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Doctor insights on: A Strange Case Of What I Believe To Be Sexual Anxiety

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Normal to masturbate to thoughts of something that I have a phobia of? Why would this happen? No sexual pleasure without thoughts of this phobia.

Normal to masturbate to thoughts of something that I have a phobia of? Why would this happen? No sexual pleasure without thoughts of this phobia.

Control: It's impossible to know why someone has something going on in their head. However sometimes thinking of a phobia can help one to be "in control" of it. For example, bdsm or rape fantasies do not mean someone actually wants to be abused, but may help them to become aroused thinking about it. This certainly does not mean something is wrong with you. ...Read more

Dr. Heidi Fowler
3,295 doctors shared insights

Anxiety (Definition)

Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying. These disorders affect how we feel and behave, and they can manifest real physical symptoms. Mild anxiety is vague and unsettling, while severe anxiety can be extremely debilitating, having a serious ...Read more


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When describing to a doc the feeling of stress or being overwhelmed would it be normal to be prescribed lorazapam, never wanted any type of sedative?

When describing to a doc the feeling of stress or being overwhelmed would it be normal to be prescribed lorazapam, never wanted any type of sedative?

Anxiolytic: It is common to prescribe lorazapam (a benzodiazepine in the same class as valium) as a drug treatment for anxiety and stress. You are right, medications are not a final solution for the underlying cause of stress. They can be a helpful tool to get through a difficult period, but it is important to get at and manage the underlying cause, rather than cover up the symptoms with medications. ...Read more

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What type of disorder would it be called when you think weird thoughts but have no compulsions?

What type of disorder would it be called when you think weird thoughts but have no compulsions?

Weird thoughts: I'm afraid you're going to have to define weird thoughts. My wife thinks a lot of my thoughts are weird too. Give us a better idea of what you mean. ...Read more

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I have severe brain fog most of the time, sleep deprivation would be my guess, but i know it could be a lot of things. What kind specialist do I see?

I have severe brain fog most of the time, sleep deprivation would be my guess, but i know it could be a lot of things. What kind specialist do I see?

Primary care doc: First you need to give your medical history and details such as duration and specific examples of problems from this "brain fog". Then get a physical and lab tests to make sure there's no obvious thing wrong. If you are sleepy in daytime then i question your sleep quality, even sleep apnea. ...Read more

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I suffer from loneliness that's kind of hard to describe. Is it rare for someone to be essentially born with schizophrenia. Am i just a freak?

I suffer from loneliness that's kind of hard to describe. Is it rare for someone to be essentially born with schizophrenia. Am i just a freak?

I doubt that you : Were born with schizophrenia. Loneliness is not the most common symptom of schizophrenia. If you have been lonely all your life, consider getting help. Meet with a psychologist to discuss what happens in social situations to make you feel like a freak. You can also meet with a psychiatrist to consider medications. ...Read more

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What is a tic ?!i have heard it many times from doctors but i don't know what it means, i think it might be related to some kind of movement pattern!

What is a tic: A tic is an involuntary motor movement. They usually start as a single tic but other patterns are multiple tics starting at the same time and tics that wax and wane, one type replacing another. There are medications that can modify the course of tics. ...Read more

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What kind of experience is it to have a panic attack?

What kind of experience is it to have a panic attack?

Sxs: Panic attacks can develop rapidly and can include: marked anxiety; rapid, pounding heart beat; chest tightness or pain; shortness of breath with hyperventilation; hot or cold flashes; a sense of butterflies in the stomach, nausea or even vomiting; tingling of mouth or extremities; increased sweating; feeling faint or lightheaded; headache, shaking; difficulty swallowing or throat tightness; a >>. ...Read more

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Think I have medical anxiety that's a bit debilitating, always worrying that something wrong with me when I develop a symptom, to the point of crying?

Think I have medical anxiety that's a bit debilitating, always worrying that something wrong with me when I develop a symptom, to the point of crying?

