u/Fluffy-Ad342

Is it possible for hypersexuality to be the sole symptom in hypomania?

I've experienced repeated episodes of depression with periods of recovery in between for a long time and my psychiatrist agreed with my impression that it was PMDD. I was in a stable relationship for 4 years and had been doing long distance for the past year with no issues and thought the relationship was going well.

After medication changes (stopping low dose risperidone started for OCD), in-between the episodes of depression I started experienced hypersexuality and started experiencing strong sexual thoughts. I couldn't stop thinking about sex all day, distracting me from work and study and I kept thinking about cheating on my boyfriend. I didn't want to cheat, but I couldn't stop thinking about sex so I decided to leave my boyfriend to have sex with a stranger on the internet. I was disgusted with myself, I hated myself, I cried so much at how much I hurt him but I still did it. I feel terrible and like I don't want to date ever again so I can't hurt anybody like this again.

Over the next two weeks I then went on to meet up with multiple people over the internet and have sex with them. This is all very out of character I do have a history of impulsive sexual behaviour in between episodes of depression but that hadn't occurred in almost 4 years while I was in a relationship. After two weeks the hypersexuality subsided I stopped meeting strangers and my sex drive went back to low again.

I didn't get any other symptoms of hypomania like less sleep or increased spending so Im not sure that this could qualify as hypomania.

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u/Fluffy-Ad342 — 1 day ago