I don’t discrespect Goldstein, from what I remember he did have interesting ideas.
You are asking for life and drugs to do the work for you. You’re not going anywhere like that. The problem most of the people here have is that they think: “oh god I have that hormone imbalance so that is why I am depressed and I cannot do anything about it without drugs”. And that’s false. You are depressed because you are in despair, proccupied for your future, unhappy, maybe you have lost your work or your spouse/girlfriend or maybe both. Maybe you feel retarded because you can’t concentrate, can’t lough with friends anymore, and your penis is a worm. Well sure, there is probably the effect of finasteride behind all of that. However as I read some time ago in this forum, a neuroscientist said probably finasteride altered the connectivity in the brain because of hormonal variations (and I suppose, maybe many other things). We also know of our imbalances in various regions of the brain etc etc. Not funny at all. So now, if your brain connectivity has been altered, do you expect a drug to make it work again? NO, you’ll need to rebuild that connectivity which is not easy. It’s like if when you were young you learnt reading, then your connectivity got screwed up and you are not able to read anymore(that happened to me with Fin). So stay calm, and learn again how to do all of those things like reading; pay attention to how you feel when your reading, you feel anxious? maybe but trust me that’s because you see you can’t read and you subconsciously think about your future and how your life is fucked up and will be till the end. You need to break that habit and restart to have pleasure in doing things. Your brain connectivity will rewire slowly, but it will as long as you keep improving your life. I am sure one day you’ll have your penis back too. That neuroscientist suggested to read a lot to rewire the brain, and I am pretty sure it’s correct. Maybe alternating books that can help you in this situation and other generic books.
We cannot use drugs and supplements, there’s no proven efficacy, maybe only proven harm.
If your life is a disaster it will be like having a rope that will pull you down no matter what you do.
But that rope can be cut , and fairly rapidly, with the right tools. However it’s not easy to get out of this IMO, you need to work hard. You need to get all your things in place. By trying and trying you are going to force your brain to learn(or learn again) the correct patterns of action. I still have some ups and downs like everyone on this earth but I got really better by trying again and again. A lot of people here suffer from depression but because it was caused by Fin they do not bother buying a book about depression/anxiety and try to see if they can do anything about it in a holistic way. Once you are in a well, I agree it’s hard to get out but it can be done. For that you need to change your views, it’s not your body that tells how you feel and how you perform, but it’s your mind that tells you what you are going to do. If you are having problems to get down of the bed in the morning, well stop thinking, do what is right, be a man and get out of that stupid bed. This is an exaple, but if you do this consistently through the day results will show up. Don’t be a viscous shapless human being. Be a force of the nature, always. You wanna see where your dopamine and serotonine levels are going to be after you do this for some time?
Today there is a pill for everything and we were stupidly brought to the conclusion that psychology is a thing of the past, for stupid people, not for people who were perfectly fine before taking that drug. But really how can you tell psychology cannot help you? psychology and neurology are stricly interconnected. Let’s say you want to learn a piece of text, in pratice, to learn it and keep it in mind for the rest of your life, you will have to repeat it at an incresing time distance between each repetition (let’s say after 1 hour, then after 2 hours, then after one day, then after 3 days, then after 1 week, one month, 6 months, 1 year, 3 years, etc.). This is a well known theory about memory. Now, if you read that text one time, the neuron wiring will be weak. After you repeat it 5 times accroding to the aforementioned scheme, it will be much stronger. So if you only read a book on how to get out of depression but do not study it, it will be about like if you never read it. You need to study all the things that your read and think can make your life better. If you don’t, the time you spent reading it was pointless. And that’s why you need to insist like a stubborn bastard on all the things you do to build a better life. Your depression and your fatigue will subside. One day you will find yourself doing 100 things altogether.
Write a diary, maybe a vocal diary by leaving messages on your phone of thoughts you have. Then once in a while go back and listen to those messages. That will help you understand and take action on the things that you need in your life. In time, all of these things I told you will add up and build a solid structure for your life, destroying anxiety. For the sexual part, use cialis/levitra (talk to your md for this, unless you find a girl that knows how to get it up for you). Study how to get girls, than will really ease your furstration and panic you are having.
So the point is about studying what can you do about your problems without using drugs possibly. You have MUCH more power of what you believe. I could tell you every single trick but, other than the fact that it would require me a couple of days to write them down, I wouldn’t be as effective as a good book. So I suggest you buy a good book on depression and read all what you can on the net, by paying attention to the seriousness of the source. Avoid approaches based on supplements and drugs, you really have no clue on how to use them, the body is too complicated for you to understand how to go and influnce it in the correct way chemically, and most of the info you find on the net comes from ambiguous sources.
Avoid focusing on your penis and fight to get your life back on track. Do things the right way. BUILD GOOD HABITS that make you obtain what you want. This is very important so read and learn about habit building. You can use smartphone apps to help you build them also. Trust me, your brain will start working correctly again, just teach it to do the things that you need in your life and avoid despairing. As you start to obtain results, never stop doing even better, never stop to fight. Consider it as a rehabilitation. But when you will be good again, then you will know a lot of tricks normal people don’t know and you will be stronger than most of them. Doing theatre helped me really to fake with people, which is a necessity if you suffer with pfs.
Don’t smoke and drink alchol, coffe and other stimulants(those things are terrible for this situation). You want to requilibrate your brain. You don’t want to be in permanent addiction(coffe is addictive too) with substances that might hinder the re-equilibration process. All of these touch the Dopamine cascade. Be free of those substances for many months continuously and you’ll feel the difference. It might also help to consider pfs as a withdrawal syndrome (it is apparently). Also sports release chemicals that make you feel well and will heal your body.
Excuse me for the lack of structure in this message.Time constraints.