Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:05):
Hello and welcome.
.999This is Intimacy After, a podcast for mature women facing intimacy issues from various causes.
Please know you are not alone.
It is time to stop suffering in silence.
On this podcast, we give hope that through practice of simple steps and proven tips, you can improve intimacy and resurrect your love life.
(00:33):
Break free, learn to laugh again, to play again, to be happy, to love and know that you are loved.
I am your host, Queen.
Come on inside.
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Hello and welcome inside the system, friends to another episode of intimacy after.
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I am so excited to be talking about today's topics.
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So I hope you are ready.
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It used to be that mental health was a taboo.
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Thankfully though, not totally.
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Unstigmatized it is remarkably better.
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Wouldn't you agree? I have witnessed a change since I started my journey in medicine over 20 plus years ago.
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Especially for those in the black and brown communities.
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You are seeking assistance more and more? Bravo.
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My sister friend.
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Mental health is vast.
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It is as wide as it is deep.
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I have made mention in past podcasts, but after receiving specific questions about sex and depression.
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Thought I would gingerly take a deeper look.
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I do have colleagues who are awesome counselors on depression and those who are doing great.
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In the sex field, but combined.
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Mm, no.
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Most, not all.
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Most psychiatrists, psychologists, counselors, et cetera, will treat your depression.
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But get quite uncomfortable when have to discuss sex.
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Why well, talking about sex is a Pandora box.
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There are so many different practices and preferences that venture in there.
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Put one at risk for judging and being judged then the sex therapist have their hands full with lots of things to uncover dealing with mental health and its huge scope.
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Not something they're truly interested in.
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So my sister friend, here we are.
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Let's see what I can do to bring the two together in a short podcast.
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You ask me.
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Can I use sex as a treatment for depression? It does release all those feel good.
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Want knots? Can I just have sex and feel good all the time? I'm not big on medicine and stuff.
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You did not provide permission to use your first name in the voice message.
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So I'll just say the first letter.
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Am.
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Well, M that is a very loaded question.
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Of our, a good question.
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That seems to make sense in a literal sort of way.
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Right.
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But let's unpack and look at it from a practical and a mild scientific sort of way.
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I want to interject here that as I'm unpacking AM's question.
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That I have a big advocate and proponent for saying there's no such thing as a silly question or a stupid question, right? I think it's on the part of the person who's being asked the question.
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To take the time to pause and disect what's being asked.
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Sure enough.
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Sometimes the person asking the question is not quite sure how to phrase the questions so that it's understood.
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And so I like to take the time to break down questions as they are asked.
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I know some times I say the questions ask, or I repeat the questions that are asked by some of my listeners and I get feedback that, oh, well that's a silly question.
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Well, not really.
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I want this platform to be a place where your questions can be honored.
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And I will do my best to break things down and dig deeper.
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And you may be asking questions that you're not even really aware or quite sure of what to ask.
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Well, that's what I'm here for.
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Let's break it down and look at what Emma's asking.
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Right.
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So the question is, can I use sex as a treatment for depression? It does release all those feel.
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Good watt knots.
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Can I just have sex and feel good all the time? I'm not big on medicine and stuff.
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So I wanted to do a little research on.
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This to see if anyone else actually looked into this before.
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Yes research.
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I am a doctor, stop acting surprise.
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I want to make sure that I am given you.
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Good.
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An adequate answers to your questions, right? Your question is important.
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Em, and others have the same question.
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Or thoughts too.
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So I wanted to give it my full attention.
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Thank you.
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Ma'am.
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I didn't know.
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There are journals called the journal of sexual medicine and archives of sexual behavior.
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Like what it does make sense.
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I guess.
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But I was too deep in cancer treatment and oncology stuff to look up and breathe or.
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Talk about such things back then.
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Thank in Jesus.
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I'm able to step away for awhile from that journey that began back in 1999, pursuing medicine.
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But medicine is in my blood.
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The journal of affective disorder and the depression.
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And anxiety journal.
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That's the norm for me.
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Here I am learning something new.
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You see.
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Thanks.
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Em.
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My little research in the area of sex and depression.
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I had limitations and ethical consideration and often these research admittedly.
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State that they faced challenges.
