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The Changes in Libido With Bipolar Disorder

Jan 8, 2015
  • Medical Information
Couple lying in each other's arms in bed

Sex During Depression

On the other side of the coin is sex during depression. Unsurprisingly, as much as mania is associated with hypersexuality, depression is associated with hyposexuality. Rather than being a case of too much sexual interest and desire, there is diminished interest in and motivation for sex during periods of depression.

Unfortunately, in this case, the opposite of a bad thing is not a good thing. Hyposexuality carries its own set of problems and frustrations. Do you want to lessen the impact of hyposexuality triggered by depression? Here’s how:

  • Talk about it with your psychiatrist. If you have bipolar, chances are good your see a psychiatrist or another person authorized to prescribe drugs. Have a discussion with them about your medication. Many drugs have sexual side effects including not being able to achieve an erection for men and not being able to accomplish an orgasm for women and men. Perhaps, there are other medications that can be tried without the risk of this side effect. Some people feel more depressed by their lack of sexual performance.
  • Talk about it with your therapist. As discussed previously, communicating your sexual concerns to your therapist may lead to a better understanding of the triggers and situations. A therapist may be able to offer insight and suggestions tailored for you that you have never considered.
  • Talk about it with your partner. Having a decreased interest in sex is more frustrating when in a relationship. Your partner may begin to question the status of the relationship and jump to negative conclusions. Be sure to communicate what you are going through and what they can do to help.
  • Accept or experiment. This involves making a decision. Are you okay with lowered interest in sex or would you like to change it? If you choose the latter, establish a system of intimacy with your partner. Schedule time daily to be together, hold hands, hug, kiss and snuggle on a couch or in bed. The physical touch and closeness will aid in the transition. Also, consider practicing more sexual contact. You may not have much interest at first, but afterwards, you will be glad you did.
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Considerations for Partners

If your partner has bipolar disorder and experiences changing levels of sexuality, consider establishing rules and consequences for their behaviors. What types of behavior will your tolerate? What types are unacceptable? What happens if the line is crossed? Too often, partners will shift between being too tolerant and too strict with their partner. Changing rules are hard to follow, especially when dealing with bipolar disorder.

During the process, take care of yourself. Having a sexually promiscuous partner can contribute to ill feelings and lower self-esteem. You must not succumb to your partner just because you are married or in a relationship. At no point do you need to be with someone that hurts you physically or emotionally. Keeping yourself happy and safe should always be your priority.

Conclusion

Bipolar and sex have an intimate relationship. Like other issues with bipolar, you need to comprehend both extremes of the situation. Understanding your status, triggers and tendencies give your priceless information before you can act to change or end your sexual activities. With hard work, awareness and communication, balance is a possibility.

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Eric Patterson
Eric Patterson, LPC is a professional counselor in western Pennsylvania working for the last 10 years to help children, teens and adults achieve their goals and live happier lives. By night, he is a dad, husband, runner and writer. Eric loves his daughters, indie rock music and all things zombies. He is an aspiring children’s book author. See all of Eric's articles
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