’t tried. The only thing is a drug holiday but this does not work for all drugs due to the half life and you risk the drug not working again if you do this often. Thanks for sharing.
Bout the same story man. Been on everything under the sun for bout 30 yrs for OCD/crippling anxiety. I'm now 44, never really had problems with ED or "finishing". Well my family dr put me on Clomipramine last yr & it has been my miracle drug. I've never felt this good mind & body since my teen yrs. But...now I have ED. And I can't "finish". I have faked a lot of orgasms the past yr also, it's embarrassing & a big shot to the male ego. I keep thinking it will get better or just fix itself one day bf my girlfriend starts getting suspicious! So it's a Catch 22, continue to take my miracle med & feel great or stop taking it only for sex & that's a small part of life compared to all the other hrs in a day. It's a lot to think about. So you're not alone in the fight man!😂💪
I have lost ability to feel pleasure during forplay and intercourse with a girl ! 😢😢😢😢😢 what should I do !
Hello doctor!!!I have been suffering from anxiety and depression the last 5-6 years of my life.At first I was using duloxetine for 4 years which was helpful but not 100% so we decided to switch to Lexapro.Lexapro is treating my symptoms much better but it gives me low libido and erectile dysfunction while on cymbalta I had perfect sexual function.I don't wanna stop Lexapro because it helps a lot but despite being on a low dosage of 5mg I am not fully functional sexually.Do think asking my doctor about an add on medication like agomelatine would worth it?I was Also thinking about Wellbutrin but I have a strong feeling that it will increase my anxiety.
While i can't answer specifically in general adding agomelatine is a strategy and agomelatine is also evidence-based for anxiety. Ps not advice
@@PsychiatrySimplified Thank you very much ❣️❣️❣️
I'm on sertraline for OCD and depression. It works well but it causes orgasm issues. it's only gotten worse as I've gotten older, as I've had to increase the dosage over the years. Anyone have any suggestions?
Towards the latter part of the video we covered treatment options. Adding agents / switching are two strategies. These can be discussed with your doctor.
@@PsychiatrySimplified what the hell ssri did me ! I took ssri and after stopping the medication I lost my sensitivity excitement warm feeling arousal pleasure on touching girls body ! Now girls body feels me like boys body ! How it can happen ?
@@ashuvijay7031 been seeing your posts on other channels. I will be honest with you. What happened was your brain could not handle the toxicity of this medication and it caused kind of a damage to it. And as with every bad condition with the brain regular and intensive cardio excersise could improve your ability to feel the sensation if you havent tried it already. Eating healthy and living healthy lifestyle is also important you should beware of excesive drinking of alcohol or smoking, best would be not to drink and smoke at all, because since your brain has been intoxicated like that bef9re it will be less tolerant to other toxins like alcohol and you could worsen or lose your other s3xual functions over time which most probably wont happen if youll be ccareful. I know that not feeling it when you touch a girl can suck but if your sensation wont improve you should be glad that you have all your other functions working and focus on that. There are so many people that would give anything to be in state like you. Also i have heard that ginko biloba can help in some cases too but thats not something i have experience with. I didnt mean to scare you if so im sorry but im certain at that this info is useful if you want to maintain your health.
thank u for this amazing,comprehensiver and life saving video.i have gad and ptsd and until now this is the best video about solution for sexual dysfunction and alternatives.better than many psychiatrists which are not interested to find the time to find alternatives and suitable solutions for everyone out there that has mental illness.
Thank you for your feedback.
wow, incrediblyyyy educational and detailed, thank you so much fro this resource
Glad it was helpful!
Cymbalta or dulextine (snrl)also causes crippling sexual dysfunction
Sir give me some information plz, I didn't taken any ssri( and any antidepressant drug)in my entire life but i have pssd like symptoms , what happens with me
Could be many things, stress, anxiety, depression, low testosterone or other medical conditions like hypertension...
Would like to see more focus on sexual dysfunction in women.
