Performance anxiety is a rather common problem (occurring more in men than in women) where the affected individual has anxiety about how well he/she can engage in sexual activity. The debilitating fear of not performing sexually has many consequences: avoidance of sexual encounters, lowered self-esteem, relationship discord and sexual dysfunction.

Once you’ve suffered through one instance of this type of anxiety, chances are that it will escalate because now it’s something that you’ll worry about happening again. This type of anxiety creates some physical conditions that then make things even more difficult. Anytime you become anxious about anything, your body releases chemical intermediaries into the bloodstream. These are called catecholamines and they include hormones like dopamine, noradrenaline and adrenaline. These hormones set off and automatic “fight-flght-or-freeze” response.

This then causes certain “less important” blood vessels to shrink, so that the blood flow to areas that are crucial to immediate survival (the heart, lungs and skeletal muscles) remain stable.

It helps that you know the biology behind what happens emotionally so that you can understand that what you are undergoing is a totally normal (and healthy) reflex that kicks in for survival. Obviously you realize that it’s a problem because it’s occurring at the wrong time.

So what can you do to combat performance anxiety? Well, first of all, the more you worry about combating it, the more you give power to the anxiety. So, what you need to do is concentrate on taking the pressure off of yourself. And, above all, remember there are two of you involved in this situation. Take the time to think of your partner and appreciate what you have. If you concentrate more on her/him and less on yourself, your nervousness is likely to fade away.

Another important fact to keep in mind is that this type of anxiety affects almost everyone at some time or another. It may be just one time or it could be often and in certain situations. But most people have gone through it at least once in their lives. There is nothing wrong with you. You are not a freak of nature and you are definitely not alone. So, try to stay positive and and know that your body is working the way it’s supposed to.

It’s also important to communicate with your significant other and discuss the situation. No need to go overboard but starting to talk about it can actually get you going on a sexual tangent that might bring you back into the right frame of mind.

Remember that when it comes down to it, the power of positive thinking can help you accomplish anything, and if you believe that you will have great sexual relationships, you will. Once you’ve mastered overcoming this anxiety, you will have the confidence to turn your self-fulfilling prophecy into something positive.

The above information about performance anxiety does not substitute medical advice given by a health professional.

{ Comments on this entry are closed }

Anti anxiety medications might offer one quick solution to your anxiety problems. These types of drugs include traditional anti-anxiety drugs (benzodiazepines), as well as newer options like antidepressants and beta-blockers. They can help reduce your anxiety while you undergo therapy to get to the cause of the problem. However, it’s important that you understand that these types of drugs don’t cure anxiety and they do come with side effects. Long-term reliance on these medications is not recommended.

Benzodiazepines can reduce anxiety quickly–usually within an hour–so they are a good option if you are having a panic or anxiety attack. Alprazolam (brand name Xanax), clonazepam (brand name Klonopin), diazepam (brand name Valium), and lorazepam (brand name Ativan) are in this category of anti anxiety drugs. Side effects of benzodiazepines include sleepiness, “fogginess”, and/or a feeling of being uncoordinated, all of which can cause problems if you need to be functional and alert. Benzodiazepines take a long time to get metabolized. For this reason, they can build up in your body if used for a long time. It you suffer from this build up, the side effects worsen and you may develop slurred speech, confusion, depression, dizziness, inability to think clearly and reason, memory loss and nausea, the inability to “feel” anything. Benzodiazepines decrease your anxiety but they also decrease feelings of pleasure and pain.

The advantage of antidepressants versus traditional anti anxiety medications is that the risk for dependency and abuse is less. However, the downside of antidepressants is that they can take from 4 to 6 weeks to give you relief from your anxiety–so, they are of no use to you if you are having a panic attack, for example.

Most commonly prescribed antidepressants are SSRIs (selective serotonin reuptake inhibitors) like Prozac, Zoloft, Paxil, Lexapro, and Celexa and they are not without side effects: nausea, nervoursness, headaches, sleepiness, sexual dysfunction, dizziness, nausea, and weight gain.

Buspirone (brand name BuSpar) works only for generalized anxiety disorders (GAD). It relieves anxiety by increasing serotonin in the brain (like SSRIs) and decreasing dopamine. Buspirone takes about two weeks to kick into effect but it has its advantages: it’s not as sedating, doesn’t negatively affect memory and coordination and it’s minimally addictive. It also has less serious side effects: nasuea, headaches, dizziness, drowsiness, nausea, constipation, diarrhea and dry mouth.

Beta blockers are generally used to treat high blood pressure and heart problems. But they can work for anxiety too by blocking the effects of norepinephrine, a stress hormone involved in the fight-or-flight response. Beta blockers control the physical symptoms of anxiety like rapid heart rate, sweating, dizziness, and trembling voice and hands but not the emotional side of anxiety.

The above information about anti anxiety medications does not substitute medical advice given by a health professional.

{ Comments on this entry are closed }

Types and Treatement of Anxiety Disorder

March 30, 2010

Anxiety disorder is an umbrella term for various specific forms of fear and anxiety including generalized anxiety disorder (GAD), panic disorder, phobias, obsessive-compulsive disorder, post traumatic stress disorder and separation anxiety.
Generalized anxiety disorder commonly affects older adults and is characterized by enduring anxiety that really doesn’t seem to be about any certain subject, topic [...]

Read the full article →

Tips on the Relationship Between Anxiety and Insomnia

March 29, 2010

Anxiety and insomnia are often related. Each can be causes of the other which, in turn, leads to a vicious cycle that may seem impossible to break.
A study conducted by Dag Neckelmann, MD, PhD, of the Department of Psychiatry at Haukeland University Hospital in Bergen, Norwa, shows that chronic insomnia increases your odds of [...]

Read the full article →

Stress in Teens Causes Mental Health Dysfunction

March 26, 2010

People are stressed all the time. Although, a lot of those stressful situations are felt by a teenager, proper management must be done to help the teenager cope up effectively. When stress enters the system and the mind can no longer handle the effects, mental health dysfunction can occur.
It doesn’t necessarily mean that the brain [...]

Read the full article →

Social Anxiety Disorder – The Basics

March 23, 2010

Social anxiety disorder is also referred to as social phobia. This is an anxiety disorder in which a person is abnormally fearful of social situations. The anxiety and extreme self-consciousness come from the fear of being closely observed, judged, and/or criticized by others.
Anyone with this type of disorder is afraid that he or she will [...]

Read the full article →