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And some of these challenges include difficulty in recruiting, participant potential reporting biases.
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Ethical consideration in studying vulnerable populations.
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And the complexity is an isolating variables due to the multifaceted nature of both depression and mental health.
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And I want to add to that.
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The many shades of sex.
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Another reason why your question is so deep.
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M is because we have to peel back and look at several questions in an offer itself.
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Your question is quite layer.
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So.
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We want to look at what is depression and how do you know you're depressed? Should I assume that you have already been officially diagnosed with depression or is this self-diagnosis.
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If you're diagnosed with depression am, then another question is what is the impact of depression? On your sexual health on the flip side.
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What is the effect of sexual activity? On depression symptoms.
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Is it as you think.
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Or are there other unpleasant side effects to think about.
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Sex having side effects.
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That's new.
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Right.
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Then there's an influence of antidepressants on sexual health.
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You're not alone.
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Not many like to take medications.
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But sometimes the body needs a little help to correct certain changes in the brain and other imbalances.
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There are also gender differences in the relationship between depression and sex.
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The way that male and female respond to both are different.
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And the way you respond is also different from others, different from me.
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Does sexual satisfaction play a role in mental health? Em, there you have it.
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Lots of hidden questions.
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Within yours.
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Where to start.
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Let's look at your question again to stay on track here.
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Can I use sex as a treatment for depression? Let's start with the first part.
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Sex as a potential treatment for depression.
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Believe it or not.
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Em, sister, friends, you all are scientists and researchers, and don't even know it.
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There are some studies that have examined whether sexual activities can have a mood enhancing effect and potentially alleviate depressive symptoms.
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Imagine that, huh? This research area often looks at the release of neurotransmitters and hormones that during sex.
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The feel good stuff and whatnot that M refers to.
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To show the complexities of sex and depression.
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These studies look at different aspects of mental health.
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There are different types of depressions as well.
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Did you know that? Not that we're going to forget about the sexual dysfunction part.
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But there's also a serious potential issue when it comes to certain types of depression that can lead to increase risk of suicide.
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Taken one's own life.
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And suicide discussion came front and center while I was still serving in the army.
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Many young soldiers would return from conflict depressed and what know what to do about it.
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Some would not seek help.
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Trying to be tough.
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And this was evident in the rise of suicide.
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Kudos to the military for stepping up and creating sensitivity classes, teaching leadership and staff, what to look for, what changes would hint to someone who is experiencing depression and may even be at risk for suicide and so much more.
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Asking you about depression is now in most cases, a common part of the intake form.
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Whenever you visit your clinics.
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Sister Fran.
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Do you know, some common signs of depression.
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Here comes my disclaimer, just in case you're listening for the first time and hopping on this podcast.
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I am queen your family friendly cancer doc.
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Via the podcast.
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I am not a part of your medical team.
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I am not a counselor or psychiatrist.
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I have learned a lot over the years, taking care of my patients diagnosed with cancer.
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Many of the topics here are part of my common survivorship model for these patients.
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However, please ask your doctor about anything discussed on this podcast.
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If you review some of the questions that will be discussed later and find that you are at risk for depression or suicide seek help immediately.
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Don't delay.
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Okay.
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So there are many forms on the website that you can use to self evaluate.
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If you are depressed and depressed, mood can also be temporary based on life changes.
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You know, the mantra, speak with your primary care provider.
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Okay.
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Here it goes.
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So while you're swiping left or swiping up or checking out all those social media.
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Take a step back.
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To do some self evaluation and check out things that you could benefit from.
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Just go to the national Institute of mental health.
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And look up what ever questions you may have beat about depression, anxiety, or anything along those sorts.
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You can also go to CDC.
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And type in mental health conditions, specifically depression and anxiety.
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And you would also find information there.
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They will give good insights on the different types of depression.
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Common treatment and much more than this podcast can provide.
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Depression can affect people differently.
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And there are some common signs you can look for.
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If you are writing this down.
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I will give the big umbrella term with a few examples to follow.
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Here we go.
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Mood.
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Feeling sad, anxious or empty most days for more than two weeks.
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That is something to consider.
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However I can interject by saying I feel sad some days when I think about my mom, I miss her very much.