Will be doing a video on dex vs meth
Sometimes i have crippling anxiety and/or depression. When this happens im not interested in sex anyway.
My life is essentially over because I trusted my doctor when I asked about permanent side effects. “There is no such thing.” Now I am here 2 years later off meds with emotional blunting and numb genitals
How long were you on the meds?
literally 1 day
Have you discussed this with the doctor?
@@PsychiatrySimplified Doctors don’t believe us with PSSD i’ve already tried. The only thing that will be getting us out of this mess is research.
@@PsychiatrySimplified1.4 years ago I took Escitalopram 10 mg and clonazepam 0.5 mg for 3 months and then stopped ! After stopping them....when I did sex I didn't feel any excitement when I touched girls body ! When girl touched my penis and suck it in her mouth I felt full pleasure Erection excitement and when I do masturbation I feel full pleasure Erection excitement and orgasm but when I try to touch n press girls body I feel nothing.... totally numbness ! How would I survive ????😢😢😢😢
Dr sahb Maine paroxetine CR 2 din use ki hai Kya tapering ki zarorat hai
2 din? Koyi zaroorat nahi hai.
@@PsychiatrySimplified Dr sahb mere doctor ne anxiety ke liye prescribe ki hai psychiatrist ne lakein is ke side effects ki waja se mein yeh istemal nhi krna chahta
@@usamayousaf256 please psychiatrist se baat kijiye
Do sexual dysfunction occus even after using it for 6 months and then tapering under doctor's guidance?
I am on paxil 37.5 mg controlled realse tablets from 4 months. My dr told me to take it for 8 months then gradually stop it.My panic attacks , pounding heart and anxiety, premature ejaculation went away . Without any side effects but people say ssri damages your brain permanently or it will make you impotent i am really scared and confused about its further use please help
If treating depression then there are many non ssri options if there are concerns around SD. Please discuss with your doctor.
@@PsychiatrySimplifiedI took ssri and after stopping the medication I felt the loss of sensitivity sexual excitement arousal pleasure on touching girls body ! Is it libido loss ? Can wellbutrin fix it ? I feel girls body totally flat ! Only hands of girls are pleasurable for me ! Besides it I can get full arousal Excitement pleasure in blow job with girl!
Thank you for video. Does the same apply to mianserin as to mirtazapine?
Mianserin has similar mechanisms to mirtazapine.
@@PsychiatrySimplified plz help me ! I took ssri for 3 months 1.5 years ago and after stopping the medication I lost the ability to feel any kind of Sensitivity like warm feeling and intense pleasure on touching girls body...! Only their hands are pleasureable for me with romantic warm feeling just like pre ssri state ! My all other sexual functions are quite well ! I don't have genital numbness ed etc...what should I do ?
is there any contact for consultancy?
Anafranil up to 75 mg can trigger sexual disfunctions?
Can be associated.
Dr sahb maine escitalopram oxalate 10 mg khayi thi 14 days tak fir sideeffect dekhke fauran withdraw kardi uske baad se kabhi nhin khayi.
Jab maine dawa khayi 18 years ka tha
Abhi 9 months ho gyh aur penile numbness feel hoti hai aur low libido and inability to reach orgasm kya yeh puri taranh recover ho jaaega apney aap?
bhai apna no do muje apse baat karni h
What about trycyclic antidepressants like chlomopramine. Does this cause sexual side effect ??
It would have a lower incidence but has some serotonergic activity so can do. For antidepressants that have minimal or no risk ; agomelatine, bupropion, vortioxetine, moclobemide.
@@PsychiatrySimplifiedI took ssri and after stopping the medication I felt the loss of sensitivity sexual excitement arousal pleasure on touching girls body ! Is it libido loss ? Can wellbutrin fix it ? I feel girls body totally flat ! Only hands of girls are pleasurable for me ! Besides it I can get full arousal Excitement pleasure in blow job with girl!
My only symptom is a complete lack of pleasure sensation. Is there anything that helps with that?
Same here.
