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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by Shooty on March 11, 2001, at 23:11:02
I'm a longtime compulsive sex addict who is using Celexa now. In some ways it is helping dramatically, in other ways it is putting me at greater "risk."
Is anybody else have a similar situation? Would be interested in comparing notes.
Posted by SLS on March 12, 2001, at 21:43:37
In reply to Sex addication and SSRI's, posted by Shooty on March 11, 2001, at 23:11:02
> I'm a longtime compulsive sex addict who is using Celexa now. In some ways it is helping dramatically, in other ways it is putting me at greater "risk."
I can't offer any personal experience for you, but I am very curious as to in what ways Celexa is putting you at greater risk.
Thanks for any reply.
- Scott
Posted by SLS on March 13, 2001, at 8:50:47
In reply to Re: Sex addication and SSRI's, posted by SLS on March 12, 2001, at 21:43:37
> > I'm a longtime compulsive sex addict who is using Celexa now. In some ways it is helping dramatically, in other ways it is putting me at greater "risk."
> I can't offer any personal experience for you, but I am very curious as to in what ways Celexa is putting you at greater risk.
I had a thought that may be relevant. A drug called naltrexone (Revia) has been found to be effective for a broad number of addictive behaviors. It sort of prevents the opium-like reward that the gratification of an addictive behavior can elicit. Otherwise, if the approach to treatment is to consider it more of an OCD (obsessive-compulsive disorder), there are a few other antidepressants that are often used successfully. Of the SSRIs, Luvox (fluvoxamine) is sold specifically for OCD. For very stuborn cases, Anafranil (clomipramine) is used, although its side effects are more bothersome.If the "greater risk" for you represents an increase in the number of attempted encounters or a greater persistance to offset the lowering of libido and anorgasmia produced by Celexa, I would think that naltrexone is a reasonable alternative. Combining an SSRI with naltrexone might be ideal.
Good luck.
- Scott
Posted by ccass on March 13, 2001, at 22:49:43
In reply to Sex addication and SSRI's, posted by Shooty on March 11, 2001, at 23:11:02
I am also curious as to the ways celexa is putting you at greater "risk."
I have been braver or should I say not as reserved in my sexual experiences since using celexa, I have not been putting myself at risk though. I am still aware of consequences and know how I can handle situations. If I'm going to regret it after I walk away.
I hope you stay safe if this is the type of risk you are talking about.
Posted by Shooty on March 16, 2001, at 9:07:09
In reply to Re: Sex addication and SSRI's, posted by ccass on March 13, 2001, at 22:49:43
> I am also curious as to the ways celexa is putting you at greater "risk."
>
> I have been braver or should I say not as reserved in my sexual experiences since using celexa, I have not been putting myself at risk though. I am still aware of consequences and know how I can handle situations. If I'm going to regret it after I walk away.
>
> I hope you stay safe if this is the type of risk you are talking about.Exactly: I am less repressed, my libido is actually freed and increased, and so my addictive behaviors (mainly porn, mild exhibitionism) -- which in some ways were very "save" sexually and emotionally -- have decreased (although not disappeared completely) with Celexa. But my feelings of guilt have diminished even more, and desire for women I actually know (friends, etc.) or can touch and talk to (strippers, etc.) has me doing or thinking about things that could have a major impact on my life. I love my wife and having sex with her. But the world beckons now...
This is the end of the thread.
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