Sexual appetite deprivation: Recognizing signs, therapy options, origins, and further insights
In the realm of sexual health, a condition known as sexual anorexia can pose significant challenges for individuals. This severe aversion or avoidance of sexual activity is often linked with psychological issues, and healthcare professionals may assess symptoms such as distress, absence of pleasure around sex, and negative emotions during or at the thought of sex to diagnose this disorder.
Several factors can contribute to low sex drive, and sexual anorexia is no exception. These factors may include hormonal imbalances, fatigue, stress, certain medical conditions, pain during sex, over-familiarity with a sexual partner, depression or anxiety, and side effects of some medications.
The treatment of sexual anorexia is multifaceted and requires a tailored approach. Effective methods generally involve psychotherapy, specifically Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT). These therapies help individuals identify, challenge, and change negative thought patterns and behaviors contributing to sexual avoidance and associated emotional distress.
In addition to therapy, treatment should consider psychological safety and involve professionals from mental health, nutritional, and sometimes physical therapy fields to address both mind and body challenges. This approach is effective for eating disorders and likely beneficial for sexual anorexia since it often accompanies psychological distress and bodily symptomatology.
Treatment may also involve addressing co-occurring disorders such as anxiety, depression, trauma, or eating disorders, for which medications such as SSRIs may be prescribed to reduce anxiety or compulsions that contribute to sexual avoidance. However, it's important to note that no medication specifically targets sexual anorexia.
Support groups and 12-step programs, such as those offered by SLAA, can provide a safe space for individuals to share experiences and learn coping strategies. It's crucial to remember that sexual anorexia is not a diagnosable sexual dysfunction or medical condition, as it is not listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
Childhood trauma, including emotional neglect, deprivation, sexual, physical, or emotional abuse, sexual shaming, and death of one or more family members, can increase the risk of developing sexual anorexia. If a person is concerned they or someone they know may have sexual anorexia, they can contact a healthcare professional, counselor, or sex therapist for guidance.
People with sexual anorexia may experience fear of intimacy and intense feelings, fear of being attracted to someone, fear of their own sexuality, self-judgment or self-belittling, and sexual self-doubt. Treatment programs and support groups for sexual anorexia suggest that treatment can be effective, although there is limited evidence on the effects and outlook of this condition.
For those seeking further resources, the Society for the Advancement of Sexual Health provides a list of resources for people experiencing sexual health issues or sexual disorders. It's essential to remember that seeking help is a courageous step towards overcoming sexual anorexia and regaining a healthy sexual life.
- Sexual anorexia can be a result of psychological issues, including depression or anxiety, and it may be linked with negative emotions during sexual activity or at the thought of sex.
- Treatment for sexual anorexia often involves a multifaceted approach, including Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT), which help individuals identify and change negative thought patterns contributing to sexual avoidance.
- Mental health professionals, nutritionists, and physical therapists may be involved in the treatment process to address both psychological and physiological challenges associated with sexual anorexia.
- Treatment may also involve addressing co-occurring disorders such as anxiety, depression, or trauma, for which medications like SSRIs may be prescribed.
- Support groups and 12-step programs can offer a safe space for individuals to share experiences and learn coping strategies, while the Society for the Advancement of Sexual Health provides resources for those dealing with sexual health issues or disorders.
