Remember the fantastic guest post about navigating OCPD and sex back in October? I’m delighted to welcome writer Destiny Marshall (she/her) back again today with another post about antidepressants and libido – a struggle I know all too well! This post was inspired by, and forms a companion piece of sorts, to Karen Colby’s personal essay about losing her libido in her 50s and then finding it again in her 60s.
Over to Destiny!
Amy x
When Your Antidepressant is Anti-Libido by Destiny Marshall
Sometimes, we have experiences but don’t give serious thought to them until something or someone else draws our attention to them. That’s what happened to me when I read Karen Colby’s post about her sex life on Coffee & Kink. When she mentioned coming off certain medications and regaining her sex drive, I suddenly remembered my own experience with psychotropic medication.
For a bit of background, I grew up in purity culture, and it wasn’t until I was 20 that I had sex for the first time. Even before then, though, I knew I was really into sex. I had a multitude of crushes, and I was an accomplished flirter. Feeling guilty over my “sins” didn’t stop me from making out often.
Sometime after starting university, I broke out of purity culture. That was when I started actively considering having sex. The first time didn’t cause stars to fall from heaven, but it was beautiful and I knew I wanted to do it often. Once I started, there was no stopping me. I was sex-positive before I knew the term existed.
In 2020, I was diagnosed with borderline personality disorder, clinical depression, and generalised anxiety disorder. My psychiatrist wanted to place me on medication. I was hesitant, because of some vaguely negative view of psychotropics. But I was at rock bottom, thanks in part to the coronavirus pandemic, and I needed help to get myself up. I was prescribed an antidepressant, and soon afterwards, an antipsychotic. And so it began.
I daresay that no doctor ever hands you a prescription and says, “Here’s to wrecking your sex life!” (though I haven’t seen enough of them to be sure.) In my experience, the only drugs worse for my sex life than those associated with mental illness were hormonal contraceptives, but that’s a whole other blog post.
I lost a great deal of control over my body while on the medication. I no longer had any say over when I wanted to sleep, because I was sleeping most of the time. I bloated up like a ball. My dreams got weirder and weirder. My already healthy appetite felt like it was on steroids. Worse still, I nearly had an aneurysm thinking I’d got breast cancer when I started secreting breastmilk (a side effect of risperidone that nobody tells you about). But, perhaps, no side effect got to me more than the loss of my sex drive.
At first, I didn’t notice what was happening. It started as feeling a bit disconnected when sexting with my then-boyfriend. I thought the physical distance between us was the matter, and I’d feel all spicy once I was with him again. But the anticipated spiciness still failed to come through when we got together in person. I couldn’t find my enthusiasm any more. I admitted to myself that I was having a low libido moment, and assumed things would be better next time.
I started getting worried when the next time was a lot worse. Here I was, with a person I loved and was crazily attracted to, and I didn’t want to kiss him. I didn’t want to be touched by him. I finally had a lightbulb moment and linked my libido dip to the drugs I was taking. It felt a bit comforting to know I wasn’t losing my love of sex out of the blues, but that didn’t make it any easier to accept.
I tried to fight my way back to being a sex lover. The disconnect between the great sex I’d had in the past and my present fumbling self was disconcerting. I tried going into a performative mode to keep my reputation alive, but it just wasn’t working. I didn’t feel like sex, and that was that about that.
Tired out, I surrendered. When sex partners asked what was up, I let them know I was on medication and as a result, was no longer in the mood. I started thinking that, perhaps, I might never like sex again. I started wondering what all the fuss about sex was about. Porn nauseated me. I forgot how it felt to touch myself.
On the flip side, I was feeling better mentally. Trading sexual pleasure for peace of mind seemed like a perfectly good bargain. Despondency soon gave way to acceptance. I had lost my sex drive to my drugs, and that was alright. I settled into my non-desire for sex. It wasn’t the end of the world.
I was on the meds for two years. I got quite a lot better. But the side effects had still not really worn off, and I was becoming weary of them. After two years, I did some research and weaned myself off the meds, since the psychiatrists wouldn’t listen to my consistent request to be taken off them (medical gaslighting is a real thing). I can’t remember what I expected, but my sex drive didn’t come roaring back. For some time, things were as they were. It didn’t help that I was far away from most of my sex partners.
But slowly, my desire was returning. I started off returning to masturbating. I was thrilled to feel horny again, even if slightly. When I had been with myself for a bit, I finally wanted to be with another person again. My hormones were still finicky, so the road to libido restoration was slow and bumpy. But it did happen.
I’m glad I got off the meds. They had done their job when I needed them to, and I was doing well with therapy. I’d gotten to the point where their side effects were beginning to outweigh their benefits. The medical community has a long way to go in listening to the patient, so it helps to be in tune with our bodies, to know what they need at each point and to honour that.
Looking back at the experience, I wish I gave myself more grace and didn’t feel the need to force a desire that wasn’t there. It’s alright to not want sex all the time, no matter how sex-positive you are. We needn’t place sex-god(dess) expectations on ourselves, and we have no business shouldering other people’s expectations, either.
Sex drive isn’t a constant. It dips and peaks, based on several variables. But what we can make a constant in our lives is being true to how we feel at any given moment. The best sex we’ll ever have is the sex we really want to have.
About the Writer
Destiny Marshall is obsessed with the interconnectedness of mental health and sexuality. When she’s not writing about that, she works on her meme scientist ambitions and gets to know her bed better.