This sounds silly but, uhm, maybe one thing to try with regards to the libido is to almost approach the whole topic anew, going slowly.... I wouldn't expect anybody to go from zero sex drive to a drunken, cocaine fueled German bondage gangbang with 50 people present.
I would imagine that someone coming off antipsychotics attempting a sexual encounter the same way as they may have been used to it could do little more than reinforce a sense of failure or impotence if it doesn't go as planned. So it would make sense that a slow, gradual, no-pressure approach, focused on activating dopamine circuitry in (what could be argued to be) the situation it's meant for. Slow, deliberate, mindful actions. Focus on how your body responds. Maybe even let your mind wander and see if anything stirs. Allow yourself to experiment and don't give up. There shouldn't even be an expectation to "perform" until the desire and drive are back in action. If you are single, depending on several factors you may even consider becoming a patron of the oldest profession. Now, I'm not a sex worker and don't really know any, but laying together for an hour or so talking is probably a welcome break from getting railed all day. Just, don't do the "in love with a hooker" thing, even if she does make you feel better.
I think a similar slow approach to reimmersion into hobbies and such is not a bad idea. Start slow, be as mindful as you can, follow your instinct.
Mark dunn on quora says these drugs like anti psychotics are chemical lobotomies? I'm scared.
You know, honestly man, you have been told so many times now that this is not the case. I kind of think you might have an anxiety disorder, it's simply not healthy for you to be constantly returning to this idea you're doomed forever and can never improve. At some point in time you will either have to come to terms with your "permanent" damage and just do your best, or begin to exercise patience and focus on positive over negative.
Yes, long acting depot antipsychotics clearly have some negative effects on people. But think of this: what would
your solution be to a 275 lb, hevaily built ex-Marine in a fugue, naked and delusional, who is running through the ward suckerpunching the nurses and screaming in tongues? Straightjacket, a gag, and a padded cell? Or maybe have your frontal lobe smushed with an icepick?
Depot antipsychorics, as I understand it, is the last option for treatment that a doctor could use. Usually it's preferred in cases where people decide that they don't want to take their oral antipsychotics. And as I've stated and restated now, there's just no evidence that Invega causes any permanent negative physical changes in brain structure.