How Mental Health Impacts Sex, According To Sexual Wellness Professionals

If the last thing on your mind is body-to-body meetings, this one is for you.


I don't know about you ladies, but when I'm not in the mood, she's not in the mood - and when I say she, I mean my treasure box. There have been countless occasions where I've wanted to be intimate with my boyfriend, but I couldn't just seem to bring myself to do it. Sometimes, I'm completely out of it and don't even want to be touched. It's not that I don't want to, but sometimes I don't want to - it may not make sense reading it, but ladies, you know what I mean, right?

During my depression spells, I usually don't want so much as an arm to be around me and the idea of sexual activity doesn't turn me on as much as it usually does. When I'm stressed out and my anxiety levels are to the roof, the last thing on my mind is to relieve my stress with body-to-body meetings with my boyfriend; and that's OK, too.

Throughout the duration of my depression spells and anxiety attacks during my stay here in quarantine with my boyfriend, we haven't been exactly getting to know each other more in the physical sense. It's not that I am not attracted to him or don't want to be intimate, but my desire for sexual pleasure is compromised and I don't feel my sexiest when my mind is elsewhere and I feel like I'm not even in control of my own body. In order to help combat the stigma surrounding sex and its relationship with mental health, I spoke with sex educators, bloggers and mental health professionals.

How Does Your Mental Health Affect Your Sex Life

Mental Health, Sex & Intimacy


"Mental health is key in arousal and libido. If there is instability with arousal, there is often an effect in libido. When anxiety, depression, or stress is high, libido can often disappear," explains Dr. Lexx Brown-James, CEO of The Institute for Sexuality and Intimacy, LLC. Mental health is an integral part of physical health and the central nervous system (CNS). When our mental health is compromised, our physical and emotional health follows, which translates into sexual activity, or lack thereof, and our inability to connect emotionally and sexually with our partners.

"When your mental health is off, it can be harder to desire sexual intimacy at all with your partner," sex educator and blexApp coach Tatyannah King states about the impact on your sexuality and confidence during the decline of your mental health. "This can create emotional and sexual distance between couples because someone may feel like their partner isn't attracted to them anymore whereas the person whose mental health is struggling truly finds it hard to stay present because their mind is preoccupied with the many things that are making them feel anxious."

Managing Medication Side Effects, Lower Sex Drive & Sexual Dysfunction


For some of us, mental health is managed through medication and traditional medicine. However, sometimes medication can have a negative side effect on intimacy and connectivity. "Some medication can cause a decrease in libido and affect the length of time it takes to be aroused, making it take longer to get aroused and hard to reach any type of desired orgasm," Dr. Lexx Brown-James adds in.

When life stressors cause distress in our physical health and are managed through prescription medication, sexual wellness can be compromised and not-so-positively affected. "Medications can be disruptive to a woman's level of sexual arousal triggering reduced vaginal lubrication thus resulting in associated pain with sex. Negative side effects of medication will influence an individual's mood swings, reduce sexual desire, lower libido, eliminate sex drive or desire to orgasm," sex eduator, blexApp coach, and founder of pauseWHAT? Robyn Harris says about the negative sexual side effects and emotions that are often paired with medication.

"Medication induced sexual dysfunctions can lead to feelings of embarrassment, severe anxiety, emotional alienation and personal distress," Robyn continues. "If intimacy and sex connectivity issues develop through the use of medication, visit your doctor and be openly candid about your concerns."

Stigmas and Sexually Liberated Women


Like Estelle once said, "I can be a freak every day of every week," and I have no shame in my game. Women are oftentimes shamed for being naturally sexually beings and labeled as "promiscuous", "too sexy" or "thirsty". "There are countless negative stigmas against women that take control of their sexuality," starts certified sex educator Irma G. "Purity culture that stresses virginity until marriage and the idea of one's worth being reduced if premarital sex was had, and even more so when one has had multiple sex partners. You're basically a Jezebel at that point - but I would like to point out that there is absolutely nothing wrong with being a Jezebel," Irma exclaims. "Hell, I'm one!"

