On February 16, Dr. Andrew Rosen gave a talk to the Doctoral Program in Clinical Psychology at Nova SouthEast University on Multidisciplinary Treatment of Anxiety Disorders.
See the full presentation below.
Most people are somewhat familiar with the term “sex addiction”, particularly because they’ve heard about the occasional movie star or entertainer who seeks treatment for their compulsion. But, while sex addiction is recognized and there are rehab centers and support groups that can provide help, its polar opposite – sex avoidance – is hardly ever discussed. And yet, sex avoidance is just as shattering – perhaps even more so, because a person with sex avoidance shuns intimacy and the enjoyment that comes with having a sincere connection to a loving partner.
Additionally, while sexual avoidance can be troubling on its own, it is also often a side effect of having an anxiety disorder. Things like performance fears, being distressed and upset, and low libido can make people even more anxious and can lead to the avoidance of sex.
In general, the aversion toward sex is a defense mechanism. When thinking of intimacy or engaging in sex, the person with sexual avoidance feels emotional distress and physical symptoms, such as nausea and tensed muscles, or they may have panic attacks. They may also experience humiliation, shame, and low self-esteem for rejecting their partner.
As with any condition, there are people who fall on either end of the spectrum. Sex avoidance can come in the form of sexual anorexia, which happens when sex and intimacy are obsessively evaded in the same way anorexics shun food. In some cases, the sexual anorexic may enjoy physical intimacy once it has been initiated, but may not be able to instigate sex. Or, they may take it a step further and turn down their spouse or partner’s desire for physical closeness more often than not.
On the other extreme, the American Psychological Association has classified an actual disorder called Sexual Aversion Disorder. With this disorder, the individual actively seeks to avoid genital sexual contact with a sexual partner. Often, the person will even avoid genital contact related to a gynecological exam or procedure. Sexual Aversion Disorder can be so traumatic that the person won’t allow any physical touch or kissing.
There are various reasons for avoiding sex. The most obvious is the case of a person who has suffered childhood sexual abuse and now dodges anything that brings the trauma back up in their mind. However, not everyone who has been abused will avoid sex, just as not every person who shuns physical intimacy has been abused.
In some cases, people with anxiety disorders also shun sexual encounters. When a person has an anxiety disorder, they suffer physical effects along with their mental stress. Physically, the Mayo Clinic reports people with an anxiety disorder may experience the symptoms of:
But, why would these symptoms cause someone to avoid the comfort of a physical relationship? One reason is that the act of intimacy raises your heart rate, induces heavier breathing, and makes you sweat. These bodily reactions mimic the physical “fight or flight” responses people experience during a panic attack, so much so that some individuals will go to great lengths to avoid feeling them at all.
Additionally, people who already suffer anxiety may choose to forego sexual encounters so they don’t have to add more fears to their list of concerns. Engaging in sexual activity can bring up worries about their attractiveness, their ability to perform, or may increase feelings of shame or guilt.
If your anxiety disorders are leading to sex avoidance, turn to the professionals at The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida. For more information, contact us or call us today at 561-496-1094.
Pain, both chronic and acute, is often treated with prescription opiods, such as oxycontin, morphine, codeine, fentanyl, hyrocodone, and other similar drugs. These drugs are extremely addictive and can create a psychological dependence after long-term use. The medical community has long thought non-medical opioid abuse and anxiety and mood disorders might go hand-in-hand and recent studies have, indeed, shown a positive correlation between the two. Researchers discovered that people who suffer from mood disorders or anxiety disorders such as bipolar disorder, panic disorder and, major depressive disorder are more likely to abuse prescription opioids than those who do not have these disorders.
Study author, Silvia Martins, said, “Lifetime non-medical prescription opioid use was associated with the incidence of any mood disorder, major depressive disorder, bipolar disorder and all anxiety disorders.” She also notes that, “Early identification and treatment of mood and anxiety disorders might reduce the risk for self-medication with prescription opioids and the risk of future development of an opioid-use disorder.”
In recent years, non-medical use of opioids has spiked (it is considered non-medical use if a person uses these drugs without a prescription or in greater amounts, or for a longer duration than normally prescribed). Opioids are now the one of the most abused illicit drugs in the United States: in fact, they are second only to marijuana. This is concerning because the study also linked opioid abuse with the future development of mood and anxiety disorders.
It found that using or withdrawing from opioids can bring on anxiety and mood disorders in those who are vulnerable to developing them. This means that those who use prescription opioids need to be closely monitored, not only for potential abuse of the drugs, but also for the development of anxiety or mood disorders. Future studies will explore whether genetic or environmental risk factors increase the chance of mood disorders or anxiety disorders occurring with non-medical opioid abuse.
For more information and help for anxiety disorders, mood disorders, or anxiety treatment, please contact Dr. Andrew Rosen and The Center for Treatment of Anxiety Disorders in Delray Beach, Florida at 561-496-1094 or email Dr. Rosen and The Center today.
Remember that major test in school you weren’t prepared for? Or the nerves that rattled you as you heard the news on that big promotion? Stress and anxiety are very common parts of people’s lives. We have all experienced them at one point or another, we all handle them differently, and most of us throw both terms about as if they are interchangeable. They’re not. Knowing the difference between stress and anxiety can be the first step towards relieving yourself of either one.
Is It Stress or Is It Anxiety?
Stress and anxiety symptoms can be somewhat similar: both can leave you tense and give you a pounding heart or a nervous stomach. However, identifying whether your problem is caused by stress or anxiety can be done by considering a few simple points:
But when does "normal anxiety" morph into an anxiety disorder? Normal anxiety occurs in realistic situations. For example, being embarrassed in a social gathering may make you nervous about doing something embarassing at other events so when you are in another social setting, your anxiety spikes and you act more reserved.
Anxiety disorders, on the other hand, trigger unrealistic avoidance responses that alter how you conduct your everyday life. In this case, being embarrassed in a social gathering may make you totally avoid any kind of social gathering, which would dramatically impact your life. And, even though avoiding the situations that make you anxious can provide short term relief, the anxiety keeps coming back and can expand from the initial event to other situations.
The most important thing to remember about stress, anxiety, or anxiety disorders, however, is that they do have one thing in common: there is help available to resolve them.
If you are wondering "is it stress or is it anxiety?", we can help! Contact Dr. Andrew Rosen and The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida. You can reach us by calling 561-496-1094 or by emailing Dr. Rosen and The Center today.