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I do have sad feelings and empty.
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Feeling some days, especially on Sundays.
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When we typically catch up about the week So there is a difference if your sadness is associated with the death of a loved one.
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Again, This is just for you to take note, right.
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Interest.
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Losing interest in activities that used to be fun.
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Are you too busy to have fun? Or depressed and don't feel like doing anything.
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If you used to go out for walks or go to the movies or go shopping, what are you doing instead? Sleep.
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Are you having trouble sleeping? Waking up too early or sleeping too much difficulty falling asleep or difficulty staying asleep.
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Make a note.
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Appetite.
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Are you eating more? Or less than usual.
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Or having no appetite at all.
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Energy.
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Are you feeling tired even after sleeping well or lacking energy? Thoughts.
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Are you feeling hopeless, pessimistic or guilty? Worthless or helpless.
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These are the things that can spiral very quickly.
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Then their heartbeat behaviors feeling irritable.
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Easily frustrated or just simply restless.
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Cognitive having trouble concentrating, remembering details or making decision.
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I Have far no off people who just have a difficult time making decision.
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For me, who is military, make a decision, even if it's the wrong one.
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You just think about it evaluating.
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Decide.
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For someone who go back and forth between three stuff who drive me bunkers.
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But that is a personality trait for some folks.
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If making decisions.
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Is difficult for you.
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And it's an ongoing thing.
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Then that may not be pointing to a cognitive issue leading to depression.
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It could be just your personality trait.
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If this is new, then you want to look deeper and you hear it comes, talk to your primary care about this.
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Physical.
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If you're experiencing aches and pains and headaches or stomach problems that don't improve with treatment, then you want to look a little bit deeper into that.
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I know for my listening audience.
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Most of you are over 40 and you're thinking.
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Aches and pains, if that.
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If that is what makes me depressed and I'm depressed all the time.
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Cause I'm always aching.
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And then pain, especially when it rains and the bones and that, and.
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No, that is not what I'm talking about.
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So just to do a quick rundown on the areas I reviewed.
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If you think that you may be going through some depressive symptoms and you're not sure.
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Jot these down.
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Put a call into your primary care team and have a discussion.
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Mood and he sort of changes interest, losing.
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Interest in your activity, sleep.
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Appetite energy, your thoughts, behavior, cognitive, physical.
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Again, remember we say cognitive, we're talking about your brain and your thoughts and thinking and concentrating, right.
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If you feel depressed, you should make an appointment to see your doctor or a mental health professional as soon as possible.
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You can also talk to a friend or a loved one.
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Uh, faith leader or someone else you trust if you're reluctant to seek treatment, but remember that's a big burden to put on someone, right? If they're a friend or a loved one and you're depressed and you do the dumping and tell them all of that stuff, they can assist to a certain level.
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Let that decision be made with communication you have with your doctor.
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That's why it's so important for you to get to know your care team.
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So you know who you work with, so that you can reach out to someone you're comfortable.
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It's not always a physician.
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Sometimes it's a nurse practitioner.
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Uh, physician assistant or other.
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High-level caregivers that's within your team.
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You have to be prepared for your appointment.
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When you see your doctor, you can bring a list of things to note, including your mental and physical health concern.
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Let me back up a bit here.
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Going to your doctor without a list of some sort or something written down to discuss, it's not recommended.
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Then the conversation will be one way.
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That's not how you want it to be.
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So be prepared for your appointment.
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When you see your doctor, you can bring a list of things to note are discuss.
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You can talk about your mental and physical health concerns.
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Right.
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Those downs.
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Pass the medical and psychological illnesses, family history of mental illness is so very important.
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You need to have that info medications you're taken, including side effects.
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00:19:04,256.122449 --> 00:19:05,396.122449
You're experiencing.
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00:19:05,756.122449 --> 00:19:08,546.122449
Natural dietary supplements you're taking as well.
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00:19:08,756.122449 --> 00:19:17,576.122449
So if you're drinking certainties and taking certain supplements, you need to make sure you write those down or bring the bottle with you.
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Your nurses there will love you for that.
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Your lifestyle habits, such as exercise, your nutrition, smoking alcohol consumption and drug use.
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Look, they're not there to judge you.