From catcalling to slut-shaming and rape culture, the community enhances the notion of women "asking for it" by wearing "revealing" clothing and embracing their sexuality when sexually assaulted or harassed, anywhere between the workplace to a nightclub and within their own homes. Even those who are deemed as anything set apart from the heteronormative standard is put more at risk due to their occupation, sexual orientation, gender identifcation or gender performance. "Sex workers and trans-women are seen as people with no value due to either their job in sexuality or for their identity," Irma adds. "This causes violence against them to rise and for rape culture to respond with 'they asked for it' or 'they shouldn't have been doing that'.These groups are seen as less-deserving of respect for simply existing or making a living."

Talk To Me Nice


OK, so we all remember that awkward "Birds and the Bees" talk we got about how sex works when we were younger, right? While that may have been a good breakdown for the youngins to destroy the myth about the stork dropping off our children like the United States Postal Service, we as a society need to be held accountable for driving positive conversation about the relationship between mental health and sex. "There are still massive taboos between mental health and sexual wellness, which is dangerous considering how interconnected the two are," explains writer, sex educator and podcaster Cameron Glover. "I've written about the need for us to have more conversations about how the two are interconnected before, but it bears repeating that we can't keep the two separate. Sexual wellness is part of wellness, and if we're shying away from much-needed, solution-driven conversations on how people can navigate it safely because we're afraid of touching on 'taboo' or uncomfortable topics, then we're doing a massive disservice to our communities."

"It's also important that sexuality professionals are brought forward into spaces where health and wellness are being discussed, and not just pigeonholed to talking about sex in connection to pleasure and anatomy," the Sex Ed in Color Podcast host shares. "These topics are important, but if we want to move forward with integrating sexual wellness and mental health, sex educators need to be brought into spaces where both are being discussed."

Masturbation, Self-Love and Mental Health


Everyone needs a bit of self-love, but I don't mean the spa day and glass of Chardonnay. I'm talking about self-love in a physical, seductive, natural way called masturabation. Masturbation oftentimes has a negative connotation to it that it's shameful, sinful or just downright nasty - but that's not the case at all. "Masturbation has been shown to have many mental health benefits. Masturbation may increase sexual desire and feelings of pleasure and satisfaction, improve mood, promote relaxation, relieve stress and anxiety, ease stress-related tension, and improve sleep," says Dr. Wendasha Jenkins Hall about the positive side effects of masturbation.

The women's sexual health and wellness researcher and educator continues to shed light upon the relationship between mental illnesses and masturbation. "However, masturbation is often associated with anxiety and depression. It has not been shown to cause depression or anxiety, but masturbation can exacerbate them in some people. Typically, it's our cultural, religious, or personal norms and convictions around sex and self-pleasure that can lead to feelings of guilt and shame, especially if we're taught to view sex in a negative light. If this is the case, a person may experience depression or anxiety after masturbating, or having sex in general."

She later adds that though rare, some people believe that an addiction to masturbation is possible in some people, which can then become problematic if it interferes with one's daily life, relationships, and responsibilities.

Any Advice?


Oftentimes when I don't want to have sex, it's because my stress levels and anxiety are all over the place and my yoni can't stand the pressure of it all. As your mental health fluctuates, so can your libido and it's important to listen to the needs of your body as it ebbs and flows with your mental wellness. "I would encourage people first to listen to their bodies. While things like frequency or length of sex might feel important, resist the urge to try and shame or judge your body into behaving differently; spoiler alert – it likely won't work. Instead, center pleasure," advises Shadeen Francis, LMFT.

"What would feel good to you? Is there any way you could connect to your body that could feel pleasurable or satisfying?"

The sex and relationship therapist shares with xoNecole. "Examples might be sitting in the sun, getting spanked, taking time to lotion your skin, laying under a heavy blanket, or being tickled. Communicate with your sexual partner [or partners] about what is happening, what kind of support you need, and what kinds of play you're available for. It is not unusual for partners to be surprised, disappointed, or even frustrated by the changes, however mental health is health, and nobody should be shamed or judged for being unwell."

