Feeling down and emotionally numb pls help

[Breathdeep]

Hi, long story short I've been off all meds for a year, still have bad pssd. Very low libido. If on the chance i have a small amount of libido occasionally, with Cialis and Viagra can I get hard but still loose it constantly.

I went on ssri for anxiety but throughout pssd I've had muted emotions (never excited, sad, lonely, don't feel alive properly, don't enjoy things like I used to at all) more recently I've found I'm often in social situation when I have to put on a smile and fake a laugh at jokes. I actually feel down which has slowly been creping in over the last year. I get psychotherapy and work on wellbeing allot. Lots of exercise, very good diet and so on. I've come to the point that something has to give and am hoping I can find a medication that helps pssd and anhedonia if that's what I have? If there's not a medication that helps pssd for me then I'll only take one if it isn't gonna make me worse. I really need some help here so any suggestions would be hugely appreciated

[Naczoz]

Cheer up, as the years goes by, you will finally accept what has happened. Im 3 years out and happy of being castrated

[Janie]

Cheer up, as the years goes by, you will finally accept what has happened. Im 3 years out and happy of being castrated

Really?

[Numbtomind 2]

I'm 4 years out with permanent dysfunction. Lost all emotions and sexual function , but I'm beyond happy this happen to me.

[chemistry]

Have you noticed any days where symptoms were less severe in the past year? That could be a sign that things may improve over time, not everyone has “permanent” dysfunction. Try to continue with the efforts you are putting in I think you’re on the right track.

There isn’t a specific medication for pssd or anhedonia but people have tried many meds or supplements with varying degrees of success. The first one doctors usually prescribe for ssri sexual side effects is wellbutrin. Anything other than that is really experimental. I recommend starting with supplements and see how you feel, you could try NAC, SJW, mucana puriens,etc but be careful as you may be sensitive to any substance now since developing pssd. See how you respond to different things and use that to guide you on what to try next. There is a list of things that have helped others on Ghost’s website look him up on the forum you should be able to find it.

Dont give up I know its hard but with enough determination you should have at least moments or days of relief from the anhedonia etc

[Breathdeep]

Have you noticed any days where symptoms were less severe in the past year? That could be a sign that things may improve over time, not everyone has “permanent” dysfunction. Try to continue with the efforts you are putting in I think you’re on the right track.

There isn’t a specific medication for pssd or anhedonia but people have tried many meds or supplements with varying degrees of success. The first one doctors usually prescribe for ssri sexual side effects is wellbutrin. Anything other than that is really experimental. I recommend starting with supplements and see how you feel, you could try NAC, SJW, mucana puriens,etc but be careful as you may be sensitive to any substance now since developing pssd. See how you respond to different things and use that to guide you on what to try next. There is a list of things that have helped others on Ghost’s website look him up on the forum you should be able to find it.

Dont give up I know its hard but with enough determination you should have at least moments or days of relief from the anhedonia etc

I have tried NAC and lots of other suppliments. I saw some brief improvement with some of them but tried an all natural recovery and thought it best to get it from diet alone. I might start to try somemore again though. I had some ok window of libido a out 3-4 days this month then disappear entirely but not sure why.

I'm tempted to try sjw but worried about crashing. I've also heard lithium could help. I agree that trying things is a good way to see what helps and point you in the correct direction but abit afraid to. Especially sjw and lithium
What are your thoughts on the chances of added perminent or considerably ongoing dysfunction from these?

[chemistry]

I would say take time to analyze why one thing might have helped over another, same with something that might have worsened you in some way - it's all information aimed at directing you down the right path for treating your own case. This may require some research into the supplements etc you've taken. Also, If you've noticed windows then they could either be benign changes in symptom severity as with most chronic conditions, or they could be a sign that this is a form of protracted withdrawal syndrome and that things will continue to improve naturally as the months go on. If this is the case, it'd be a very up and down pattern with windows lasting longer or getting better over a long period and it may take a while before you can really say if you're recovering on your own (I do hope this is what is happening for you). Don't listen to people who say this is always permanent etc I've been around for many years and I've seen many recover naturally (at least partially) over time.

About crashing, it seems like just about anything has either helped someone or caused them to crash. Of course some things are riskier than others and SJW does affect the serotonin system (apparently a lot of neurochemicals as well but I won't pretend to know about neurochemistry) and that could mean higher risk, but this is still low compared to many of the drugs that have been tried. Typically crashes don't mean permanent worsening of symptoms especially if the dose was low and taken for a short time and if the thing you took wasn't really harmful. Thats why its best not to rush into things and take large doses and instead see how you react to the lowest therapeutic doses and work your way up at your own pace (listen to your body). I personally reacted in a mixed way to SJW (high anxiety but also some nice sleepiness and warm feelings) but this was from 1 dose and I was fine after a couple days, in contrast I smoked weed regularly for 8 months and I was fucked for 3-5 months after I stopped but I'm 90-95% back to "normal" now. Everyone is different at the end of the day so maybe start with listing all the things that could help you, then take the thing with the lowest probable chance at a bad reaction and go from there. Odds are though you'll be fine even if something does worsen symptoms for a while.

[Breathdeep]

Thanks for your in depth reply. I do know some suppliments that helped but kinda stumped on why exactly. I've had much better erection without helping libido on inositol but that only last a couple days then it stops working. I also think it crashes me after for a few a week or so. Tribulus gives me exasabates my stomach issues so only tooken for a few days on a few different occasions. This also helps erection and libido. Although I had my biggest window immediately after stopping it once. The other things that help is no sugar or grains apart from quinoa and no fruit even. I suspect I have sibo as I suffer bad bloating from fructose and other sugars. Since the no sugar diet plus occasionally fasting I've had a few improved windows.

That's really good to hear that you've seen recovery stories and I'm gonna try not to get to bogged down in the negative posts online. I've had pssd for one year now and weak morning wood returned on and off a few months ago so there's an improvement. My main issue is struggling to maintain erection even with Cialis and Viagra taken together which I'm prescribe to do.

When you talk about your recovery of 90-95% do you mean in general or are you saying sjw crashed you but your now 90%healed from that?

[Breathdeep]

Thanks for your in depth reply. I do know some suppliments that helped but kinda stumped on why exactly. I've had much better erection without helping libido on inositol but that only last a couple days then it stops working. I also think it crashes me after for a few a week or so. Tribulus gives me exasabates my stomach issues so only tooken for a few days on a few different occasions. This also helps erection and libido. Although I had my biggest window immediately after stopping it once. The other things that help is no sugar or grains apart from quinoa and no fruit even. I suspect I have sibo as I suffer bad bloating from fructose and other sugars. Since the no sugar diet plus occasionally fasting I've had a few improved windows.

That's really good to hear that you've seen recovery stories and I'm gonna try not to get to bogged down in the negative posts online. I've had pssd for one year now and weak morning wood returned on and off a few months ago so there's an improvement. My main issue is struggling to maintain erection even with Cialis and Viagra taken together which I'm prescribe to do.

When you talk about your recovery of 90-95% do you mean in general or are you saying sjw crashed you but your now 90%healed from that.

Edit: just re-read and I see you meant 95% better from weed crash. Btw how long have u had pssd and have you improved much?