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But they can't make the appropriate recommendations if you are not honest with them.
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So write these things down and even if you're feeling judged, guess what? Hey, it's okay.
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You're going to be one of 20 or so that they're seeing that day.
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So you just go and get what you need.
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Talk to them and step out smartly.
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Getting back to some of the journals I have.
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I reviewed one good example.
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I came across was from Delosa at Al 2009 in the journal of sexual medicine who conducted a research to explore the frequency of sexual dysfunctions in patients with bipolar disorder and unipolar depression.
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Remember I told you there are different types of depression.
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And that is beyond the scope of this podcast, but just so that, you know, In this research, it found that lifetime impairment in the sexual response cycle was significantly more common in patients with mood disorders compared to control subjects.
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Sexual dysfunctions were also significantly associated with lifetime suicide attempts.
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In patients with bipolar disorder and thoughts of death in patients with unipolar depression.
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This again is stuff you need to be aware of.
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There is nothing weird about you or don't feel condemned.
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If you were back there and saying, ha so that's what it is.
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The next step should be.
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Ah, I need to make an appointment.
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Another key area of research is depression and sexual dysfunction.
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Many studies explore the link between depression and various forms of sexual dysfunction.
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For example.
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Research has shown that individuals with depression often experienced decreased libido desire to have sex difficulty achieving orgasm.
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Now let me pause here.
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If you never or seldom had orgasms.
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Then it would be tough to know if depression is a culprit.
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Right.
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Then there is also erectile dysfunction in men.
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That's the upcoming featured podcasts as well.
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So could it be, you're asking this question because you're not feeling your usual sexual self.
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Whatever usual may look like for you.
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Hmm.
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If.
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If you have been diagnosed with depression and noted, no change.
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Because there's nothing to change.
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Then we should seriously talk.
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00:22:17,186.122449 --> 00:22:18,116.122449
Sex.
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Orgasm.
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00:22:20,726.122449 --> 00:22:22,316.122449
That's like the desert.
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But if there's nothing broken, That is dessert is not your thing.
297
00:22:29,66.122449 --> 00:22:32,816.122449
Then there's nothing to change or fix in the sex department.
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Though I bet to differ on that.
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Let's treat the depression though.
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You may think you're having great sex.
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But if you're depressed.
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And you treat your depression.
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Is there a possibility that you can have even better sex? Imagine that.
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This is a young podcast.
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So I'm aware that about half of you are Christians, as you may have surmised.
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This is not about converting anyone to follow Christ though.
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I don't mind planting a seed here or there.
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But I am using his gifts to impart knowledge and understanding to everyone about certain things that will remove the wall.
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That's preventing you from lock-in in the direction of Christ.
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It is by hope that you all realize that Christ is not wrapped up in religiosity.
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I may not be doing things a hundred percent, but God does equip the called.
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So pardon me while I get dressed.
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As a Christ follower, I grew up learning that God will take care of everything.
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And there may be some of you thinking that.
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00:23:54,176.122449 --> 00:23:56,876.122449
Someone is less spiritual.
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If they're diagnosed with depression.
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Because after all.
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The joy of the Lord is your strength.
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00:24:05,516.122449 --> 00:24:14,846.122449
The joy of the Lord is indeed our strength, but I have learned that the Bible is an instruction book on how to live.
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How to serve Jesus through serving people, how to bring God's kingdom to earth.
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The Bible is not a religious book, per se.
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00:24:25,16.122449 --> 00:24:35,366.122449
If you search the pages of the Bible, you will find many saints who were depressed and lots to be said about intimacy and sex to.
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00:24:36,326.122449 --> 00:24:37,136.122449
Good stuff.
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I can hear you.
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00:24:38,786.122449 --> 00:24:39,626.122449
I can hear you.
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00:24:39,776.122449 --> 00:24:46,316.122449
What Bible are you reading? Who was depressed, who talk about intimacy in the Bible.
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Okay.
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My sister friends.
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I love you.
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00:24:49,436.122449 --> 00:24:50,456.122449
Here we go.
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00:24:50,486.122449 --> 00:24:54,116.122449
Who was depressed or face mental health issues in the Bible.
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00:24:54,776.122449 --> 00:24:57,146.122449
Read up about king David.
