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Depression & Sexuality by Sandy Pendleton, MFT
Have you ever said, "I'm depressed?" It is a common expression these days but do you really know the signs and symptoms of Depression? Ask yourself these questions:

Have you lost interest in things that used to be fun or give you pleasure—such as sex?
Do you ever feel sad or empty most of the day, for many days in a row? Are you tearful or find yourself crying a lot?
Has your appetite increased or decreased significantly resulting in a weight gain or loss without your conscious efforts?
Have your sleep patterns changed? Are you not sleeping as well or sleeping too much?
Do you feel restless or agitated to the point of upset? Or are you feeling like you just can't get going?
Are you tired or at a loss for energy most of the time? Is it a challenge to even get out of bed or off the couch?
Do you constantly wrestle with feelings of worthlessness or guilt?
Is it hard to concentrate or make decisions? Even the simple ones?
Do you ever think others would be better off if you were dead? Have you ever thought of killing yourself?

If you can answer yes to five of these points for any two-week period, then you may be experiencing what is clinically called Major Depression. If you struggle with similar symptoms only to a lesser degree and they have lasted for at least two years, you may be suffering from a milder form of depression called Dysthymic Disorder. Depression left unattended can have serious consequences and may require outside intervention.

Numbing Out
The darkness can make you numb. Many times women become disconnected from their bodies and are not really sure why. Depression can take a heavy toll on your desire for closeness, cuddling and especially sex. When even the idea of having sex becomes overwhelming, it can turn a once joyful experience into one of dread. Some women are so numb they end up just going through the motions of sex because it is too much trouble to say, "I don't want to" anymore.

Reconnecting
It can be helpful to reconnect with your body, your interests, and your sense of self. If sex seems like too much giving at the moment, you might want to try getting a massage or some energetic Reiki. Both can be helpful and nurturing experiences to help you reconnect with your body. Think about some of the things that used to bring you pleasure and make a date to go do one or two again soon. It is also important to reconnect with your own inner wisdom. Sometimes it gets drowned out by the constant nagging of not enough, fear and doubt— but it is in there somewhere. Listen for the soft, quiet voice that brings you peace and reassurance.

Now What?
There are many things that can help if Depression is taking over your life. The first step is to see your doctor to check for organic causes in your body, such as a problem with your thyroid, hormones, toxins, or allergies. Although a loss of desire for sex is definitely a symptom of Depression it can also indicate other problems, check out the Libido-Yours Mine and Ours section in Women's Sexual Health for more information. Once a physical problem has been ruled out you may be advised to get some psychological help. Remember to tune into your own inner wisdom to help you find the right professionals. Click here to get tips on finding a good therapist.

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