Understanding PSSD: The Hidden Side Effect of SSRIs and SNRIs

Many people often seek a quick solution for anxiety or depression, and physicians and psychiatrists are frequently quick to prescribe medication without fully warning about the potential side effects or emphasizing that medication alone does not change the way we think. While medications can be a crucial component of treatment, they may not be as effective in the long term compared to a combination of medication and therapy. One side effect of medication that is relatively new and under-researched is Post-SSRI Sexual Dysfunction (PSSD). PSSD is a condition where individuals experience persistent sexual side effects even after discontinuing selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs). These medications are commonly prescribed for depression, anxiety, and other mental health conditions. Unfortunately, PSSD can significantly impact an individual's quality of life and intimate relationships. As a therapist, working with individuals presenting with PSSD can be challenging and frustrating, as it is not well understood, but it is believed to be related to the long-term impact of SSRIs or SNRIs on the central nervous system, particularly the serotonin system. Many clients report that they were not warned about these potential side effects and now feel "less human." The symptoms of PSSD often lead to feelings of frustration, depression, worthlessness, hopelessness, and a disconnection from oneself and others. Symptoms of PSSD The symptoms of PSSD can vary, but they often include:

• Decreased Libido: A significant reduction in sexual desire or interest.
• Anorgasmia: Difficulty or inability to achieve orgasm.
• Erectile Dysfunction: Difficulty achieving or maintaining an erection in men.
• Reduced Genital Sensation: Numbness or decreased sensitivity in the genital area.
• Delayed Ejaculation: Difficulty in reaching ejaculation during sexual activity.
• Arousal Disorders: Trouble becoming sexually aroused.

Navigating PSSD in Therapy Addressing PSSD requires a comprehensive and compassionate approach. Therapy can provide a space to explore the emotional and psychological impacts of PSSD and develop strategies to cope with its effects. It's crucial to validate the experiences of those affected and work towards holistic solutions that encompass both mental and physical health. If you or someone you know is experiencing symptoms of PSSD, it's important to consult with a knowledgeable healthcare provider to explore potential management strategies and support options.   My name is Tatiana Scharr, I am bilingual (English/Spanish), Licensed Clinical Social Worker who is passionate about the dignity and worth of the individual. I have been working with individuals with a wide variety of traumatic experiences since 2017. I am currently a doctoral candidate in Clinical Sexology, which allows me to provide sex therapy under supervision by a nationally Certified Sex Therapist. I describe my therapeutic approach as simple and straightforward; I believe that therapy is a collaboration where the basic principles are mutual trust, positive regard and unconditional support. Learn more about Tatiana: caringtherapistsofbroward.com/staff/tatiana-scharr