the Mental Health Impact of Compulsive Masturbation - Psychiatry

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Masturbation causing mental illness?


I started masturbating after seeing a classmate do it in kindergarten, and until now, I feel like there is another version of myself trying to punish me during masturbation.
I don't know if that is really me, but every time I finish masturbating, I regret what I just did.
I really don't know how to resolve this.
The punishment methods I use include holding my urine and lying on the ground in short sleeves during winter.
I am afraid to talk to my family about it, but recently I feel like I am masturbating more frequently.
Is this a mental illness?

Zhi, 10~19 year old female. Ask Date: 2020/02/14

Dr. Guo Jialun reply Psychiatry


Based on your description, an increase in the frequency of masturbation or feelings of guilt associated with it are not symptoms of a mental illness, so there is no need for concern.
However, if these feelings cause significant distress and severely impact your daily functioning, it is advisable to visit a mental health clinic for an evaluation to determine if there are other anxiety symptoms present and whether further psychological or pharmacological treatment is necessary.

Reply Date: 2020/02/14

More Info


Compulsive masturbation can indeed have significant mental health implications, and your feelings of guilt and self-punishment are important to address. It’s essential to understand that sexual behaviors, including masturbation, are natural human activities. However, when these behaviors become compulsive or lead to distress, they can indicate underlying psychological issues that may need to be explored further.

From your description, it seems that you experience a cycle of engaging in masturbation followed by feelings of guilt and self-punishment. This pattern can be indicative of several psychological factors, including anxiety, low self-esteem, or even a form of obsessive-compulsive disorder (OCD). The guilt you feel after masturbating may stem from internalized beliefs about sexuality, which can be influenced by cultural, familial, or personal values.
The self-punishment behaviors you mentioned, such as holding your urine or exposing yourself to uncomfortable conditions, suggest that you may be trying to cope with feelings of shame or self-loathing. This can create a harmful cycle where the act of masturbation is followed by negative feelings, leading to more compulsive behavior as a way to cope with those feelings.
It’s also worth noting that compulsive behaviors often serve as a coping mechanism for underlying emotional distress. If you find that your masturbation is becoming more frequent and is interfering with your daily life, relationships, or responsibilities, it may be time to seek professional help. A mental health professional can help you explore these feelings and behaviors in a safe and non-judgmental environment. They can assist you in understanding the root causes of your compulsive behavior and help you develop healthier coping strategies.

Cognitive-behavioral therapy (CBT) is one effective approach for addressing compulsive behaviors. CBT focuses on identifying and changing negative thought patterns and behaviors. Through therapy, you can learn to challenge the guilt and shame associated with masturbation and develop a healthier relationship with your sexuality. Additionally, mindfulness techniques can help you become more aware of your thoughts and feelings without judgment, allowing you to respond to them in a more constructive way.

It’s important to remember that seeking help is a sign of strength, not weakness. Many people struggle with similar issues, and mental health professionals are trained to help individuals navigate these challenges. You don’t have to face this alone, and there are resources available to support you in finding a healthier balance in your life.

In conclusion, while compulsive masturbation can have mental health implications, it is not necessarily indicative of a severe mental illness. However, the feelings of guilt and self-punishment you experience are significant and warrant attention. Seeking support from a mental health professional can provide you with the tools and understanding needed to address these feelings and behaviors effectively. Remember, it’s okay to ask for help, and doing so can lead to a healthier and more fulfilling life.

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