Our expert says:
Firstly let me emphasize, your doc had no business prescribing this or any other drug without discussing with you, and making sure you understood, all significant potential side-effects, and any issues about coming off it eventually - that is part of doing his job comnpetently, and was what he got paid to do.
ALL antidepressants MAY produce sexual side-effects and MAY produce weight gain in SOME of the people who take them ; NONE do it in everyone. Many can produce some side-effects if after one has been taking it for some time in a significant dose, one stops abruptly rather than gradually reducing the dose. This also, is an individual effect, and some people don't seem to experience such problems.
The sexual side-effects generally experienced are of LOSS of libido rather than icnreased libido, and can include dificulty in reaching orgasm.
Some people, though, react to anxiety and stress with an increased libido, using orgasm as a personal tranquillizer.
Abuse of alcohol needed to be tackled by you and your shrink from the sart, as it worsens depression and interferes with the benefits of antidepressant and other meds, and of course it is disinhibiting and could increase irresponsible and unwise sexual behaviour. And you seem to be describing truly self-destructive sexual behaviour, of high risk.
Only your own shrink is in the best positon to answer your questions, knowing you and your medications well. When one is on a cocktail of meds for Bipolar Disorder, any changes in them needs to be carefully considered by your shrink, and not embarked upon on your own initiative, and
also, side-effects experienced can be due to several, or some combination, of the drugs.
hating sex now, or feling deeply guilty about past conduct, is not a drug side-effects, and should be recognized by your psychiatrist and dealt with by referral to a good CBT-oriented psychologist for therapy.
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