@@simonwright6163 how come I can't feel pleasure when I orgasm
Me too
I need info on how to prevent this
Mirtazapine should help.
I took ssri and after stopping the medication I felt the loss of sensitivity sexual excitement arousal pleasure on touching girls body ! Is it libido loss ? Can wellbutrin fix it ? I feel girls body totally flat ! Only hands of girls are pleasurable for me ! Besides it I can get full arousal Excitement pleasure in blow job with girl!
Thanks for making this video. I've been on Zoloft and switched to Venlafaxine a couple of years ago. Getting in to a new relationship caused me issues with being able to climax so my doctor moved from from 300mg of standard release Venlafaxine (taken as 150 in the morning and 150 in the evening) to 300mg of extended release Venlafaxine taken just in the morning. Is switching to an extended release version likely to change much if the dose is the same?
In theory it is the same medication and the mechanism of venlafaxine induced sexual dysfunction remains the same. Having said that in some cases patients may notice differences. Evidence suggests that if an SNRI is needed desvenlafaxine has a lower incidence of sexual side effects. There are other agents with even lower risk outlined in video. Wish you well.
No
Is it true that some people experience permanent and irreversible sexual dysfunction from taking antidepressants? I have read about people who say after stopping their anti-depressant, years and years later, some even decades later, Never regained their normal sexual function.
There is an entity called PSSD. Post ssri sexual dysfunction which is associated with non return of normal sexual function. The true prevalence is unknown. We talk about it in the video and others have spoken about it in comments section.
@@PsychiatrySimplified Oh ok, thank you. I was wondering what that stood for (PSSD). I have experienced it myself, the dysfunction, not permanent non-return of function, and for me, that was worse. Plus, I didn’t need the antidepressant, I have (moderate/severe)ADD, And they trying to treat with anti-depressants, Vistaril and gabapentin. It was ridiculous. I had a GeneSight test done and a GenoMind test done. They are very helpful but they do not tell you about the sexual side effects, those tests are more about a particular enzyme you might have that would increase your risk for adverse effects on certain medication‘s and things like, an enzyme that would cause other medication‘s to be less effective and other medication‘s to be more effective, etc. and the only adverse effect it tends to mention with specificity is skin rashes. I am on Vyvanse now, but when they had me on mirtazapine, Wellbutrin and gabapentin, it made me suicidal. I’m 100% sure the Gabapentin causes suicidal thoughts. The prescribing physician did not mention any of the black box warnings, it was actually very cruel for her to not tell me what to look out for. Her negligence nearly cost me my life.
Thanks for this video. I am tappering off lexapro 10mg and going onto Agomelatine, how quickly can I expect to see an improvement in SD ? thanks you
It depends. This can be within a week or two. But overall depends on pre-existing factors etc. The probability of a quick resolution ( wash out of Lexapro is 2 weeks) is high. This is general information only and not medical advice. Wish you well
@@PsychiatrySimplified thank you so much for taking the time out to reply
@@PsychiatrySimplified it has been almost two weeks tappering down to 5mg lexapro and augmenting with agomelatine and no improvement. What should I do if the situation does not improve please?
@@perkylovemuffin We can't provide specific advice, sorry - as that would be inappropriate. Your prescriber should be able to explain the plan based on your individual characteristics and formulation. Sexual dysfunction is divided into phases - libido, arousal, erection, orgasm and for each one can then address accordingly. Baseline function and deviation from this should be taken into account. We wish you well. For a detailed review with options - please see this - psychscenehub.com/psychinsights/sexual-dysfunction-with-antidepressants/
Can you talk about antipsychotics?
Sure will add to the list
If you're able to have sex to begin with while depressed, I would question any pharmacological intervention.
Is buspirone good for sexual dysfunction caused by ssri
It is considered as an agent that is favourable but this is best discussed with your doctor as many aspects need to be evaluated .
Can we reverse side effects of antidepressants (cipralex) if we stop the treatment?
