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Can excessive orgasming deplete endorphins?

Since orgasms cause a release of endorphins into one's cerebral-spinal fluid and endorphins are also somewhat responsible for the emotion of happiness, etc., is it possible that excessive masturbation and/or intercourse would lead to a depleted level of endorphins in the system that could in turn cause one's affect to become somewhat "flat"? Could a sustained low level of endorphins in the system induce depression and/or mood disorder?


Am I depressed?

1) How can you tell if you are psychologically depressed? How do you ask? What if you are only depressed sometimes? I am a first-year psychology student, I live in college, and I seem to be having plenty of mood swings lately. I used to be very bubbly and enthusiastic and happy and relaxed all the time, but lately, I've just been edgy and sad, and I cry a lot. What's going on? I've been at university now for nine months. I'm only seventeen, and I live away from home (and I'm happy about that). I still have fun sometimes, and I get involved a lot, but then something will happen and I just bomb. I feel helpless and useless and angry because I am unappreciated. It annoys my friends and that makes me feel even worse. What's going on?

2) How do I know if I am depressed and need help? For about a year now, I have been easily irritated, angry, I cry when something sad or happy happens, I have lost seven pounds (last year), sometimes I have a hard time sleeping at night. I go over everything I did wrong in a day, and I have a hard time trying to concentrate on reading. I have wanted to mention this to my doctor, but I am very shy about it. He says I am physically healthy. I have tried exercising, and taking warm baths to help me feel better. What is wrong with me?


Why do I choose not to eat?

I really hope you can help me. I'm 21 years old and never had any problems with eating. At 18, I sunk into a very deep depression and since then my eating has not been the same. It started slowly, where I would just skip a meal every now and then, but now I sometimes choose to go for days without eating and it's not because I want to lose weight, even though I have lost quite a bit, I just feel like I can't change anything in my life. I love my friends and I always have a great time with them, but at the same time, I find it so much easier to not eat when with them. That's what I can't understand. Why, if I feel happy around my friends, do I still choose not to eat? I went for almost a week without eating when I was away with them. For some bizarre reason, I feel better about my life when I stick to my decision to not do something, but at the same time, I want to stop, but I'm afraid I'll get really depressed. It doesn't really hurt me, but my friends harass me and I can't help them to understand when I don't even understand. Why am I doing this??


How can my long-distance girlfriend and I improve communication?

My girlfriend and I have been dating long distance for about seven months. I have found out through keen observation and affirmation from an old roommate of hers that she is a rape victim. For the last three months or so she has been going through a lot of changes with job acquisition, living conditions, and I don't know what else. In this time, communication between us has grown to an insignificant level (in my opinion). It seems as though she is putting her job, spiritual drive, personal life, etc before me. Almost to the point that she doesn't want to include me. I think this has something to do with the rape issue and her ability to trust people. I think she may be unable to believe that I could love her unconditionally.

I have been thinking my situation over and don't know what to do. I love her with all my heart but I am receiving virtually nothing from this relationship right now. Do I hold on to her and give her the space to come to grips with her life and hope that I will be in the big picture later on, or do I end it on the condition that she needs time for herself to decide if I am an important part of her future life? Please respond because I'm crawling out of my skin.


Why am I still attracted to someone who assaulted me?

I have a huge crush on one of my coworkers. I am single but he is not, so I have never made any passes or encouraged myself to flirt with him. Five months ago, as I was the last one to leave from work (so I thought), I ran into him. I was surprised that he was still there. To make a long story short, he tried to assault me. I got away. I'm experiencing terrible confusion. I am still attracted to him! I can't stop thinking about him and whenever he ignores me (and he does...constantly), I feel like I'm going to go crazy!

I can't tell anyone; no one will believe me. They would say that I provoked him and that I wanted it to happen. I can't give up the job. I need the income to get through college! Why do I feel this way? What happened to me? Why would he do something like this if he has a girlfriend?


What can I do if my new relationship is affected by my partner's former abuse?

