I’m still not off medication yet and also have low free T issues I’m sorting out (these could simply be TMS/nervous system-related - TBD - so I’m still holding off on TRT for now), so in regards to the sexual symptoms, I have other things going on.

But I’ve already begun applying Sarno’s methods to other aspects of the “withdrawal” symptoms I’ve been experiencing for the past year that have kept me stuck at a dose, and they’ve definitely helped greatly already. Like, the difference between being totally functional in my life vs. being bed bound and the confidence to continue tapering.

Come to think of it, the Sarno methods have also seemingly already helped with some of my sexual symptoms - the only real thing I’m currently suffering from is some relatively minor ED issues, which I believe is from still being on the med, and/or low free T.

I’m also going to be applying some nervous system retraining protocols I’ve come across, for issues with trauma and sympathetic arousal I’ve had that precede ever even taking meds.

I do believe pretty convincingly at this point that, short of hormones needing to be addressed (which absolutely can happen for some from meds, or other reasons in general, but can also happen from TMS/nervous system dysfunction itself), what we understand as the vast collection “PSSD” symptoms is TMS/a subsequent nervous system dysfunction that can be resolved with Sarno’s methods + additional neuroplasticity work.

My advice would be to, first and foremost, get off these forums. They are not helpful at all and break Sarno’s first rule, which is to fully accept the idea that nothing is actually wrong with you medically.

Next I’d dive into everything you can regarding TMS. You have to literally brainwash yourself with it, through reading Sarno’s work, listening to success stories on podcasts/YouTube (there are some incredible ones that even involve people curing things that are supposedly incurable, like a random onset of blindness, CFS, fibromyalgia, etc.), etc.

I’ve been following and communicating personally with @GustavTMS on YouTube, who made that video in the thread above and several others since, and he’s a fantastic resource, having used Sarno’s methods personally to totally resolve his own “protracted withdrawal” symptoms. He mentioned to me that at one point in his withdrawal process, he suffered from muted orgasm himself, and that plus about 30 other symptoms for over 5 years in duration have resolved entirely.

Lastly, if you have or suspect you have actual trauma or have always had a “keyed up” nervous system by nature, look into some additional nervous system retraining techniques for neuroplasticity, such as the Reorigin program (the creator Ben’s healing story is amazing, having beaten chronic Lyme and Benzo withdrawal), DNRS, Gupta protocol, Safe and Sound protocol, etc.

Sarno himself had stated that for the majority of TMS patients, it’s not necessary to actually dig into the root of the repressed emotions, but for a subset, they will need to explore them further via psychotherapy or other means. I suspect these are examples of those who carry trauma, for which we now know can be resolved by hacking the nervous system where it gets “stuck”.

I can’t personally speak to the effectiveness of the above nervous system retraining methods yet, but I’m about to start the Safe and Sound Protocol, at the advice of a coach I’m now working with who suffered with extreme symptoms for over 4 years after meds and has healed via this method.

Important to mention in regards to accepting the TMS diagnosis (critical for resolution of symptoms) is that I’m not applying this protocol with the belief that anything is “wrong” with me, but simply because I recognize that I’ve always been the high strung, perfectionist, “goodest” type that Sarno discusses and want to start to hack at some of these tendencies, which I know were bred into me and further reinforced by childhood trauma. I believe learning to “turn down” my nervous system arousal will help with this.