Sex With A Bipolar Woman

Sex With A Bipolar Woman




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Medically reviewed by Timothy J. Legg, Ph.D., CRNP — Written by Jon Johnson on March 1, 2019
Bipolar disorder causes a person to experience intense shifts in moods, sometimes from a manic state to a depressed state, for example. These shifts can occur with changes in sexual desire, confidence, or sexual function.
Though the symptoms vary from person to person, bipolar disorder can disrupt several aspects of a person’s life, including their sexuality.
In this article, we discuss sexual symptoms of bipolar disorder and ways to manage them.
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Some people with bipolar disorder may experience symptoms relating to sex.
Two distinct moods can characterize bipolar disorder: mania and depression. Episodes of each can cause significant changes in a person’s personality and may also affect their sexuality.
There has not been a great deal of research into the connection between bipolar disorder and sex.
However, authors of a small study in the International Journal of Bipolar Disordersreport a high prevalence of sexual distress and dissatisfaction among female participants with the condition.
Results of a 2018 study in The Journal of Sexual Medicine indicate that males with bipolar disorder may be more likely to experience symptoms of erectile dysfunction than those without the disorder.
This does not mean that everyone with bipolar disorder experiences sexual symptoms, only that there is a higher prevalence among this group.
The sexual symptoms typically change, depending on other symptoms of the disorder.
These episodes generally cause a person to feel down, anxious, or hopeless. In a person with bipolar disorder, they may also lead to hyposexuality, which is a low or nearly nonexistent sex drive.
Someone with hyposexuality may experience symptoms such as:
The person may also feel guilty about their lack of sexual desire, which could feed the cycle of self-doubt and feeling undesirable.
Some side effects of medications may contribute to the issue. Selective serotonin reuptake inhibitors (SSRIs), for example, may cause a decrease in sexual desire. These side effects can also lead to physical changes, such as difficulty becoming aroused.
It may be challenging to explain these changes to a sexual partner or spouse. Also, a person’s partner may feel rejected or frustrated.
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During manic episodes, a person may have an increased appetite for pornography.
A manic episode can cause a person with bipolar disorder to experience hypersexuality. They may feel as if their sex drive is always very high, which can create difficulties.
People experiencing hypersexuality may never feel satisfied with sex. They may want to continue having sex or masturbating for hours without truly feeling that they have completed the act. This can be stressful for the person and any partners.
During manic episodes, some people engage in risky sexual practices or have difficulty controlling sexual urges.
For instance, authors of a study in Psychiatry JournalTrusted Source report that male participants with bipolar disorder tended to have more partners and were more likely to have sex without protection than those without the disorder.
When a person with bipolar disorder experiences hypersexuality, they may masturbate or engage with new sexual partners in a way that puts their job or existing relationships at risk.
Examples of hypersexual behavior include:
Young teens or children with hypersexuality may exhibit sexual behavior such as flirting, inappropriately touching adults, and using sexual language excessively.
There may be links between a person’s medications and their sexuality.
For example, doctors commonly prescribe SSRIs to treat mood disorders such as depression. These can help some people with bipolar disorder, but many of these drugs also cause a decrease in sexual desire.
This side effect can pose particular challenges for a person who experiences hyposexuality during a depressive episode.
Anyone who believes that medication may be affecting their sex drive might consider speaking with a doctor about other options. Do not stop taking medications before talking with a doctor. Doing so may increase the risk of triggering a manic or depressive episode.
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Even with effective medical treatment, people with bipolar disorder may still experience hyposexuality and hypersexuality during episodes of depression and mania.
The following strategies can help a person manage these symptoms:
Unprotected sex can put a person and their partners at risk of sexually transmitted infections or diseases. There is sometimes also an increased chance of pregnancy.
For a person in a committed relationship, compulsive sex can lead to infidelity, which could jeopardize the relationship.
People who regularly experience sexual symptoms of bipolar disorder may want to avoid medications that make these symptoms more intense.
Anyone with concerns about sexual side effects should talk to a doctor about switching to a different medication.
Recognizing the early symptoms of a mood change can help people know when to reach out for assistance.
For instance, when high levels of stress contribute to depressive episodes, a person may benefit from practicing techniques designed to manage or eliminate stress and contacting their physician.
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Individual or couples therapy may help with treating sexual symptoms of bipolar disorder.
While psychotherapy may already be a component of a person’s treatment plan, sex therapy can be key for a person who experiences challenging sexual symptoms.
A behavioral or sex therapist may be able to help with managing sexual symptoms, and couples therapy may help with navigating difficulties in relationships.
Group therapy may also be beneficial. A review in the Journal of Behavioral AddictionsTrusted Source notes that the group atmosphere encourages participants to feel less shame and isolation. The authors also report that group therapy may pair well with both individual and couples therapy.