Worried Sick: If you are healthy, as deemed by a physician, your worries likely reflect emotional struggles that need treatment. People with health anxiety cross a number of diagnostic categories, so first step is a thorough psychiatric assessment. You might also find Fred Neuman's book, "Worried Sick," helpful. Treatments are available to alleviate your suffering. Take good care. ...Read more

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Doctors say that I have anxiety. I have no fears or obsessions. All bothering me about anxiety is its episodic physical symptoms. Is that possible?

Yes: Anxiety often presents with physical symptoms- muscle tension, digestive problems, sleep problems are common. People can also experience panic attacks that often include racing heart, heart palpitations, sweating, and shortness of breath. ...Read more

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Would I be able to identify a pinworm if i had them?? Have a huge phobia and suffering paranoia

Would I be able to identify a pinworm if i had them?? Have a huge phobia and suffering paranoia

Try not to run away: w your phobias. Pinworm are intestinal parasites (Enterobius Vermicularis). Symptoms can include gastrointestinal upset, anal or vaginal itchiness, loss of appetite, difficulty sleeping, irritability, restlessness. Untreated pinworm infection can lead to weight loss, diarrhea, genital rash, urinary incontinence and vaginal discharge. A doctor can diagnose if you have possible sxs of pinworm. ...Read more

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If you have fear of certain injury/condition, and think about it often and then experience feelings/symptoms of it, is that psychosomatic?

If you have fear of certain injury/condition, and think about it often and then experience feelings/symptoms of it, is that psychosomatic?

Possibly: In the beginning phases of hypochondriasis or psychosomatic symptoms, one typically pays an inordinate amount of attention to physical signs and symptoms. Talking to a therapist can help determine if these thoughts are reasonable or an over active assessment of body signs and signals. ...Read more

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I was referring to a answer another doctor made about psych wards and suicidal thoughts. Is there a way to have a conversation on this with a doctor?

I was referring to a answer another doctor made about psych wards and suicidal thoughts. Is there a way to have a conversation on this with a doctor?

1-800-273-8255: From national suicide prevention lifeline: "no matter what problems you are dealing with, we want to help you find a reason to keep living. By calling 1-800-273-talk (8255) you’ll be connected to a skilled, trained counselor at a crisis center in your area, anytime 24/7." url: www.Suicidepreventionlifeline.Org. ...Read more

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When I have a panic attack about a certain situation and someone says "it's all in your head"! Is that really true?

When I have a panic attack about a certain situation and someone says "it's all in your head"! Is that really true?

Partly true: The cause of the panic attack is usually a signal from your brain, but the effects of the panic attack are in your body! The brain sends a fear signal that turns on your body's fight-or-flight response. Hormones speed up your heart, make you tremble, dilate your pupils, and raise your blood pressure. So what you feel in your body is actually in your body! ...Read more

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Paralysis of my body is a huge fear I have. I know it can obviously happen if you get in a car crash or something like that. But I have this real fear?

Paralysis of my body is a huge fear I have. I know it can obviously happen if you get in a car crash or something like that. But I have this real fear?

Please repost: How old are you? Do you have any risk factors for paralytic diseases? What do you mean by "paralysis"? 1 side of your body like a stroke? Quadriplegia from cervical spinal cord injury or MS? Complete & total paralysis of every single muscle in your body including your breathing muscles as in fulminant Guillain-Barre syndrome, so you're on a ventilator? Please clarify. ...Read more

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What's the relation between anexity and depression? Can someone have them both? Is there a certain alerting symptoms as a must to see a therapist. I am concerned about my mental and emotional health and stuck in a country that doesn't really support seek

What's the relation between anexity and depression? Can someone have them both? Is there a certain alerting symptoms as a must to see a therapist. I am concerned about my mental and emotional health and stuck in a country that doesn't really support  seek

Anxiety & Depression: Anxiety & depression can occur together in the same person. Also, chronic anxiety with no relief can lead to depression. Some of the ways people try to medicate themselves for anxiety (alcohol, marijuana, etc) can lead to depression. Antidepressants like celexa, zoloft, (sertraline) and others can help anxiety. Sounds like seeing a therapist would be good idea for u -- and if suicidal, it's an emergency. ...Read more

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I just realized I have psychological trauma from a extremely frightening experience with a recreational drug. What kind of treatment do I need?