My current girlfriend is still getting over an abusive relationship that she was involved in two years ago. The abuse included repeated rape throughout the two-and-half-year-long relationship. She has never been able to enjoy sex and cannot bring herself to do it again. Despite her feelings for me, she cannot relax enough during sex for it not to hurt her. I have not forced her into having sex she cannot enjoy. We have been together for nearly a year now and the problem does not seem to be getting better for her. She has nightmares and is uncomfortable and afraid in many day-to-day situations. She is worried that going to a counselor will mean she will be in counseling for the rest of her life to get over this. This has become such a hindrance to us being happy that I sometimes wonder if it is best to stay with her to try to help her through this, or whether I am out of my league.


How can I help my friend who struggles with mental health and can't afford professional support?

1) I have a close friend who has a number of rather difficult issues. One of the most important is a long history of abuse (largely psychological) from her mother during her childhood. (She is now 19.) It is incredibly difficult to talk to her about any of these things. I would like her to see Psych Services, but I am worried about the fact that there are only a limited number of sessions available — that is actually one of the reasons she has offered to me as to why it would be a waste of time to go. Unfortunately, the only medical coverage she has is through her mother's medical insurance, she has no real money outside of her parent's control — it would be extremely difficult for her to pay for counseling, in other words, without alerting her parents. What can she do? What can I do?

2) I am actually asking for a friend of mine since this situation is getting worse, and I don't know how to help. The problem is that my friend is very depressed, and has very, very low self-esteem. While sometimes able to be cheerful and "happy," he claims to rarely feel that way and mostly just hates himself. He has mentioned suicide, although I think this is more an expression of the extreme self-hatred he feels than anything. I comfort him and often tell him how wonderful he is — what a good person, good qualities, etc., but I suspect he does not believe me at all. This has been going on for a long time now, and I think it stems from a somewhat unhappy childhood and adolescence. I don't know how to help him and I don't know what to do. I feel like being strong for him is just not enough, and I can't quite convince him that counseling may do some good. It seems to me that, recently, he has been feeling even worse about himself, to the point where nothing will comfort him. He cannot afford counseling, and he has no health insurance. Is there anything you can suggest for me to tell him or suggest to him? Any help will be greatly appreciated, because I just don't how to help him. Thank you so much.


How can I support a friend with mental health concerns when I’m struggling myself?

1) This is more of a coping question. I am a first-year who applied for a single room over the summer and was denied. I figured that everything would be okay nevertheless. I tried to look at the situation as a character-builder. Well, that is not the case. My roommate is very depressed. I talked to the RA on my floor, but she didn't take any action, except to talk with her. Unfortunately, my roommate is so ashamed of what's happening that she denied the facts, and the RA believed her. No one except me has realized yet that she is sleeping most of the day and all of the night, and that it is indeed a real problem. I have expressed my concern to her and encouraged her to go to counseling services. She went a couple of times and then started canceling appointments left and right. I have worried about her, but I have no backup whatsoever, so there is really nothing I can do to help at this point. We get along relatively well otherwise.

Right now, the concern I have is that her depression is pulling me down, too. I literally have not been alone anywhere for more than two to three minutes in weeks. I wanted a single because it's a requirement that I spend some time by myself, and I'm going crazy these days. The lights are always out in the room, and I've noticed that I'm sleeping more than usual myself as the situation has progressed. Also, I am having to deal with some personal issues of my own this semester, and I simply don't have the energy to take care of someone else who desperately wishes that I would do so. Any ideas would be greatly appreciated.

2) I know that when a friend is depressed, it's important to reach out, discuss the issue, and be there for the person as much as possible. But that's quite hard to do when I myself have a history with depression — I feel as if her emotions are taking me back to a place that I don't want to go. I really empathize with my friend and feel her pain, but at the same time know that I'd be useless to both of us if I'm in the troughs too. How can I help without sacrificing my always precarious emotional equilibrium?


Am I being teased or abused?

What is the criteria for determining if a relationship is abusive? My husband has never struck me in anger or injured me, but he is constantly poking, tickling, flicking me, etc. When I tell him to stop, he usually says, "Why should I?" and continues a little bit more. It's like a kid tormenting a little sister. He gets right in my face and sometimes pokes me in the chest while he's telling me something. There's never any anger until I get mad at him for doing it, and then he tells me he's just playing. The other night when I told him to stop poking me, he said, "I'll do whatever I want." That really bothered me. When he does get angry, he usually just ignores me, but occasionally he'll throw something (but not at me). What do you think? How can I make him understand that his "playing" is upsetting? Is this type of behavior a precursor of actual violence?


