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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Ways To Handle Mental Depression

i am a 34 years old male .i am verry good looking and masculine but i lose my confidence sometimes.i was always abit shy and i didnt had many relationships but i have been to prostitues many times and i was great usualy .but when i like a girl ,then i start to worry much about sex and my fear is that i will not be able to have an erection.this has lead to severe depresion and anxiety and panic atacks.what can i do to overcome this irational fear.i look at my penis many times in one day and is like shrinking sometimes and i ask myself how it can get erected when it looks like that.this brings me to a verry bad state and then the depression starts and i avoid the girl i like.please help me.
Fri, 6 Feb 2015
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Psychiatrist,  's  Response
Hello thanks for asking from HCM

I can understand your problem. You are a young healthy male with complaints of shyness. The symptoms like worrying about sex, fear of getting erection and then checking penis again and again could occur due to anxiety. Such intrusive thinking could also occur due to obsessive thoughts. The fear that penis is shrinking is also due to severe anxiety. Consult a psychiatrist because these symptoms are causing severe depression and loss of confidence.

In most cases with such symptoms reassurance by a psychiatrist and psycho-education helps. This results in increase in confidence and individual feels better. If even after that symptoms persist and cause distress then medicines like SSRIs can help. These medicines will reduce any intrusive thoughts and will improve the depressive symptoms. Visit a psychiatrist for prescription.

Thanks, hope this helps you.
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Suggest Ways To Handle Mental Depression

Hello thanks for asking from HCM I can understand your problem. You are a young healthy male with complaints of shyness. The symptoms like worrying about sex, fear of getting erection and then checking penis again and again could occur due to anxiety. Such intrusive thinking could also occur due to obsessive thoughts. The fear that penis is shrinking is also due to severe anxiety. Consult a psychiatrist because these symptoms are causing severe depression and loss of confidence. In most cases with such symptoms reassurance by a psychiatrist and psycho-education helps. This results in increase in confidence and individual feels better. If even after that symptoms persist and cause distress then medicines like SSRIs can help. These medicines will reduce any intrusive thoughts and will improve the depressive symptoms. Visit a psychiatrist for prescription. Thanks, hope this helps you.