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Yes indeed.
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00:24:59,186.122449 --> 00:25:00,176.122449
Elijah.
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00:25:00,626.122449 --> 00:25:05,456.122449
Fell into despair and even ask God to take his life.
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00:25:06,176.122449 --> 00:25:10,646.122449
Naomi experience grief after losing her husband.
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00:25:11,96.122449 --> 00:25:12,326.122449
And sons.
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00:25:12,566.122449 --> 00:25:20,516.122449
Oh, what about job? And Hannah whose life was marked with anguish of unfulfilled, longing.
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Needing and wanting to have a child.
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00:25:24,296.122449 --> 00:25:31,886.122449
That should suffice, but there are more that my Bible scholars in the podcast land can make known.
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I'm not a woman of the cloth.
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No leadership position in the church.
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00:25:36,626.122449 --> 00:25:40,826.122449
I am not an elder or a deacon or anything of the sort.
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I'm simply trying to respond to God's love mercy and grace.
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By removing some lies.
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My scholarly background was not just meant for me.
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00:25:52,586.122449 --> 00:25:54,626.122449
It's for you to sister friends.
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00:25:54,866.122449 --> 00:26:07,716.122449
And as you can see, I like digging into stuff and researching and looking up things not only to apply in the cancel world, but to answer questions that you, my listeners have post to me.
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I love learning.
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Life is all about learning and that does not exclude the learning about Christ and what he has to say about some of these topics.
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Want to know what the Bible have to say about intimacy insects? Well, start by learning how to speak to your spouse.
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Awaken his loins.
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Check out.
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00:26:33,206.122449 --> 00:26:36,596.122449
The book of songs is filled with.
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00:26:37,346.122449 --> 00:26:38,696.122449
Raunchy love letters.
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Can I say raunchy? It's in the Bible.
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00:26:40,766.122449 --> 00:26:45,716.122449
So we'll just say it's some surprisingly good stuff.
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The songs of Solomon is tucked away in the old Testament just before Isaiah wait.
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00:26:52,226.122449 --> 00:26:54,416.122449
Let me look at the flow for you.
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Um, it's songs.
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Then Proverbs.
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00:27:00,986.122449 --> 00:27:02,36.122449
Ecclesiastes.
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00:27:02,36.122449 --> 00:27:10,706.122449
These songs of Solomon and then Isaiah C, you don't need to have all the books of the Bible memorized to serve God.
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But.
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00:27:12,306.122449 --> 00:27:13,206.122449
I tell you what.
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Read the books, songs of Solomon, you may want to try in the English standard version of the Elizabethan king James version.
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Doesn't jive for you.
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00:27:23,976.122449 --> 00:27:25,206.122449
But read it in.
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00:27:25,656.122449 --> 00:27:28,536.122449
One off V context that you can relate to.
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00:27:28,536.122449 --> 00:27:31,746.122449
And I V E S V message.
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Whatever works for you.
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00:27:33,306.122449 --> 00:27:35,556.122449
But don't skip over songs of Solomon.
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Hear them talk about loins and bosoms and all that good stuff.
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This is the friend.
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It is in the Bible.
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God loves us and want us to know that he felt about all these things that he knew.
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00:27:50,46.122449 --> 00:27:51,276.122449
We would think about.
378
00:27:51,636.122449 --> 00:27:51,906.122449
Hmm.
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00:27:52,716.122449 --> 00:27:56,286.122449
The other part of your question am about disliking medicine.
380
00:27:56,556.122449 --> 00:27:59,436.122449
It's all about the details and type.
381
00:28:00,6.122449 --> 00:28:04,956.122449
I too though, a physician grew up in a time in the Caribbean.
382
00:28:05,166.122449 --> 00:28:15,426.122449
When my mom would boil Sarah CT, four different ailments are rubbed down my body with bay rum to quieten the fever very few and far between.
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Do we ever use actual purchased medicine? And visits to the doctor was fought.
384
00:28:22,746.122449 --> 00:28:28,116.122449
Well, it was deemed only necessary when roots, teas and mixtures and different stuff.
385
00:28:28,146.122449 --> 00:28:28,926.122449
Couldn't work.
