Intimacy and sex

People who are depressed often have sexual problems. These might be:

 • Reduced interest in sex and loss of libido
 • Loss of ability to sustain sexual arousal (in terms of 
   erection, orgasm and satisfaction)
 • Premature or delayed ejaculation

Interest in sex
Two-thirds of people suffering from depression lose interest in sex. But conversely some people may also become more sexually active. When you are unhappy, you may have a special need to be comforted and accepted. You may be desperate for some form of gratification and confirmation that you are good enough.

If you are experiencing sexual problems, they may also be the result of sexual side-effects linked to antidepressants. You should talk to your doctor about this.

Professional help for sexual problems
You may find that your sexual problems only arise when your mood starts to lift. When you start to feel better, your libido is likely to improve but you may also find that you are unable to resume your ‘normal’ sexual activity.

Many antidepressants affect sexual function, at various stages of the sexual cycle. Sometimes sexual problems are directly linked with the depression and it can be difficult to determine the exact cause of the problem.

Talk to the doctor who is prescribing your medicine. There are many options available to deal with ongoing sexual dysfunction.

Psychological help
You may also have negative thoughts that stop you from enjoying sex:

 • Do you worry about not being physically attractive?
 • Do you think that you are repulsive in some way?
 • Do you have catastrophic thoughts about terrible things
    that will happen if you engage in sexual relations?

Sex Therapists and counsellors should be able to help you overcome these negative thoughts and work on improving your sex life.
Your doctor should be able to refer you to the appropriate person.