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SEXUALITY IN COMBATRELATED PTSD: HOW IT IMPACTS AND AFFECTS VETERANS ROMANTIC RELATIONSHIPS

Combat-related Posttraumatic Stress Disorder (PTSD)

Combat-related PTSD is defined as a mental health condition that develops after experiencing or witnessing severe trauma during military service or warfare. It can manifest symptoms such as intrusive thoughts, avoidance behaviors, increased anxiety, sleep disturbances, negative emotional states, irritability, aggressiveness, self-destructive behavior, hypervigilance, social isolation, and difficulty in regulating emotions. This disorder has been widely studied due to its impact on veterans' lives, including their sexual functioning.

Sexual Desire and PTSD

Sexual desire refers to an individual's interest in engaging in sexual activity for pleasure. Studies have shown that combat-related PTSD affects sexual desire by reducing libido or decreased motivation towards sex. Veterans suffering from PTSD report feeling less interested in engaging in sexual activities, reduced arousal during sex, and lack of enjoyment during intercourse. They also experience difficulties initiating and maintaining sexual relationships, leading to problems with intimacy and closeness in their romantic partnerships. These effects may be attributed to the psychological and physical symptoms associated with PTSD, which include depression, anxiety, insomnia, fatigue, and chronic pain.

Veterans may feel ashamed or guilty about their experiences in combat, affecting their self-esteem and confidence in pursuing sexual encounters.

Relational Functioning and PTSD

Relational functioning refers to how individuals interact with others in their personal and professional lives, including family members, friends, coworkers, and intimate partners. Combat-related PTSD can negatively influence relational functioning through various mechanisms such as increased conflict, reduced communication, and withdrawal behaviors. Veterans with PTSD may become emotionally distant from their partners, avoid intimacy, and have difficulty expressing emotions openly, creating misunderstandings, frustration, and hurt feelings. They may also struggle with anger management, leading to aggressive behavior that damages relationships.

Some veterans may exhibit a distrustful attitude toward others, making it challenging to establish close bonds based on trust, honesty, and mutual support.

PTSD can cause veterans to isolate themselves from social networks and avoid situations where they need to engage with others, further exacerbating relationship issues.

How does combat-related PTSD influence sexual desire and relational functioning?

Combat-related post-traumatic stress disorder (PTSD) can negatively impact sexual desire and relational functioning in several ways. Firstly, individuals with PTSD may experience difficulty initiating or maintaining intimacy due to intrusive thoughts, hypervigilance, avoidance of reminders of trauma, and emotional numbing.

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