Best to discuss this with your doctor. Few Aspects here in general. Depression and anxiety is associated with sexual dysfunction. There are other antidepressants that do not affect or minimally affect sexual dysfunction. In most cases stopping SSRI’s resolves SD ; but risk of relapse of Illness should be taken into account. Medical evaluation also important. Wish you well
@@PsychiatrySimplified thank you! 🙏
Greetings Dr.Sunil, I am very happy to see such a detailed analysis of antidepressants side effects and tips to management,my question is that I am taking Divalproex Sodium 500 mg twice a day, Respiridone 3 mg 1 tab and Procyclidine HCl 5 mg 1 tab for bipolar Affective Disorder for more than 10 years,I am having sexual dysfunction,I would like to ask whether Ginko Biloba is safe to take a long with the these medicines and how many milligrams a day is enough?
Can you make a video on newer antipsychotics cariprazine , lumetaperone. What are your thoughts please ?
Cab cariprazine be used as monotherapy for schizoaffective - bipolar subtype?
Good idea. Will do one on newer APs. Here is an article I've written on cariprazine. Cariprazine has evidence for bipolar depression and schizoaffective disorder . Will add both to list. psychscenehub.com/psychinsights/cariprazine-mechanism-of-action-psychopharmacology-clinical-application/
I'm seeing my doc tomorrow re my trazodone prescription. I take it for sleep and it works like a charm. But nearly the whole time I've been on it I've experienced every sexual issue possible (low libido, weak orgrasms, difficulty orgasming, weak orgasms, ed, low semen volume). Testosterone and estrogen blood levels are at the levels of a 20 year old athlete. Perhaps I'm a rarity but the symptoms are very real and so are the negative sexual effects on self esteem and relationships.
Sorry to hear . While trazodone generally is associated with low incidence of sexual dysfunction - individuals do tend to have side effects like the ones you mentioned . Do discuss this with your doctor. If it’s only sleep being addressed there are other options. We have a video on insomnia . Wish you well.
@@PsychiatrySimplified Thanks. I'll check that video out. Right now I'm thinking (although I could be wrong) that with my trazodone and TRT combination my serotonin levels are too high, which inversely affects NO and dopamine - which seems to explain all my sexual symptoms. Hopefully there's something that's effective as trazodone for sleep that doesn't elevate serotonin.
After discontinued ssri tablets. Now i can become father or not. It is possible to become father.
Excellent video
Thank you for your feedback
If you have a lower sex drive and erectile distinction when on antidepressants and then you come of antidepressants dose it usually go back to normal so you don’t have sexual disfunction anymore?
What is the reason that when you stop taking antidepressants you suddenly have no vaginal lubrication? During my treatment with 50 mg of sertraline for 8 months I had no problems with my discharge, only with my libido and emotional numbness but since I stopped taking it I no longer have any vaginal discharge and I still have no libido or being able to feel any kind of romantic feelings. It's been 2 and a half months since I stopped taking it completely, I'm hoping to get back to normal, but I'm very afraid that I won't.
Sorry to hear. This may be part of a withdrawal syndrome. However in such cases it is advisable to see a doctor and preferably even a gynaecologist / endocrinologist to rule out other causes of sexual dysfunction as hormonal aspects should be ruled out. In females , hormonal aspects play a major part both in treatment of depression and sexual dysfunction. Wish you well.
@@PsychiatrySimplifiedplz help me... I m feeling sexual numbness... I m unable to feel pleasure during forplay ! What should I do ?
@@ashuvijay7031 bro I have same condition after stopping the medicine are u fine now 😢😢
Hello Doc, does Lamotrigine cause sexual disfunction ?
No it’s not associated with sexual dysfunction .
