Male Desires and Mental Health: A Psychiatric Perspective - Psychiatry

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Could you please explain to me why I am experiencing this?


1.
I feel an urge towards attractive female colleagues and women I see on the street.
As a man, wanting to be with women but being unable to is very distressing.

2.
I reported my former employer for tax evasion, which could lead to a reward but also the risk of being discovered.
I'm struggling to make a decision; it's exhausting.
I take 2 tablets of sertraline daily.

8 Zhi Yu, 20~29 year old female. Ask Date: 2016/05/13

Dr. Wu Enliang reply Psychiatry


Hello: It is normal for everyone, especially young people, to have sexual desires.
It is advisable to start by developing healthy relationships, respecting women's bodies as one would respect their own.
Additionally, redirecting attention through hobbies, interests, or exercise can be beneficial.
If sexual urges become overwhelming, masturbation can also be a healthy way to relieve tension.
Regarding reporting a former employer for tax evasion, if it leads to psychological stress, I personally suggest letting it go.
I'm curious about the condition that requires you to take two tablets of sertraline.
It’s important to discuss these issues with your physician as well.

Reply Date: 2016/05/13

More Info


Understanding male desires and mental health is a complex issue that intertwines biological, psychological, and social factors. As a male, experiencing sexual attraction towards women is a natural part of human sexuality. However, when these desires become overwhelming or lead to distress, it may indicate underlying mental health concerns that need to be addressed.

Firstly, it’s important to recognize that sexual attraction is a normal aspect of human behavior. Men, like women, experience sexual desires that can be influenced by a variety of factors, including hormonal levels, personal experiences, and social conditioning. The feelings you describe—seeing attractive women and feeling a strong desire—are common and can be considered a natural response. However, when these feelings lead to significant distress or interfere with daily functioning, it may be indicative of a deeper issue.

In your case, the feelings of pain and frustration associated with these desires suggest that there may be a conflict between your sexual urges and your ability to act on them. This conflict can lead to feelings of guilt, shame, or anxiety, which can exacerbate mental health issues. The use of sertraline, a selective serotonin reuptake inhibitor (SSRI), indicates that you may be managing anxiety or depression, which can further complicate your relationship with your sexual desires.

The first step in addressing these feelings is to acknowledge them without judgment. Understanding that sexual attraction is a natural part of life can help reduce feelings of shame or guilt. It’s also essential to explore the reasons behind your distress. Are there societal or personal beliefs that make you feel uncomfortable with your desires? Are there fears about rejection or inadequacy that contribute to your feelings of pain? Reflecting on these questions can provide insight into your emotional state.

Moreover, it’s crucial to consider the impact of your mental health on your sexual desires. Anxiety and depression can distort perceptions of reality and lead to obsessive thoughts about sexual encounters. This can create a cycle where the more you try to suppress these thoughts, the more they dominate your mind. Engaging in cognitive-behavioral therapy (CBT) can be beneficial in breaking this cycle. CBT helps individuals identify and challenge negative thought patterns, allowing for healthier coping mechanisms and a more balanced perspective on desires.

In addition to therapy, lifestyle changes can also play a significant role in managing sexual desires and mental health. Regular physical activity, a balanced diet, and adequate sleep can improve overall well-being and reduce anxiety levels. Mindfulness practices, such as meditation or yoga, can also help you become more aware of your thoughts and feelings without becoming overwhelmed by them.

Regarding your concerns about reporting tax evasion and the potential consequences, it’s understandable to feel conflicted. The fear of repercussions can create significant stress. It may be helpful to discuss these feelings with a mental health professional who can provide guidance on how to navigate this situation while considering your mental health.

In conclusion, understanding male desires within the context of mental health requires a multifaceted approach. It’s essential to acknowledge and accept your feelings, explore the underlying causes of your distress, and seek professional help when needed. By addressing both your sexual desires and mental health concerns, you can work towards achieving a healthier relationship with yourself and your desires. Remember, seeking help is a sign of strength, and taking proactive steps towards understanding and managing your feelings can lead to a more fulfilling life.

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