Featured image by Shutterstock

ACLU By ACLUSponsored

Over the past four years, we grew accustomed to a regular barrage of blatant, segregationist-style racism from the White House. Donald Trump tweeted that “the Squad," four Democratic Congresswomen who are Black, Latinx, and South Asian, should “go back" to the “corrupt" countries they came from; that same year, he called Elizabeth Warren “Pocahontas," mocking her belief that she might be descended from Native American ancestors.

But as outrageous as the racist comments Trump regularly spewed were, the racially unjust governmental actions his administration took and, in the case of COVID-19, didn't take, impacted millions more — especially Black and Brown people.

To begin to heal and move toward real racial justice, we must address not only the harms of the past four years, but also the harms tracing back to this country's origins. Racism has played an active role in the creation of our systems of education, health care, ownership, and employment, and virtually every other facet of life since this nation's founding.

Our history has shown us that it's not enough to take racist policies off the books if we are going to achieve true justice. Those past policies have structured our society and created deeply-rooted patterns and practices that can only be disrupted and reformed with new policies of similar strength and efficacy. In short, a systemic problem requires a systemic solution. To combat systemic racism, we must pursue systemic equality.

What is Systemic Racism?

A system is a collection of elements that are organized for a common purpose. Racism in America is a system that combines economic, political, and social components. That system specifically disempowers and disenfranchises Black people, while maintaining and expanding implicit and explicit advantages for white people, leading to better opportunities in jobs, education, and housing, and discrimination in the criminal legal system. For example, the country's voting systems empower white voters at the expense of voters of color, resulting in an unequal system of governance in which those communities have little voice and representation, even in policies that directly impact them.

Systemic Equality is a Systemic Solution

In the years ahead, the ACLU will pursue administrative and legislative campaigns targeting the Biden-Harris administration and Congress. We will leverage legal advocacy to dismantle systemic barriers, and will work with our affiliates to change policies nearer to the communities most harmed by these legacies. The goal is to build a nation where every person can achieve their highest potential, unhampered by structural and institutional racism.

To begin, in 2021, we believe the Biden administration and Congress should take the following crucial steps to advance systemic equality:

Voting Rights

The administration must issue an executive order creating a Justice Department lead staff position on voting rights violations in every U.S. Attorney office. We are seeing a flood of unlawful restrictions on voting across the country, and at every level of state and local government. This nationwide problem requires nationwide investigatory and enforcement resources. Even if it requires new training and approval protocols, a new voting rights enforcement program with the participation of all 93 U.S. Attorney offices is the best way to help ensure nationwide enforcement of voting rights laws.

These assistant U.S. attorneys should begin by ensuring that every American in the custody of the Bureau of Prisons who is eligible to vote can vote, and monitor the Census and redistricting process to fight the dilution of voting power in communities of color.

We are also calling on Congress to pass the John Lewis Voting Rights Advancement Act to finally create a fair and equal national voting system, the cause for which John Lewis devoted his life.

Student Debt

Black borrowers pay more than other students for the same degrees, and graduate with an average of $7,400 more in debt than their white peers. In the years following graduation, the debt gap more than triples. Nearly half of Black borrowers will default within 12 years. In other words, for Black Americans, the American dream costs more. Last week, Majority Leader Chuck Schumer and Sen. Elizabeth Warren, along with House Reps. Ayanna Pressley, Maxine Waters, and others, called on President Biden to cancel up to $50,000 in federal student loan debt per borrower.

We couldn't agree more. By forgiving $50,000 of student debt, President Biden can unleash pent up economic potential in Black communities, while relieving them of a burden that forestalls so many hopes and dreams. Black women in particular will benefit from this executive action, as they are proportionately the most indebted group of all Americans.

