Some mental problems can cause premature ejaculation, or often the two problems can occur together. When the psychological problem that causes or accompanies sexual dysfunction is treated, a big step will be taken in the treatment of many sexual problems such as premature ejaculation.
1)Anxiety:
Premature ejaculation and anxiety are most common. times go side by side. Anxiety can be defined as a state of anxiety, tension, fear and distress experienced by the individual. Anxiety, which is a protective reaction in the effort to adapt to the external environment, causes different disorders when it goes out of control. Premature ejaculation is one of them.
In anxiety, there may be concrete cognitive thoughts such as fear of something bad happening to oneself, being embarrassed or being in a funny situation, and often there is a state of tension with an unclear and undefined cause. All living things tend to escape from the source of anxiety. In case of premature ejaculation, the man will become alienated from sexuality over time, avoid intercourse, move away from his partner, or choose to deny the problem and blame his partner. The partner is a kind of indirect source of anxiety.
In the treatment of premature ejaculation, the anxiety-fear spiral must be exited. A man who ejaculates prematurely will often feel afraid with the thought of "I will ejaculate again and be disgraced", this fear will constantly remain unconscious and cause anxiety, and the cycle of anxiety - fear - premature ejaculation will aggravate the clinical situation.
Freud defines anxiety as anxiety. It is attributed to the desire of repressed impulses to come to consciousness. As the pressure from the unconscious towards consciousness increases, the critical threshold of anxiety may be exceeded and psychological problems leading to panic attacks may occur. Hysteria, phobia, and obsessive-compulsive neurosis may accompany this picture.
In summary, the anxiety caused by premature ejaculation can directly aggravate the problem, as well as performance anxiety, fear of failure, lack of self-confidence, obsessive-compulsive disorder, work stress, Concomitant stress sources such as role conflicts, career stress, academic stress, sleep disorders, family problems, marital problems, loss of parents should be taken into consideration, and it should be known that there will be no treatment for premature ejaculation problem without treating these.
2)Depression:
Every t Another vicious cycle spiral, including sexual dysfunction and premature ejaculation. Yes, depression causes sexual problems, and sexual problems can also cause depression.
Depression symptoms such as unhappiness, irritability, hopelessness, feelings of guilt, no longer enjoying things that used to be enjoyed, loss of interest, difficulty focusing, forgetfulness, and indecision. Symptoms such as premature ejaculation, erectile dysfunction, and withdrawal from sexuality are often added.
Drugs used in the treatment of depression can also cause deterioration in sexual functions. Temporary side effects may include decreased erection, orgasm disorders, and premature ejaculation. However, it is not possible to achieve results without treating the depression that causes sexual dysfunction.
The support of the spouse is very important in the treatment of depression. A patient and understanding partner plays an important role in the treatment. After depression is resolved with medication and psychotherapy, it should be monitored whether premature ejaculation and similar sexual problems continue, and if necessary, sexual counseling should be provided and sexual therapy should be performed. After the depression improves, sexual problems also improve.
3) Panic disorder:
Panic disorder characterized by symptoms such as tightness in the chest, heart palpitations, feeling like drowning, feeling that you will die, fear of losing control, and panic attacks. Premature ejaculation is more common in patients. The rate of panic attacks is higher in those who are divorced or have never been married. The incidence of panic disorder increases as education and economic level increases.
If a man has panic disorder, the possibility of premature ejaculation also increases. Men with panic disorder often have a shy and dependent personality. These men, who are shy, sensitive to criticism, extremely fragile, and easily destroyed, are more prone to premature ejaculation.
It is observed that three quarters of men who have panic attacks have premature ejaculation. Fear and stress caused by premature ejaculation can trigger panic attacks.
Men whose sexual identity is not fully developed, who have concerns about their sexual identity and fears about whether they are gay or not, may have panic attacks and experience premature ejaculation problems.
Panic disorder and early b Treatment may be prolonged in men with concurrent ejaculation. In addition to drug treatment, it is necessary to apply cognitive behavioral, psychodynamic and existential therapy techniques.
4) Social phobia:
The main psychological problem in social phobia, also called social anxiety disorder, is the fear of disapproval. The individual, whose mind is haunted by the question "What will others say?", becomes extremely excited in crowded or unfamiliar environments due to the fear of being ridiculed, humiliated, rejected, or criticized.
Social phobia: facial flushing, voice tremors, dry mouth, palpitations. It is characterized by physiological symptoms such as sweating, as well as beliefs such as I am inadequate, everyone is looking at me, I may be disgraced, I will be humiliated, I must be perfect, I should never make mistakes. Because of these, behavioral actions such as leaving the feared environment, avoiding eye contact, reducing stress by thinking about irrelevant things, and drinking alcohol are observed. Abstinence from sexuality and premature ejaculation are among these.
Social phobia affects sexual life very badly. In addition, education and work success are also compromised.
Drug treatments, cognitive behavioral therapy, hypnotherapy, group therapy and relaxation exercises are frequently used in the treatment of social phobia. Treatment of premature ejaculation accompanying social phobia will go parallel to the treatment of social phobia.
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