Sir kya antidepression medicine lene se permanent sexual dysfunction honsakta hai
San antidepressants ek nahi hote. Bahut see antidepressant hai jo Sexual dysfunction nahi dete. Aur bhi hai Jo libido bada sakte hai kyon ki depression mein libido kam ho jata hai. Yaha likha hai article - psychscenehub.com/psychinsights/sexual-dysfunction-with-antidepressants/#:~:text=Sexual%20dysfunction%20is%20a%20persistent,causes%20distress%20to%20the%20patient.&text=Sexual%20dysfunction%20(SD)%20is%20a,is%20also%20associated%20with%20depression.
yes "PSSD"
@@PsychiatrySimplified sir I took zaptra 25, Rabmarqu DSR and rystril medecine
The correlation between depression and SD is anti-depressant drugs, I know you already know this though.
Hi , i took zoloft for 5 years and had bad sexual side، now i switched to lexapro, does lexapro has lower sexual side?
It is an SSRI like Zoloft so all SSRIs are associated with sexual dysfunction. The severity may vary - lexapro(escitalopram) tends to have a lower incidence of side effects than other SSRIs but this again may vary. We have covered medications that are less likely to lead to sexual dysfunction in the video.
Its basically the same. These meds destroy peoples sex drive, and libido
@@SuperCody888 there are several antidepressants that have little to no sexual dysfunction as side effects.
@@PsychiatrySimplified right but he's asking about Lexapro which is a big offender for sexual side effects and PSSD.
@@PsychiatrySimplified which several other antidepressants are you talking about?
Can taking Clonazspasm cause sexual dysfunction?
Very unlikely.
Hey doc, i ve lost my libido from past 3 months due to antidepressants. And ive been off from antideprassants now but i am never aroused . What should i do now , please help me ....
Me too 😢 Abhi tak kitna time hua medicines chode hue? Kya ap emotions feel karte ho?
I took ssri and after stopping the medication I felt the loss of sensitivity sexual excitement arousal pleasure on touching girls body ! Is it libido loss ? Can wellbutrin fix it ? I feel girls body totally flat ! Only hands of girls are pleasurable for me ! Besides it I can get full arousal Excitement pleasure in blow job with girl!
So all the strategies are just waiting gettingnof the drug or go on another .
But the question is ... how do you fix it ? Im off the drugs for 4 months. But have servere pssd, I feel so much better off the drug then on it but I got pssd now... and it been like that for years. What do I do to fix it ???
Have you had a discussion with the doctor?
@@PsychiatrySimplified well I have in the past but they only tested testosterone level and said it was fine. When I mentioned how do I fix it , they just said thats psychosomatic and being of the medications is making it worse .... so I should go back on.... any suggestions you might have to guide me in a better direction will be appreciated.
I was prescribed paroxetine 25 mg only for premature ejaculation problem for 6 months but im facing erectile dysfunction....will my erection becomes normal after tapering and stopping paroxetine?
Hllo bro
Reply me
Say bro@@helpotherstohelpyourself2101
Hi bro say @@helpotherstohelpyourself2101
Where can I find the article you wrote about PSSD?
Hi , it is not a separate article on PSSD. But an article overall on SD with antidepressants that also touches on PSSD . Here it is psychscenehub.com/psychinsights/sexual-dysfunction-with-antidepressants/
Can you make a video on sexual dysfunction due to antipsychotics
Will add it to the list.
Yes that would be helpful
I was prescribed zoloft about 30 years ago now and it imeaditly caused me to have retrograde ejaculation. This means that the emission goes backwards, into the bladder. I only took the drug for about 2 weeks and was told that the condition would reverse. It didn't. If I had wanted to father a child I would not have been able to. Now it is causing me to be incontinent. I dribble pee after urinating. I now for sure that this was also caused by zoloft becase it involves the same muscles that are used for ejaculation. I was not warned about this before I took the shit. Needless to say I am furious. If anyone sees this and would like to join me in a class action law suit please let me know and I will provide contact information.
i'm in france but i follow you dear
@@L37777 have you had a bad experience with zoloft?