386
00:28:29,406.122449 --> 00:28:37,206.122449
So I too, though, adopter do not like the idea of taking a medicine that causes side effects.
387
00:28:37,506.122449 --> 00:28:40,656.122449
Then taken another to fix the side effects from that.
388
00:28:40,656.122449 --> 00:28:43,146.122449
And if that causes side effects, then another medicine.
389
00:28:43,596.122449 --> 00:28:44,856.122449
You get the drift.
390
00:28:44,946.122449 --> 00:28:47,946.122449
It's a spiral that requires control.
391
00:28:48,556.122449 --> 00:28:56,266.122449
That answer requires some realism though, right? It begins with how bad is the first side effects.
392
00:28:56,716.122449 --> 00:29:09,46.122449
Is it tolerable? That's a discussion for you and your medical team to have, I am a big advocate for getting to know one, talking to your health manager team about your medical concerns.
393
00:29:09,376.122449 --> 00:29:17,656.122449
So if you have a diagnosis that require medicine, Take the medicine you want to drink your tea and have some roots.
394
00:29:17,896.122449 --> 00:29:24,646.122449
Let them know that you're going to drink the tea and have these roots too, but take the medicine they're giving you.
395
00:29:24,946.122449 --> 00:29:34,36.122449
If you're having some side effects, how bad is the side effect? You know, I did, um, a blog many moons ago.
396
00:29:34,36.122449 --> 00:29:35,986.122449
I'm going to have to do a podcast on it.
397
00:29:36,346.122449 --> 00:29:37,816.122449
That everything natural.
398
00:29:38,626.122449 --> 00:29:42,676.122449
Isn't natural because it doesn't cause side effects.
399
00:29:43,36.122449 --> 00:29:46,246.122449
You can have side effects from things that are deemed natural to.
400
00:29:46,696.122449 --> 00:29:50,986.122449
And I will get into that another time, but yes, yes, you can.
401
00:29:52,196.122449 --> 00:30:09,176.122449
This goes beyond medication for depression, but any diagnosis, treatment, or medication with that being said, there are a significant body of research focusing on the sexual side effects of antidepressant medication.
402
00:30:09,416.122449 --> 00:30:20,756.122449
That is medication that you take for depression, particularly one call selective serotonin re-uptake inhibitors, or S S our eyes.
403
00:30:21,116.122449 --> 00:30:25,766.122449
You hear them mentioning it in commercials? Listen for it.
404
00:30:26,186.122449 --> 00:30:30,776.122449
SSR eyes these studies investigate the prevalence.
405
00:30:31,106.122449 --> 00:30:34,46.122449
Nature and management of sexual dysfunction.
406
00:30:34,376.122449 --> 00:30:37,976.122449
Associated with antidepressants use.
407
00:30:38,156.122449 --> 00:30:42,26.122449
So yes, the side effects can lead to sexual dysfunction.
408
00:30:42,866.122449 --> 00:30:48,956.122449
If there was one to talk about in the beginning though, sister Frank, just being honest and real with you.
409
00:30:49,176.122449 --> 00:30:54,606.122449
If you're not having sex, you're not enjoying sex and you're not having an orgasm.
410
00:30:55,86.122449 --> 00:31:00,216.122449
And then you were diagnosed with depression and you start taking this medication.
411
00:31:00,216.122449 --> 00:31:02,106.122449
You cannot say the medication.
412
00:31:02,376.122449 --> 00:31:05,706.122449
Is causing you to have sexual dysfunction.
413
00:31:05,976.122449 --> 00:31:11,596.122449
It could be that the depression was causing it, but it can't be the medicine.
414
00:31:11,626.122449 --> 00:31:17,506.122449
And then you stop taking the medicine for depression because it says, oh, it causes sexual dysfunction.
415
00:31:17,776.122449 --> 00:31:20,536.122449
But you weren't functioned in sexually before.
416
00:31:21,566.122449 --> 00:31:22,556.122449
Being honest.
417
00:31:23,656.122449 --> 00:31:26,296.122449
You get to decide if you're going to.
418
00:31:26,896.122449 --> 00:31:29,116.122449
Not tell yourself the truth.
