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[quote=Anonymous]Okay let’s talk about SSRIs/SNRIs.

Yes they reduce libido in many patients and also make it difficult to achieve orgasm in many patients. Sex life is affected.

They also save a lot of suicidal people and make chronic depression and anxiety manageable for many others who would possibly progress to suicidality or at very least suffer serious impacts on relationships and work without.

Sex is good but being alive probably outweighs the value of a frisky sex life. Lots of people go without sex either by choice or by circumstance for long periods of time, if not lifetimes, and still have a good quality of life. Sex is not the be all end all.

That said, there is good news on the depression/anxiety/PTSD treatment front in the form of TMS therapy and ketamine therapy and EMDR therapy and CBT/DBT, all of which have minimal physical side effects and are fairly effective comparative to the psych meds. They require greater effort to obtain and are more expensive than SSRIs/SNRIs, and the capacity to treat everyone is very limited so like everything it comes down to our healthcare system and how we pay for services and the policy decisions we make about investing in service capacity and patient supports.

Incidentally I’m a few weeks away from completing an initial course of TMS therapy for decades long refractory meds resistant (I can’t tolerate the side effects, the least of which for me is impact on libido/sexual function) recurrent major depression/CPTSD. I’m lucky to have very good insurance that covers it and I’m hopeful about this new tool as it has lifted a very acute depression in a matter of weeks with zero physical side effects beyond very mild headache after the first couple of sessions. An initial course is 36 sessions so it’s a significant commitment depending on how far you have to travel to a treatment facility - I only drive a mile from my home. I hope with incorporation of healthy lifestyle choices this result will last at least a year or so, given the time commitment for a refresher course and the cost - I’m mindful of my use of healthcare resources even if not coming out of my pocket.

For anyone taking meds and still struggling with depression et al., I recommend looking into TMS.

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