Is there a connection between cortisol, depression, and weight loss?

I recently went to my doctor because I've been unable to lose weight. I've been on a successful diet, accompanied with a reasonable exercise plan, but I've seen no real results. A series of tests were run — I've got optimum blood pressure, low cholesterol, and I am not diabetic. But, when my cortisol levels were checked — they were very high. The doctor suspected there was a possibility that I might have Cushings' Syndrome — but another test was run and that came up negative.

I was doing research on the internet, and I found that there was a link between excessive cortisol and depression. I was diagnosed with clinical depression when I was 12 (I am now 21). And I am currently untreated. What is the link between cortisol levels and depression? Are excessive cortisol levels a physical manifestation of depression? Or does an excess of cortisol for some other reason cause depression? Does an excessive amount of cortisol cause weight gain, or in my case prohibit weight loss? And if there is a connection — will treatment for my clinical depression (in the form of prescription pills) help me?

I've been unable to find answers anywhere, or at least a good source to tell me to stop worrying — any help would be appreciated.


Was I molested?

I really don't know what to call my situation. Some people say I was molested, others say I was sexually assaulted in the third degree, and others call it sexual misconduct. But when I was thirteen years old, I was touched by a fifteen-year-old boy on the bus for six months. I didn't want this or invite it. I would often fight and say no. He used to fondle my thighs and go into my pants. What is this called? Please e-mail me back.


Why do I pull my hair out as a form of self punishment?

Ever since I was in junior high, I have been pulling out my hair. I can remember not being able to pull my hair into a ponytail because the hair at the nape of my neck wouldn't reach. I still have this awful and shameful habit. I don't see it so much as just a habit, like the way one might bite one's nails, it's more like an obsession. I'll just sit and stare into space and pull clumps of hair out of my head. I remember having seen a program on T.V. which dealt with this habit as a medical problem that is curable with medication. Unlike the men and women represented on this program, I am not stripping myself bald — yet. I tend to consider it a form of self-punishment, perhaps. Just to give you some background information, I have a tendency towards bulimia (cycles of bulimia occur when my depression is at its worst) and am in general not a happy camper. What can you tell me about this?


Are there resources for male survivors of childhood sexual abuse and incest?

I am a male survivor of childhood (homo)sexual abuse and incest. I have recently stopped my horribly abusive alcohol and drug habits and am having to deal more with my issues now that I'm not using "painkillers." I'm worried that if I don't do something soon, I might be miserable for the rest of my life and may never be able to have a relationship or even sex. I am very hurt by the fact that there are no resources on campus for male survivors. All the groups are for women, as if male survivors don't exist. Anyways, please refer me to any resources you are aware of in NYC. Thanks.


How can I help my friend who's in an abusive relationship?

My best friend is in an abusive relationship! And he knows this! He married his wife about a year ago, when she was 19 and he was 21. And since then, she's verbally abused him, hit him, and even broke down their door once to get to him when he had locked himself in his room. But he refuses to do anything about it, since he "loves her so much." I hate seeing him like this. I'm worried about him. He's been physically hurt by her a lot. And while he can hold his own without getting seriously injured, it's painful to see. He calls me a lot, feeling upset about what she's done... I'm so worried about him.

He's told me he knows she's abusive, and that he wants to take her to marriage counseling... but I know that won't help. I don't want to sound biased, but she's very close minded and I know she won't listen to any counselor. But he "loves her so much" and "doesn't believe in divorce". What can I do to help him?


How do marijuana and Prozac interact?

I have two friends who were recently diagnosed with depression. They were both prescribed Prozac by their respective doctors. Both of them are heavy marijuana users and both failed to mention that to their doctors. One has been on Prozac for two months and the other for six weeks. I have noticed that their behavior has become strange: mood swings, paranoia, oversleeping, fatigue. They continue taking their Prozac (20 mg a day) and continue smoking pot. I am afraid that there might be some negative interaction between the substances, one being an antidepressant and the other a depressant. Can you provide some insight?


