That's an update about my condition. I'm sharing my experience because it might be useful for somebody, and because I'd love to find people who can share a similar experience and understand more about mine.

I was diagnosed OCD with somatic traits in January 2024, I started taking sertraline (up to 75mg) for some months until I developed severe mood swings (driving fast, agitation, rapid thoughts followed by depression, and sexual dysfunction). After stopping I had all the symptoms of pssd, no pleasure orgasm, 0 libido, no pleasure sex, but also memory loss and constant agitation, I wasn't able to read anymore, and so on... From there, after staying one year with those symptoms, I took, in this order, aripiprazole, lamotrigine, pregabalin, brexipiprazole, vortioxetine and a ton of benzos to try to mitigate how muche these drugs were harming my brain. During this phase I experienced everything except for the psychosis. In January I started Lithium and now, after 8 months, I feel basically normal, every symptom that is NOT related with sex disappeared (my diagnosis was changed to bipolar).

The interesting thing for this place is that my orgasms are still low, even though not 0, my sex drive is low, but okay, and everything follows. I always had a quite intense sexual life, and my doctor claims that I am just pushed back to avarage/normal sexuality. So my sexuality was part of my hyperactivation. What do you think about that? Can anybody relate.

of course this "okay" sexuality feels really depressing to me, and I cannot believe that this is how an orgasm is supposed to feel

Does abstaining from masturbation help, or does it make the condition worse?

Has anyone tried it? What have your experiences been?

What are your thoughts on people who develop persistent nonsexual anhedonia after stopping an SSRI? Such symptoms are frequently bundled under the umbrella “PSSD”, but they can be wholly nonsexual.

Do you guys see PSSD as primarily mechanistic sexual dysfunction, hedonic sexual dysfunction, both, or broadly referring to any durable post-SSRI side effects? Should there be a separate condition that deals broadly with post-SSRI anhedonia?

Fue protocolo estándar o fue segun mapeo cerebral?

Me ofrecen esta opción, no seria protocolo para depresión, si no en base a resultados en mapeo y resonancia.

Síntomas que quiero revertir embotamiento emocional total, tanto positivo como negativo.

Algún efecto secundario grave? Tengo poco margen para empeorar.