419
00:31:30,16.122449 --> 00:31:35,146.122449
So are you going to give up sex because you are depressed? I think not.
420
00:31:35,806.122449 --> 00:31:37,36.122449
Where there's a will.
421
00:31:37,96.122449 --> 00:31:38,236.122449
There's a way.
422
00:31:38,746.122449 --> 00:31:47,296.122449
So can you use sex as a treatment for depression? Not really, at least not by itself per my brief research.
423
00:31:47,566.122449 --> 00:31:52,696.122449
It does provide that momentary good feeling from the serotonin and hormones.
424
00:31:53,386.122449 --> 00:31:54,946.122449
But it is temporary.
425
00:31:54,976.122449 --> 00:31:56,176.122449
It's a surge.
426
00:31:56,326.122449 --> 00:32:10,46.122449
How long, and how often would you need to have sex to use as a treatment modality? It does release all those feel good? What knots that M mentioned in her question? So.
427
00:32:10,936.122449 --> 00:32:18,836.122449
What that really work? While you're not required to go around grinning like a shier cat all day long.
428
00:32:19,316.122449 --> 00:32:26,246.122449
Medication does offer a more balanced long-term effect for treating depression.
429
00:32:26,636.122449 --> 00:32:30,476.122449
And it does matter the type of depression that you have as well.
430
00:32:30,836.122449 --> 00:32:32,596.122449
As previously discussed.
431
00:32:33,486.122449 --> 00:32:37,506.122449
If you were diagnosed with depression and you take this medication.
432
00:32:38,556.122449 --> 00:32:43,986.122449
You may be surprised at the many things that can also change.
433
00:32:44,346.122449 --> 00:32:46,56.122449
You may come to terms.
434
00:32:46,566.122449 --> 00:32:48,516.122449
To saying, oh, wow.
435
00:32:49,26.122449 --> 00:32:54,606.122449
I didn't realize this was less or that was less, or that was being affected.
436
00:32:55,206.122449 --> 00:32:58,746.122449
It can also give a positive outcome.
437
00:32:59,646.122449 --> 00:33:01,836.122449
For the love of the almighty.
438
00:33:02,196.122449 --> 00:33:07,356.122449
Stop self-diagnosing you could be hurting yourself.
439
00:33:07,926.122449 --> 00:33:12,246.122449
Let your primary care medical team do what they do best.
440
00:33:12,566.122449 --> 00:33:27,56.122449
Based on your answers to the depression evaluation questions for a set period of time noted, they can make appropriate suggestion and know that someone has suggestions may have nothing to do with medication.
441
00:33:27,326.122449 --> 00:33:29,426.122449
You may just need to do some yoga.
442
00:33:29,696.122449 --> 00:33:31,646.122449
You may need to do some distress.
443
00:33:31,796.122449 --> 00:33:34,76.122449
You may need to do some meditation.
444
00:33:34,286.122449 --> 00:33:38,246.122449
They don't always right away dump medicine on you.
445
00:33:38,636.122449 --> 00:33:41,396.122449
It all starts with a conversation.
446
00:33:42,236.122449 --> 00:33:43,556.122449
Look, sister, friends.
447
00:33:44,276.122449 --> 00:33:47,456.122449
Intimacy and sex is a part of life.
448
00:33:48,116.122449 --> 00:33:52,166.122449
Don't let depression steal that away from you.
449
00:33:54,6.122449 --> 00:34:02,316.122449
Well, sister, friend, I know you have choices, so I thank you for tuning into Intimacy After podcast.
450
00:34:02,736.122449 --> 00:34:11,286.122449
You may subscribe for bimonthly alerts or stay in the know by visiting my website@queenquanta.com.
451
00:34:11,526.122449 --> 00:34:15,671.122449
That's Queen Q-U-A-N-T a.com.
452
00:34:16,441.122449 --> 00:34:24,816.122449
Until next time, remember, a life without Intimacy is like your favorite meal without salt.
453
00:34:25,701.122449 --> 00:34:28,321.122449
Ladies, let's spice it up.
454
00:34:28,821.122449 --> 00:34:32,111.122449
Life is beautiful, and God is awesome.
455
00:34:32,681.122449 --> 00:34:35,625.960449
This is Queen, signing out.