yes, there are meds that don't have that sexual side effect. And yes, CBT can really help you. You seem to have panic attacks which often result from separation anxiety. Good therapy can help you talk that issue out, and CBT can help you stop fearing the panic attacks so badly you immediately up your dosage. It's not the dose of meds or the meds themselves that can "cure" your problem, they can only help calm you down, but your fear/separation anxiety/fear of panic attacks are in you and you must address them. The statistics are really good with CBT. It's perfectly normal that you would panic in the cases you mentioned (being away from home, being alone, etc) so don't beat yourself up over that or wonder why you'Re not "normal". You are who you are, probably a very sensitive guy. Give yourself time and tools to deal with this part of yourself. Hang in there!

Hi there just wanted to let you know i am a 27 year old female i take zoloft 100mg i havnt had any problem with my libido and i highly recommend CBT I am doing it with a psychologist and it has helped me a great deal i still have a long way to go but things are looking better for me.I found the more i use positive self talk(which they teach you in CBT) the less anxious i am.As for the pleasing your partner talk to her ask her what she would like you to do in the bedroom.Communications the key. Take care. Lulu..

I am in the need of a little encouragement. I will give you my story and hopefully you guys can tell me if CBT reaaly works. When I was young I started getting panic attacks about something happening to my parents and then I would be alone. I went to see a pycologist and after several months I felt better. Then, when I was 22 I had a long term girlfriend. She went missing one night for about 5 hours (she wasn't really missing, I just couldn't find her). After that I stared having masive panick attacks about her safety. The relationship eventually ended, no doubt that it was partially related to my panic... I would make her call me all the time when she was out with her friends. Anyway, after the break up I got quite depressed and went on effexor. Felt fine and had no problems comming off. About a year later I was working two jobs. I started havving trouble sleeping and stared panicing about it. I got some sleep medication from my Dr. and felt fine again. Then about a year and a half ago I I started panicing about sleep again. It was really hard. I was dating my fiance at the time and decided that I should talk to someone about this as it seemed to be a recurrent problem. I went to a phsychiatrist and he put me on paxil (which my dr, also had perscribed). I was at the starting doesage of 20mg. I did gain some weight but I felt great. The only thing was I had a hard tome orgasming, and lost a lot of my libido. My Phsychiatrist and I felt I was doing well and so I went down to 10mg a day. No problems. Got a lot of my libido back. Then wet down to 5mgs a day. Felt fine until I went to Mexico with me fiance and had a panick attack. So went back up to 10mg. I felt anxious for the rest of the trip but got through it and had a great time. I eventually went down to 5mgs again and then right off. I felt good, but then I came here to london to work for a couple of months for my new job. The day I got here I panicked. I felt so alone and I wanted to go home. I went back on the medication.. 10 mg a day and eventually felt normal. A couple of weeks ago I went down to 5mg again when my fiance came to vist. the visit was awsome. I missed her so much. She was only here for two weeks and left last week. I felt sad but ok. Then on T