@@johnwright291 I have been on paroxetine
Amazing info
I have back pain enlargement of prostate and PTSD my psychiatrist prescribed Cymbalta it created pain at the base of the penis and I could hardly urinate. So my conclusions were it made my prostate worse it like killed the Terazosin I’m taking not even the myrbetriq worked so I stopped taking it. It took 3 days for my other medication to work so I could urinate. So what should I tell my psychiatrist in my up coming appointment
Sorry to hear that - Cymbalta can have anticholinergic side effects and can lead to urinary retention in some individuals; always let your psychiatrist know of any side effects. Wish you well.
Hi doc I’ve been taking atomoxetine for about a year and a half for ADHD treatment should I worry about PSSD or not kinda stressing rn and heavily considering stopping taking it
Atomoxetine does not have Serotonergic activity which is linked to sexual dysfunction . From an individual stand point the question is best posed to your prescriber who will carry out an individual risk benefit analysis for you.
Sir I am suffering from body dysmorphic disorder and I am good than before but not much,,, i am taking sertraline125 respiredon4,, even though I am not feeling any further improvement,,, still depressed what to do
We will be doing a video on body dysmorphic disorder soon. Essentially psychological therapy needs to be combined with medication as there is a significant psychological component to this condition. Specific psychological therapy such as exposure response prevention . Ps not medical advice. Please discuss this with your doctor. Also doses of ssri ‘a need to be at higher end of spectrum . Rx is similar to OCD. Please see this video Obsessive Compulsive Disorder Simplified | Diagnosis and Treatment of OCD | A Psychiatrist Explains
ruclips.net/video/vCvdq-DFyHo/видео.html
Sir can there be treatment for pssd
Firstly PSSD should be definitively diagnosed and ensuring depression and anxiety and other medical causes of sexual dysfunction are ruled out. Treating PSSD is challenging, and many strategies have been suggested and tried, including serotonergic antagonists and dopaminergic agonists ( bupropion) There is still no definitive treatment for PSSD. Low-power laser irradiation and phototherapy have shown some promising results. ( 2018)
@@PsychiatrySimplified PSSD needs to be talked about more. All to often it goes misdiagnosed as depression, underlying depression, and psychological. Ive tried bupropion and I ended up in the hospital, as well it did nothing for PSSD. Low-power laser irradiation and phototherapy helps for erectile dysfunction, but does nothing for sexual desire, and libido. Again PSSD isnt erectile dysfunction ED meds work, but do nothing for libido, and sexual desire.
@@SuperCody888 thanks for sharing this experience. Agree a lot is not known and it is an under recognised side effect. Hopefully better treatments are available for this distressing condition.
@@PsychiatrySimplifiedI took ssri and after stopping the medication I felt the loss of sensitivity sexual excitement arousal pleasure on touching girls body ! Is it libido loss ? Can wellbutrin fix it ? I feel girls body totally flat ! Only hands of girls are pleasurable for me ! Besides it I can get full arousal Excitement pleasure in blow job with girl!
@@SuperCody888I took ssri and after stopping the medication I felt the loss of sensitivity sexual excitement arousal pleasure on touching girls body ! Is it libido loss ? Can wellbutrin fix it ? I feel girls body totally flat ! Only hands of girls are pleasurable for me ! Besides it I can get full arousal Excitement pleasure in blow job with girl!
Would fluoxetine cause less SD compared to escitalopram, since fluoxetine blocks 5HT2C receptors?
Fluoxetine also activates the 5HT2A receptors as do all ssris. There may be individual differences in how people react to each medication but as a class SSRIs are associated with SD. Only fluvoxamine at 100 mg or less is associated with lower risk due to it's 5 HT1A Agonist activity.
Thank you!
But Tell us about escilapram chances to cause sexual problems.Flavoxamine vs escitalopram which one is better@@PsychiatrySimplified
What if you're taking antidepressants for anxiety and can't take bupoprion and the mirtazapine isn't effective enough
It would be necessary to reevaluate the diagnosis and treatment with your doctor. Wish you well
What about antipsychotics? Would it be the same than antidepressants?
Antipsychotics can be associated with SD through different mechanisms e.g anticholinergic , increased prolactin.