I just realized I have psychological trauma from a extremely frightening experience with a recreational drug. What kind of treatment do I need?

Evaluation 1st: An evaluation of your problem is needed before determining the best treatment -- they're not "one size fits all." best to see a psychiatrist first. Some drugs can trigger psychosis, and it doesn't go away when the drug leaves your system. Medications and/or talk therapy may help; the doctor will be able to suggest once s/he hears about your experience and how things are now for you. ...Read more

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Can there be a such thing as sexual anxiety?

Can there be a such thing as sexual anxiety?

Yes: One can have "performance anxiety" around sex. Men seem especially prone to this, but women can experience it also. Being anxious about doing it "right" and worries about sufficiently pleasing one's partner can distract from being in the moment and enjoying what's actually happening. The focus may be on fear rather than mutual pleasure --> premature ejaculation, vaginal dryness, etc can result. ...Read more

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How could i deal with anxiety after being sexually harassed?

How could i deal with anxiety after being sexually harassed?

If it occurred in : The workplace - was it already addressed using the organizations' venues for this? Have you been able to share with other's about your experience? If you have residual anxiety, would encourage you to consider working with a therapist who can help you recover your confidence ; to reduce your anxiety. Take care. ...Read more

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Why do I feel some extra anxiety after sexual activities?

Why do I feel some extra anxiety after sexual activities?

It depends: Many possible reasons for this -- can involve your feelings about sexual activity itself, and/or who you're having sex with. Some people feel guilty or ashamed about any sexual activity, so feel anxious about actually doing it. Also, the type of sexual activities can be anxiety-provoking -- like will you "get caught", get pregnant, get std; is it secret homosexual or extramarital affair, etc. ...Read more

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Can someone develop anxiety disorder after being sexually harassed as a child?

Yes: Very possible indeed, especially when facing sexualized situations, or seeing others, especially children in sexualized situations can heavily factor into anxiety. ...Read more

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How to differentiate between sexual arousal and anticipatory anxiety?

How to differentiate between sexual arousal and anticipatory anxiety?

Anticipatory anxiety: is not specifically sexual in nature. We can have this prior to just about anything we do, especially if we are being evaluated for it. Feeling like we will be judged for sexual "performance" can cause anticipatory anxiety. So, they can be independent of one another or happen together. Focus on the feelings of others and it can help relieve the anxiety. Peace and good health. ...Read more

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Is there anxiety meds with no sexual side effects?

Is there anxiety meds with no sexual side effects?

Yes: Discuss your concerns about sexual side effects of your anxiety medications with your doctor and ask if alternative medications without this side effect will be helpful for you. Good luck. ...Read more

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How does sexual performance anxiety affect older men?

How does sexual performance anxiety affect older men?

Sex therapy: There are actually folks who specialize in this area and they are called sex therapists. As performance anxiety is quite common, a good sex therapist should be quite well versed at addressing your concerns and issues. I also suggest finding a patient partner. Share your concerns with he or she in an open and honest manner. Most people are more understanding than many might think. ...Read more

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What can you do to cure sexual performance anxiety, naturally?

What can you do to cure sexual performance anxiety, naturally?

Sex therapy: There are actually folks who specialize in this area and they are called sex therapists. As performance anxiety is quite common, a good sex therapist should be quite well versed at addressing your concerns and issues. I also suggest finding a patient partner. Share your concerns with he or she in an open and honest manner. Most people are more understanding than many might think. ...Read more

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Social anxiety and having problems w/ ED and inability to orgasm. What help is there for mentally induced sexual problems?

Social anxiety and having problems w/ ED and inability to orgasm. What help is there for mentally induced sexual problems?

