Do not provoke with comments like this please.
Not even TWENTY FOUR HOURS after I made my post about limiting masturbation discussion and you guys are already back at it again.
Please have respect for others in this thread who do not appreciate reading about your masturbation activities.
Would you guys like me to start a separate thread devoted to Invega and libido? Would that help? We are very understanding that it is a huge and very disruptive side effect of Invega and it is clear that you need to discuss it. However we must keep this particular thread a safe and inclusive space for everyone. I am serious about starting the Invega and sexual side effects thread, it has been on my mind the last week or so, because I want you guys to be able to discuss it, but just not in here.
I would also like to address the discussion in this thread of the use of illicit drugs. It is inappropriate to discuss using psychoactive substances including but not limited to stimulants, marijuana, deliriants and hallucinogenics. These substances ARE known to cause psychosis in some individuals and therefore it is potentially dangerous to openly discuss using these substances recreationally, or for self-medication purposes. We have an entire forum with subforums dedicated to discussing the use of these drugs. This thread is not the place for it. Therefore please refrain from discussing previous or current recreational drug use, condoning illicit drug use, or asking for advice on when you think it would be "safe" for you to begin using illicit substances again. Such posts will be edited or deleted by the mods or senior mods, and excessive posting on the subject may incur official warnings. Again, I encourage you to branch out to our other subforums if you wish to discuss using any illicit substances, just not in this particular thread please.
Thank you.
I'm not sure why my most recent post was deleted, but basically, I wanted to say:
1. Another thread devoted to Invega/paliperidone and libido is not recommended.
Erectile dysfunction, loss of size and suppleness, sexual anhedonia, low/no libido, orgasm problems (poor, abnormal, pleasureless, etc.) and even problems with romantic stimuli, enjoyment and activity, are all problems that should be discussed in the main paliperidone/Invega threads, for a few reasons:
Most everyone reports both depression and sexual dysfunction together.
It is also hard to divorce the complete lack of pleasure in sexual matters from the complete lack of pleasure in all other matters, and they can be scientifically surmised to come from the same cause and operate by the same mechanism.
The cause being: the dopamine antagonism which is one of the main mechanisms of antipsychotics, like paliperidone/Invega, and the main mechanism behind antipsychotic effects as well as, by scientific consensus, depression and sexual dysfunction inducing side effects/
Additionally, dopamine inhibition is thought to be the main mechanism by which general anhedonia (depression), musical anhedonia (depression), loss of coffee effects (depression/dopamine system), Neuroleptic Induced Deficit Syndrome (literature on NIDS suspects dopamine inhibition is responsible), and sexual anhedonia/low libido (dopamine inhibition) all occur.
These symptoms which are hallmarks of people who suffer from paliperidone/Invega induced depression and sexual dysfunction, may also occur (with the exception of NIDS, which is by definition medication caused) from non-medication etiologies, while still being explained by dopamine mechanisms.
The point is, the depression and sexual dysfunction are so intertwined for most of us, and it would be hard to discuss one without the other, and discuss recovery in general without discussing them both.
Now, perhaps the concern is with obscenity. Perhaps posters discussing sexual health could talk in sterile and medical general terms. But, nonetheless, I believe the ostensible purpose of these threads, the suffering involved, and the scientific and medical purpose of discussion, should override any concerns about obscenity.
2. "Illicit drugs" discussion should be allowed on these threads, and not relegated to other threads, as a medical therapy for paliperidone/Invega caused depression and sexual dysfunction, for various reasons:
As for the suggestion that these threads are not for discussing drugs, and other threads devoted to "illicit drugs" should be where they are discussed, I said that I disagree, if only for the exception of discussing "illicit drugs" in these paliperidone/Invega threads in the exclusive context of medical therapy for paliperidone/Invega induced depression and sexual dysfunction (as opposed to casual recreational use).
Discussing "illicit drug" use as medical therapy for paliperidone/Invega induced depression and sexual dysfunction would make no sense in the "illicit drug" threads, because of the lack of proper context. We would have to explain to people who are likely unfamiliar with the unique phenomenon of depression and sexual dysfunction caused by antipsychotics, why our depression and sexual dysfunction that is medication caused is so different from regular depression and sexual dysfunction, why no treatments have worked, why there is no cure and treatment, how this came about in the first place, etc. It would make more sense to discuss these matters in paliperidone/Invega recovery threads, since the matter of medical therapy for our medication-induced depression and sexual dysfunction obviously directly relates to the question of recovery.
I understand that some people taking antipsychotics are sensitive to "illicit drugs" exacerbating mental health problems. I understand that some of these same people may also have dependence/abuse and other issues with "illicit drugs." However, like I've said before, many individuals in these threads are not sensitive to "illicit drugs" causing mental health problems, nor do they have dependence/abuse problems, etc.
Additionally, I spoke at length in my longer post about how many of these "illicit drugs" are becoming increasingly legal, and their therapeutic and medical benefit, even for depression, is becoming acknowledged by hard science. Thus, while certain psychiatrists would tell us they are contraindicated for people with psychosis (keep in mind, not everyone suffering from paliperidone/Invega induced depression and sexual dysfunction has had psychosis--some of us, like myself, were flagrantly misdiagnosed and have never had psychotic problems ever, and have no mental health issues, besides the depression and sexual dysfunction caused by medication), others would also argue that they are not and, are in fact, beneficial specifically for the depression we are suffering from.
I also argued that the potential medical benefit and relief that could be provided for this depression, given the magnitude of suffering it has entailed (increased suicidality, isolation, hopelessness, unbearable pain, incurability, untreatability, severity, life-destroying, incapacitating, long-term, sometimes permanent), far outweighs any risks, like psychosis, abuse and dependence, which I already said, are risks that are greater for some of us and practically nonexistent for others.
We can be sensitive and offer disclaimers to such discussion while primarily intending it for people who are not at risk of psychosis or substance abuse/dependence and would be good candidates for increasingly legal and scientifically acknowledged "illicit drugs" used as medical therapy for otherwise incurable, untreatable and terrible paliperidone/Invega induced depression and sexual dysfunction.
Additionally, although the Dark Side section where these paliperidone/Invega threads happen to be, do proscribe discussion of "illicit drugs" and are, essentially, "drug-free" and "sober-living" in philosophy and subject matter, that is not the ostensible theme of the paliperidone/Invega threads. For whatever reason, paliperidone/Invega threads happen to be in the Dark Side section and probably should be in another section, since not everyone in these threads has substance abuse/dependence issues nor sensitivity issues to "illicit drugs" in relation to mental health problems (that includes me).
Additionally, there are some things which would be difficult to discuss in the other threads devoted to "illicit drugs." The phenomenon a lot of us suffer from, which is a complete loss of sensitivity to coffee, alcohol and some of these "illicit drugs," is completely unheard of in all of science. Googling and researching this phenomenon generates zero results. No doctors have ever heard of this. It has long been thought to be scientifically impossible. Therefore, if posters who suffer this unique problem from paliperidone/Invega side effects (it may be a primary effect, since the primary mechanism of dopamine inhibition is likely the direct culprit) bring up this problem in "illicit drug" threads, posters there will be mystified. They have probably never encountered such cases and they would not have the context necessary to discuss the matter. Therefore, the discussion of the loss of sensitivity is best reserved for these paliperidone/Invega threads, and is a worthy topic, from the point of view of public welfare, medicine and science.
Thanks! I hope my post doesn't get deleted. I don't see why it's inappropriate in any way. Send me a personal profile message if you feel my post is inappropriate and what I can do to discuss the matter more appropriately.