Mixed anxiety-depressive disorder is a mental health condition where symptoms of anxiety and depression occur together but are not severe enough individually to meet criteria for separate disorders. Treatment usually includes therapy, lifestyle changes, and medications as advised by a doctor.

Not feeling pleasure during orgasm can be distressing, but it is a common and treatable problem. In your case, the most likely cause is your medication, especially Flunil (fluoxetine), which belongs to a group of antidepressants (SSRIs) known to sometimes reduce sexual desire and pleasure or delay orgasm. Your underlying conditions, like Obsessive-Compulsive Disorder and social anxiety, can also contribute by increasing stress, overthinking, or performance anxiety during intimacy. The best step is to discuss this openly with your doctor and do not stop the medicine on your own. Your doctor may adjust the dose, change to another medicine with fewer sexual side effects, or suggest timing strategies. Along with this, reducing anxiety through relaxation techniques, improving communication with your partner, and sometimes counselling or sex therapy can help improve your experience. In most cases, once the cause is identified and managed, sexual function improves gradually.

Dhat syndrome is mainly related to anxiety, stress, and misconceptions about semen loss, and it is very treatable with the right approach. The most effective treatment is counselling and reassurance, where a doctor explains that semen loss (such as through nocturnal emissions or masturbation) is normal and not harmful, which helps reduce fear and anxiety. Psychological therapies like counseling or cognitive behavioral therapy (CBT) are often used to manage stress and correct negative thoughts, while medications such as Fluoxetine or Clonazepam may be prescribed if there is significant anxiety or depression. In addition, maintaining a healthy lifestyle with regular exercise, good sleep, avoiding excessive worry about sexual health, and staying mentally active can greatly improve symptoms. With proper guidance and reassurance, most people recover well and lead a normal life.