@@PsychiatrySimplified How to cure antipsychotics induced sexual dysfunction? Please help me.
So you are saying serotonin itself reduces nitric oxide? Can you please provide the study that shows that we're not talking about the medication but the actual neurotransmitter serotonin decreases nitric oxide? Because if you take tryptophan, you can actually increase your nitric oxide levels. Can you be specific with your presentation and can you provide studies that show serotonin it self reduces nitric oxide?? Pub med , Google scholar article etc
Not serotonin - but the antidelressant class SSRI - Paroxetine was also shown to be significantly more a potent inhibitor of the NOS enzyme activity than nortriptyline (Finkel et al. 1996). Similarly, several established antidepressants of distinct chemical classes, including imipramine, paroxetine, citalopram and tianeptine, have all been shown to inhibit hippocampal NOS activity in vivo when applied locally in the brain in therapeutically relevant concentrations (Wegener et al. 2003)
@@PsychiatrySimplifiedI m feeling nothing when try to touch a girl body ! But when a girl touch my penis...I get pleasure ! What is this ????😢😢😢 I took Escitalopram 10 mg and clonazepam 0.5 mg for 3.5 months
Lawsuits!
Hi doctor .why 60 mg fluoxetine giving me sexual dysfunction but 50 mg is not.as soon as i come down to 50 mg i get boner and morning wood .my doctor decided to add 12.5 paxil along with 50 mg fluoxetine.im hypertension patient so my psyc dint want me to put on bupropion .so the combination I'm taking is good combo or not .my cousin takes paroxetine and he doesn't have sexual side effect
Sorry to hear. At 50 mg is the illness is treated adequately? In general two ssris are not prescribed. There are other strategies of augmentation that can be considered to add to ssri that treat deprrssion but do not lead to secual dysfunction. E.g agomelatine, mirtazapine or bupropion. But this requires a discussion with the doctor and depends on Sx that need to be treated. Ps not medical advice. We have done videos on agomelatine, mirtazapine.
@@PsychiatrySimplified i have a question doctor .is paxil more potent than prozac ?? I'm taking 60 mg Prozac but seems like not working even tho I'm in full dose .my main problem is my whole body i feel something is pulling from inside even while walking it's difficult for me and also i cant even sit for more than minute and also severe headache .somehow this fluoxetine seems working comparing to my past medication but still it's not satisfying .i think it's very severe chronic anxiety .do u think it's paxil good choice .in my case .
@@nirmanshrestha2038 in the context of depression agitation should be ruled out. Anxiety should be differentiated from agitation where the person feels underlying anxious distress affecting sleep; racing thoughts, sleep difficulties. Please have a look at the video on melancholic depression and mixed features and see if this needs to be discussed with your doctor. It's not possible to comment specifically on this forum as clinical examination is necessary. Do discuss your concerns with your doctor. Wish you well.
@@PsychiatrySimplified thank u doctor
. Can amitriptyline cause pssd I'm worried ? if can how long you have to be on it for it to happen
How to fix durg induced erectile dysfunction
Here is an article that covers a range of options - psychscenehub.com/psychinsights/sexual-dysfunction-with-antidepressants/#:~:text=Sexual%20dysfunction%20is%20a%20persistent,causes%20distress%20to%20the%20patient.&text=Sexual%20dysfunction%20(SD)%20is%20a,is%20also%20associated%20with%20depression.
how about bone loss ?
M still very shocked with the immediate good result I derived with your herbs Dr emuakhe from Africa.once again thanks for introducing your great herbs to me..
I take sertaline AND Bupropion
Anyone have problems while taking cymbalta?
Can anyone tell me if stopping lexapro after not even two weeks can save your libido?
Hello sir I take paxil and have sexual side effect .does adding wellbutrin help to counter sexual side effect or not
It is one the treatments but this should be focussed with your doctor - it is covered in video. There are other options as well
always lost interest in sex and relationships with people on antidepressants everything becomes meh, bupropion worst nightmares ever.