Postal Banking

In both low and high income majority-Black communities, traditional bank branches are 50 percent more likely to close than in white communities. The result is that nearly 50 percent of Black Americans are unbanked or underbanked, and many pay more than $2,000 in fees associated with subprime financial institutions. Over their lifetime, those fees can add up to as much as two years of annual income for the average Black family.

The U.S. Postal Service can and should meet this crisis by providing competitive, low-cost financial services to help advance economic equality. We call on President Biden to appoint new members to the Postal Board of Governors so that the Post Office can do the work of providing essential services to every American.

Fair Housing

Across the country, millions of people are living in communities of concentrated poverty, including 26 percent of all Black children. The Biden administration should again implement the 2015 Affirmatively Furthering Fair Housing rule, which required localities that receive federal funds for housing to investigate and address barriers to fair housing and patterns or practices that promote bias. In 1980, the average Black person lived in a neighborhood that was 62 percent Black and 31 percent white. By 2010, the average Black person's neighborhood was 48 percent Black and 34 percent white. Reinstating the Obama-era Fair Housing Rule will combat this ongoing segregation and set us on a path to true integration.

Congress should also pass the American Housing and Economic Mobility Act, or a similar measure, to finally redress the legacy of redlining and break down the walls of segregation once and for all.

Broadband Access

To realize broadband's potential to benefit our democracy and connect us to one another, all people in the United States must have equal access and broadband must be made affordable for the most vulnerable. Yet today, 15 percent of American households with school-age children do not have subscriptions to any form of broadband, including one-quarter of Black households (an additional 23 percent of African Americans are “smartphone-only" internet users, meaning they lack traditional home broadband service but do own a smartphone, which is insufficient to attend class, do homework, or apply for a job). The Biden administration, Federal Communications Commission, and Congress must develop and implement plans to increase funding for broadband to expand universal access.

Enhanced, Refundable Child Tax Credits

The United States faces a crisis of child poverty. Seventeen percent of all American children are impoverished — a rate higher than not just peer nations like Canada and the U.K., but Mexico and Russia as well. Currently, more than 50 percent of Black and Latinx children in the U.S. do not qualify for the full benefit, compared to 23 percent of white children, and nearly one in five Black children do not receive any credit at all.

To combat this crisis, President Biden and Congress should enhance the child tax credit and make it fully refundable. If we enhance the child tax credit, we can cut child poverty by 40 percent and instantly lift over 50 percent of Black children out of poverty.


We cannot repair harms that we have not fully diagnosed. We must commit to a thorough examination of the impact of the legacy of chattel slavery on racial inequality today. In 2021, Congress must pass H.R. 40, which would establish a commission to study reparations and make recommendations for Black Americans.

The Long View

For the past century, the ACLU has fought for racial justice in legislatures and in courts, including through several landmark Supreme Court cases. While the court has not always ruled in favor of racial justice, incremental wins throughout history have helped to chip away at different forms of racism such as school segregation ( Brown v. Board), racial bias in the criminal legal system (Powell v. Alabama, i.e. the Scottsboro Boys), and marriage inequality (Loving v. Virginia). While these landmark victories initiated necessary reforms, they were only a starting point.

Systemic racism continues to pervade the lives of Black people through voter suppression, lack of financial services, housing discrimination, and other areas. More than anything, doing this work has taught the ACLU that we must fight on every front in order to overcome our country's legacies of racism. That is what our Systemic Equality agenda is all about.

In the weeks ahead, we will both expand on our views of why these campaigns are crucial to systemic equality and signal the path this country must take. We will also dive into our work to build organizing, advocacy, and legal power in the South — a region with a unique history of racial oppression and violence alongside a rich history of antiracist organizing and advocacy. We are committed to four principles throughout this campaign: reconciliation, access, prosperity, and empowerment. We hope that our actions can meet our ambition to, as Dr. King said, lead this nation to live out the true meaning of its creed.

What you can do:
Take the pledge: Systemic Equality Agenda
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Featured image by Shutterstock

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