Support groups for people with sexual disorders can also help.
Bipolar disorder affects moods and may significantly alter a person’s sexuality. An individual may become highly sexual during a manic phase, then have little or no sex drive during a depressive phase.
Each issue can pose different challenges. A treatment plan should include ways to manage these sexual symptoms without putting the person or their sexual partners at risk.
For people in relationships, it is important to include partners in the process and keep the lines of communication open. This can help them gain a better understanding of the symptoms that a person is facing.
Working with a physician and a mental health specialist can help with developing a combination of medication and therapy that manages symptoms. Support groups can also help.
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Last medically reviewed on March 1, 2019
Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. We avoid using tertiary references. We link primary sources — including studies, scientific references, and statistics — within each article and also list them in the resources section at the bottom of our articles. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.
Medically reviewed by Timothy J. Legg, Ph.D., CRNP — Written by Jon Johnson on March 1, 2019
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A lot of experiences in life are highly over-rated. Sex is not one of them. The trick is navigating through the risks that sex can present in bipolar disorder. Extreme moods and energy levels of bipolar can translate into hypersexuality or disinterest. Although challenging at times, it’s absolutely possible to have a fulfilling sex life as a person with bipolar disorder. You just have to be mindful of the complications and look out for the pitfalls. Here are some tips for “safe sex” with bipolar disorder, ways you can enjoy physical intimacy while maintaining good health.
Understand hypersexuality and mania
During periods of mania, those with bipolar may rush into action, without thinking about the consequences. They may also feel hypersexual and experience an increase in their sexual drive, often resulting in impulsive and risky behavior. In their book Manic-Depressive Illness, Frederick Goodwin, M.D. and Kay Redfield Jamison, Ph.D. report that across studies, hypersexuality is observed in 57 percent of manic patients.
During a hypersexual phase, people with bipolar might be more willing to experiment with their partner. They might want to try new things or have sex multiple times per day. Or they might engage in risky sexual behaviors such as unprotected sex, sex with multiple partners, one-night stands, extramarital affairs, excessive masturbation, or use of pornography.
A hallmark symptom of depression is a decreased sex drive. Some don’t want it all. Others have sex periodically, looking for it to relieve their psychic pain. In this context, sex becomes a form of self-medication, much like alcohol, drug use, or overeating. Even with a reduced libido, behavior can be risky when persons look to sex to relieve their symptoms.
Beware of dopamine and bad decisions
When the brain generates dopamine, it’s all too easy to confuse ecstasy with love or to forget about the person who really matters in your life. Sex and its after-glow have a way of turning even the chronically normal into honorary bipolars. This translates to two of you not thinking with your brains. Consider the voice of dopamine when making relationship decisions.
Know the consequences of hypersexuality
Being hypersexual might sound like an exciting state filled with orgasms and ecstatic release. Although it can be fun and exciting – as well as contribute to intimacy -- when tempered and controlled, there are times when it comes with dire consequences: STDs, broken marriages and broken hearts, hours lost to masturbating or searching for a sexual partner, jobs lost because you need sex more than you need to work. Even if you aren’t in a committed relationship, hypersexuality still puts you at risk. Treating the underlying bipolar disorder helps to regulate hypersexuality.
Consider your partner’s perspective
During a hypersexual phase, you might not ever feel sexually satisfied. You want sex all the time. And then, when a depressive phase starts, you are suddenly not interested. This can be confusing and frustrating for a partner. The inconsistency can create feelings of rejection and hurt. If you are in a committed relationship, try to be mindful of your partner’s feelings.
Find the right medication combination
Persons with bipolar shouldn’t have to sacrifice good sex for emotional stability. There is a middle path that is worth pursuing. Finding the right medication combination takes work, as several antidepressants have sexual side effects and other medications impact intimacy, as well. However, with time and some trial and error, it is possible to find a treatment for bipolar that can balance out the hypersexual symptoms of mania and the apathetic nature of depression.
Use sexual desires as a barometer for your moods
Your sexual appetite probably changes with your bipolar cycles. Learn to recognize your sexual behavior as a barometer to better manage your bipolar cycles. That isn’t to say every time you aren’t interested in sex, you are headed for a depressive state. Everyone has fluctuations in his or her sexual needs and wants. But there may be times when it helps you recognize what is coming, especially when you suddenly become hypersexual.
Enjoy yourself. Enjoy your partner.
Engage in sex mindfully and responsibly. Put forth the effort needed to treat your bipolar in a way that allows you to enjoy intimacy with your partner. In the words of the 13th-century Sufi wise man, Rumi: The way you make love is the way God will be with you.
John is an author and advocate for Mental Health. He wrote for HealthCentral as a patient expert for Depression and Bipolar Disorder.
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