Author Topic: Anxiety Disorders  (Read 149 times)

starburst

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Anxiety Disorders
« on: December 29, 2019, 09:29:33 PM »
I think the referenced article should be required reading for us. The article is about women's sexual dysfunction, but it can probably also be generalized to men.

Women’s sexual dysfunction associated with psychiatric disorders and their treatment:
https://doi.org/10.1177%2F1745506518762664

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ABSTRACT:
Impairment of mental health is the most important risk factor for female sexual dysfunction. Women living with psychiatric illness, despite their frequent sexual difficulties, consider sexuality to be an important aspect of their quality of life. Antidepressant and antipsychotic medication, the neurobiology and symptoms of the illness, past trauma, difficulties in establishing relationships and stigmatization can all contribute to sexual dysfunction. Low sexual desire is strongly linked to depression. Lack of subjective arousal and pleasure are linked to trait anxiety: the sensations of physical sexual arousal may lead to fear rather than to pleasure. The most common type of sexual pain is 10 times more common in women with previous diagnoses of anxiety disorder. Clinicians often do not routinely inquire about their patients’ sexual concerns, particularly in the context of psychotic illness but careful assessment, diagnosis and explanation of their situation is necessary and in keeping with patients’ wishes. Evidence-based pharmacological and non-pharmacological interventions are available but poorly researched in the context of psychotic illness.

We need a poll on the forum to capture what percentage of us have had an anxiety disorder (whether self-diagnosed or diagnosed by a health professional).
I, for one, have had at some point: social anxiety, generalized anxiety, panic disorder, obsessive compulsive disorder.

Pelvic physical therapy also gets a mention:
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Pelvic muscle physiotherapy is often helpful to lessen sexual pain both by means of addressing concomitant hypertonicity of pelvic muscles which in itself can be painful and also as a form of desensitization as physiotherapy-associated pain becomes more familiar and non-threatening. Incorporating a mindfulness approach to the physical therapy has recently been encouraged.