See remark: You made your diagnosis,or a professional labelled you with anxiety disorder? The answer is simple.YOU ARE YOUNG. Your problem can be managed. Seek a good sexual counselor,I wish you the best ...Read more

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Does sexual anxiety cause post void dribbling?

Does  sexual anxiety cause post void dribbling?

Sexual anxiety: Post void dribbling is more likely a prostate issue or MAY be in the normal range. Please see your doctor or a urologist for diagnosis and treatment if needed. Peace and good health. If you have sexual anxiety please consult w/a licensed sex therapist, a clinical psychologist, or your doctor. ...Read more

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What to do if I have severe anxiety right now because of sexual obsessive ocd, please answer?

What to do if I have severe anxiety right now because of sexual obsessive ocd, please answer?

See a psychologist: You should get evaluated. Schedule an appointment with a psychologist for an evaluation. Therapy and/or medication will help if in fact you are obsessive and anxious. Make sure you talk about your symptoms and not a diagnostic label. The sexual thoughts sound like OCD as they are ego dystonic and intrusive. ...Read more

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A doctor said I might have anxiety while I do sexual things& that's why I don't get hard. How can I relax? What should I do?

A doctor said I might have anxiety while I do sexual things& that's why I don't get hard. How can I relax? What should I do?

Performance Anxiety: Hi, first you want to make sure u r in a loving relationship and you know ur partner well, also avoid any high risk sexual behavior, also doing meditation, yoga and exercising can help. Also avoiding porn. please read below: http://www.askmen.com/dating/love_tip_60/79_love_tip.html ...Read more

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i suffer from anxiety/DPDR. i need a med to cover all day base anxiety and one that could prevent an attack, without compromising sexual desire.

Consider therapy: In addition to medication for anxiety, consider psychotherapy. There are numerous brief interventions that are very effective in decreasing anxiety (as well as depersonalization and derealization). Consider seeking treatment with a clinical psychologist, SWer or other MH therapist who treats anxiety disorders. ...Read more

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I suffer with sexual anxiety and have tried counselling, I am now trialling cognitive and hypnotherapy, but nothing seems to be working. What now?

I suffer with sexual anxiety and have tried counselling, I am now trialling cognitive and hypnotherapy, but nothing seems to be working. What now?

Sex therapist: Have you worked w/a licensed sex therapist? Getting help from someone who specializes in your situation would likely give you the best outcome. Peace and good health. ...Read more

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Will my anxiety over seeing/reading things about sexual assault ever go away? I was raped 1yr ago and this stuff still makes me anxious. Not pleasant.

Unlikely: The survivors of such a trauma seldom forget or ignore these events. Like any life experience, it becomes part of who you are.It can offer a unique perspective, or hold you back, depending on how you respond. Counseling helps but you must let it.The event is not who you are, it is just something that happened. ...Read more

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I am 23 yrs and started taking cipralex 10mg for anxiety 1 yr ago;my sexual desire decreased;do sexual symptoms worsen by time more than what I am in?

I am 23 yrs and started taking cipralex 10mg for anxiety 1 yr ago;my sexual desire decreased;do sexual symptoms worsen by time more than what I am in?

May get worse: Cipralex is a superb antidepressant and helps many people in many ways. It does slow a man's libido and ability to climax. Managing any long-term emotional problem is difficult and requires careful work with the treating team; perhaps some cognitive-behavioral therapy can help you get new life skills / ways of thinking that could ultimately reduce your need for rx. ...Read more

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I'm having sexual performance anxiety that is making me hesitant of pursuing a relation and an erection is hard to get when alone.I workbackshift also

Here are some ...: To help improve your sexual performance, you need a major mental & physical makeover. To start with, you need to be willing to realize, understand, & accept the available truth and facts of life, then you have to work on healthy lifestyle without overindulgence & obsession. Beyond that, start out judicious use of medication, but not overmedicated, to restore your confidence. So, seek Dedicated Doc ...Read more