Hey guys, About 3 years ago I discovered Nofap and finally discovered the reason for my lifelong sexual issues. I've had issues with both libido and actual performance literally my entire life and just never connected the dots with my porn usage prior to that time. About a year before I discovered Nofap, I also fell into a pretty deep depression that can 100% be attributed to my sexual and intimacy issues. I was able to quite porn cold turkey, and haven't looked at it (intentionally) once over the past 3 years. The urges to PMO to be honest have been few and far between. For me, BY FAR the biggest issue that I've dealt with over the past 3 years has been the post acute withdrawals/ flatline that arrived about a moth after stopping PMO for good. My withdrawls manifested themselves in the form of depression, crazy anhedonia (I literally couldn't feel joy or give a flying fuck about anything), extreme mental and physical fatigue, crippling brain fog, and perhaps most damaging to me personally, the fact that I completely lost both my ability and desire to socialize. I also dealt with some pretty gnarly migraines (which I'm still dealing with) and headaches in general in addition to being sick quite often over the past few years. I've been to multiple, multiple doctors and specialists trying to figure out what was going on with me. Nobody that I talked to from doctors, to psychiatrists, to neurologists really bought into PAWS from porn. I've tried literally everything suggested on this forum and others to accelerate the healing process. Cold showers, intermittent fasting, meditation, exercise, spending hundreds of dollars on supplements....I tried it all man. I'm not saying those things aren't helpful and that you shouldn't do them (you absolutely should except for the GD supplements) but they really weren't helping me in a tangible way. I was a shell of myself even 2.5 years after I quit PMO. I was beginning to lose hope and then about 4 moths ago, I decided to try the one thing that scared me the most and the thing that I had been stubbornly resisting trying with everything I had...antidepressants. Trust me, I know all the theories about why we go into withdrawal after quitting PMO. It is widely accepted that it's a dopamine issue, and that our dopamine receptors need time to heal after being flooded with artificial dopamine in the form of PMO for so long. The lack of dopamine also explained me major anhedonia, brain fog, depression, and inability to socialize. I am not exaggerating in the slightest when I say that I have literally been a different person for the past 3 years. It's like my life has been on pause the last few years and although it has caused setbacks for me both in my career and relationships, I finally feel like I'm breaking through to the other side. So, like I was saying believe it or not the thing that really turned it around for me was the SSRI Prozac. I'm on 20 mg (the lowest dosage) and it has done more to make me feel like myself than anything else has in a long, long time. SSRIs deal mainly with serotonin so how or why it helped me so much, I'm really not sure. I stopped trying to understand the science of this thing a while ago, because it was driving me crazy and wasn't really helping. The only thing that I would say is that depression and paws have a lot of overlapping systems, and dealing with underlying depression can definitely help symptoms that you assume were attributed to withdrawal. The common arguments that I hear against AD, and that I believed for a very long time were 1. They're gonna cause withdrawals as well and your brain needs to heal naturally. - This was my single biggest concern and the primary reason that I avoided going on them for so long. I was obsessed with healing my brain "naturally" and "organically" and without the aid of any drug that could replace PMO. After 2.5 years of very slow and non-linear progress I finally just said "fuck it, it's time to try something else." Within 6 weeks I was feeling way more normal than I've felt in a long, long time. I've been on the same minimal dosage for 4 months now. If I have to go through withdrawals when I come off, or hell, even if I have to stay on these for the rest of my life it's worth it. I literally wasn't living the past 2.5 years, and if this is what it takes, then this is what it takes. 2. SSRIS cause sexual side effects that's going to make the sexual part of the reboot even harder. This was the second big reason that I dragged my feet on taking an SSRI for so long. So first of all, let me just say that...yes it did cause some sexual side effects but it wasn't all bad. My libido was complete shit anyway and my erection quality was inconsistent but usually not great. Also, because I only MO'd (without P) a couple of times a month or so (after over a year of COMPELTE hard mode) I would bust super, super fast. Like annoyingly fast. Now my biggest problem is DE, which I (and my gf) much prefer to busting in 20 seconds. This has been a long post, but I just wanted to come back to detail what I've been through in the hopes of helping some other dudes who are struggling. So to summarize: When you quit PMO there is a very good chance that you will suffer withdrawals both sexually/libido wise and more devastatingly, mentally and physically. These withdrawals or post acute withdrawals last only a few months for some people and years for others. In general, they do get better in a non-linear and gradual pattern. What I personally would recommend to help yourself along in the reboot would be this: 1. No porn ever again 2. Go hard mode (no ejaculation at all) for at least several months 3. When/if you decide to return to MO, do it only occasionally (def no more than once a week MAX and with a light touch and without a lot of fantasy) 4. Definitely do all of the things recommended on this forum: Meditation and exercise are the top 2. You gotta do everything you can to help yourself out along this journey because it really is a rough ride. 5. Go to a doctor or multiple doctor and get yourself thoroughly checked out. Rule out anything else that might be going on 6. Find a real girl or guy after a period of hard mode for the first few months. The rewiring aspect of this journey is crucial, particularly for people who used porn during/before puberty or before having real sexual experience. You have to get your brain and your salami used to being attracted to real people. I can't overstate this enough. 7. Be patient with yourself and realize that shit is going to suck for a while. Your body and brain just need to heal so try to be your own best friend and treat yourself with the compassion that you would have for a friend who's going through some rough times. 8. If all else fails, and you're not seeing significant progress then don't be afraid to try an SSRI. I know the stigma surrounding them, and used to be 100% opposed to them. But I'm just reporting my own experience. I wouldn't be writing this without Prozac, that's for GD sure. Also, be aware that everybody is different and that you might have to try multiple medications before you find one that helps you. I still would view this as a last resort, and would try to give your brain time to heal and go through withdrawals naturally for a while. But that's just my opinion, honestly who the fuck knows. I hope this helps somebody. Trust me guys, I've been about as low as I could possibly be. Things looked so dark for so long and I honestly was losing hope. But things can change, even if it feels like they never will. So for anyone struggling with withdrawals, depression, anxiety, anything just keep pushing and be aware that as much as it may suck now, your life and the way you view your situation can look completely different in a little while. Everything is temporary. Just be easy on yourself during this time and know that you will come out the other side a stronger, more grateful, wiser person. I know hard it is to hear that when you feel like shit though, trust me I've been there. Keep pushing through, things will change for you eventually.