Can you tell me more about male rape?

1) Is male rape possible? Where can I find more information on male rape?

2) Why is it that, in all the movies and stuff about sex, it is always the woman who feels pressured? I felt pressured my first time and no one would believe me if I told them. Any comments would be helpful.


How can I forgive myself after being sexually abused?

I am now 20 years old. When this situation took place, I was 16 or 17. I was living with this family that went to my church, and the lady's husband kept coming on to me. At this time, my parents were divorcing and I was depressed. I was so scared of this man because he was a giant compared to me. He kept asking me if he could touch my thighs. I kept telling him no because it was wrong, but I didn't tell anyone. I wouldn't even eat at night because I was afraid he would try to rape me.

So one day I came home from church a little earlier than the others did. He came in and waited until I got out of the bathroom. He sat me down on a chair and he kept touching me. I was so in shock that I couldn't move. That day he entered me and I didn't push him away, but I was crying and felt sick. Later on that week, he came into the basement where I stayed, and he performed oral sex on me. I felt really bad, but then again I did enjoy it. I felt so confused and cheap because after he was done he left $100.00 on my table. I felt like a slut. Then after a few weeks of him not even looking at me, I decided to talk to him and tell him that I was sorry and that we couldn't do it anymore and that we had to ask God for forgiveness.

My question is was it my fault for being in this situation or is he at fault for taking advantage of me? I have forgiven him, but I still have to work on forgiving myself. To me that is a very hard task because he is one of the elders in the church. What should I do?


How can I stop being afraid of seeing my rapist?

I was date raped by a man who I was seeing. I had broken it off with him a month before, but got into a situation where he attacked me. The problem now is he is friends with many of my friends, and he works at a place I must go to frequently. I haven't told my friends because I don't want them to confront him. I haven't seen the man since he raped me and I am afraid to. I know my friends will want to see him, and I know I will eventually run into him. I guess my question is what do I do when I see him? I don't want to talk to him, but I am afraid he will try and talk to me. I am scared of my reaction and don't want to have a freak out in front of my friends (although I know that they would understand). How can I leave this situation behind and resume normal life, not being afraid of seeing him in my everyday life?


What should I do if someone close to me disclosed they were raped?

I've been seeing this guy off and on for a few months. We're not a couple, but we're definitely more than just friends. (College is making it a bit difficult for us to actually be a couple.) But that's beside the point.

We were having a very serious discussion the other night, as he and I have already been through quite a bit. And all of a sudden he said that he was raped by one of his friends when he first started college. He's never told anyone that, except for a therapist that he saw for a while after that.

I've had female friends that have been raped (very few, thank god), and it just seems wrong to deal with him on the same level as I deal with my female friends. One, the relationship is different. Two, he's a guy, not a girl. There are obviously different sympathies that I need to give. The only problem is, I don't know how to show him that I am sympathetic towards him, that I am here for him no matter what.

Do you have any advice about how I go about this. I really want to be here for him, whether we remain friends, or become something more. Thank you for anything in advance.


What can I do if I'm sexually harrassed on the train?

I commute into the city every work day and usually take the same trains each day. Some time ago another man made a pass at me which I ignored. He persisted and made several other passes over the course of time. At one point, he looked rather pointedly at my empty ring finger. The next phase of events involved his pointing me out to other men he was with and asking about me. The next phase involved his becoming very agitated whenever he saw me, pacing back and forth. When another man began to accompany him on the platform, I initially thought my worries were over and that he had found somebody. Later, he began making passes again, sometimes with his companion joining him. I'm fairly introverted so the easiest thing for me to do has been to ignore everything. I'm also not homophobic. I know that most of the men that I know would never have tolerated his actions and I feel that he has taken advantage of my tolerance. I think he may also be misinterpreting my reaction!!

Sometimes I feel that I am locked into some mutually destructive game with him. Needless to say, this has all been rather stressful for me and I would like the situation to end. I've tried changing trains, but this is difficult for me because of my schedule. I'm interested in your reaction to the situation and any solutions you propose.