by Aina Cagigos Martin | May 8, 2026 | Anxiety, Depression, Health, Mental Health, Relationships, Therapy
Depression and anxiety can change how you experience sexual intimacy. The low mood, loss of pleasure, and fatigue that come with depression in your daily life can also affect your sex drive, and end up bleeding into the bedroom. This is not uncommon among people with depression or anxiety: a 2022 systematic review and meta-analysis of people with Major Depressive Disorder not on medication found sexual dysfunction in 83% of women and 63% of men.
Sexual difficulties don’t mean you’re broken; it just means that your body and your mind are at capacity, and that is something your therapist can help you with.
How do depression and anxiety affect sexual drive?
Depression and anxiety can both get in the way of intimacy, but they do it differently.
In depression, you might feel like things you used to enjoy don’t feel as good anymore. This is a core symptom of depression that can extend to your sexual life. That’s because depression also comes with changes to your brain and the way it’s connected. The signals between the parts of your brain that handle desire, pleasure, and arousal can get disrupted. What’s more, depression can involve fatigue, changes in your sleep and appetite and sometimes a negative view of yourself, which can also affect intimacy.
Anxiety on the other hand activates your nervous system, your fight or flight mode, and gets your adrenaline pumping to face threats. A little activation can be neutral or even helpful during sex (Bradford & Meston, 2006), but elevated or chronic anxiety keeps your body locked in that state, which is the opposite of the relaxed state needed for arousal.
You might also feel like you can’t focus during sex, like your brain is everywhere. That’s because anxiety comes with worries, and a worried mind can’t stay present with sensations. Your attention might be pulled in many directions, such as self-monitoring, performance, thoughts about body image, or even finances and health. Your brain is too busy to stop and focus on intimacy, and everyday anxiety often morphs into anxiety about how things are going during sex itself.
Finally, antidepressant medication such as SSRIs (Selective Serotonin Reuptake Inhibitors) and SNRIs (Selective Norepinephrine Reuptake Inhibitors) can cause sexual side effects in 58-73% of people taking them. This further complicates the situation: is it the depression, anxiety, the medication or all of it? That would be the kind of question to bring up with your prescriber or therapist.
Should sexual health be part of my therapy?
Mental health difficulties and sexual difficulties affect each other. If you’re depressed, you may be more likely to develop sexual difficulties. And if you have sexual difficulties, you may be more likely to develop depression.
Even so, not all therapists routinely ask about sexual functioning. Many wait to be sure the client wants to talk about it, while clients often wait for the therapist to bring it up, creating an accidental mutual avoidance. But sexual well-being genuinely matters. The research shows that sexual quality of life is linked to overall quality of life and relationship satisfaction. And when it isn’t addressed, it can worsen the very thing you came to therapy for.
How do I bring it up in therapy?
Bringing this up can be hard, especially if it isn’t something you’ve talked about before. But a few things can make it easier:
- Naming the awkwardness is allowed. You can name how you feel about bringing up a topic, be it awkwardness, stress, shame, or guilt. Something as simple as “I’m not sure how to talk about this” is a good way in.
- Naming it once is the hard part. Once you’ve said it out loud once, the topic is in the room, and it gets easier from there.
- Being specific helps. Telling your therapist that something’s off with your sex drive is a good start but they may need more information. The better your therapist knows your problem, the better they can help. That might mean naming what’s changed, when it started, or whether it lined up with starting medication.
- Referral isn’t a rejection. If your therapist thinks this topic would be better handled by someone with specific training in sexual health, that’s not a rejection but a commitment to getting you the right care.
Therapy is your space to bring up anything you feel you need to work on. Talking about sexual difficulties may not be common in your day-to-day life, but it is an important part of your life and is completely normal to bring up in a therapeutic setting.
Not sure where to start? Connect with us today, we’re here for you.
by Rachelle Kostelyk Pals | Mar 2, 2026 | Communication, Connection, Relationships
We often think that validating someone means we must agree with them. The good news for relationships is that this isn’t true! Validation is about acknowledging and understanding someone’s emotional experience, while agreement is about sharing the same opinion or belief. Learning the difference can be transformative and creates space for both connection and authenticity in relationships.
In counselling sessions, one of the most common relational misunderstandings sounds like this: “If I validate them, it means I’m saying they’re right.”
This belief quietly fuels defensiveness, conflict, and emotional distance. But the truth is that validation is not the same as agreement. Understanding that difference can dramatically change your relationships — with your partner, your child, your friend, and even yourself.
What Is Validation?
Validation means acknowledging and accepting that someone’s internal experience makes sense from their perspective.
It sounds like:
- “I can see why you’d feel that way.”
- “That must have been really frustrating.”
- “It makes sense that you’re hurt.”
Nowhere are you saying, “You’re right.” Instead, you’re acknowledging, “Your feelings make sense.”
What Is Agreement?
Agreement is endorsing someone’s position, belief, or interpretation. It’s sharing ideological alignment.
It sounds like:
- “Yes, you’re right.”
- “I think they were totally wrong.”
- “I agree with your perspective.”
Why People Confuse the Two
When emotions run high, and our nervous system is activated, our brains switch into protection (fight or flight) mode. If someone is upset with us, we often assume:
- “If I validate them, I’m admitting guilt.”
- “If I validate them, I lose.”
- “If I validate them, my side doesn’t matter.”
However, validation doesn’t erase your experience. It simply acknowledges theirs. In fact, refusing to validate often escalates conflict — not because you disagree, but because the other person feels unseen.
Why Validation Changes Relationships
Neurologically, when someone feels heard and understood, their nervous system settles. Defensiveness lowers. Problem-solving becomes possible.
Without validation:
- The conversation stays stuck.
- Both people repeat themselves.
- Emotions intensify.
With validation:
- Emotional intensity decreases.
- People soften.
- Connection increases.
Validation creates safety — and safety is the foundation of healthy relationships.
A Real-Life Example
Imagine your partner says, “you never listen to me”.
You don’t agree — you feel like you do listen.
A defensive response: “that’s not true, I listen all the time”.
A validating response: “It sounds like you’ve been feeling unheard lately”.
You’re not agreeing that you never listen. You’re acknowledging their emotional experience.
That small shift can completely change the tone of the interaction.
Validation in Parenting
If a child says, “that’s not fair!”, you don’t have to agree that their situation is, in fact, unfair to choose to validate them. You can say, “It feels unfair to you right now, and I get that”.”
Contrary to what we might believe, children who feel validated learn emotional regulation. Children who feel dismissed learn to escalate emotionally, to amplify their voice to be heard and understood. It makes sense.
Validation and Boundaries Can Coexist
An important reminder is that validation does not mean tolerating harmful behaviour. You can say, “I understand that you’re angry. It makes sense. And I’m not okay with being yelled at.”
That’s validation, plus a boundary and strong relationships require both.
The Most Overlooked Place We Need Validation is From Ourselves
It’s easy invalidate our own emotions:
- “I shouldn’t feel this way.”
- “I’m overreacting.”
- “It’s not a big deal.”
Self-validation sounds like:
- “Of course this is hard.”
- “It makes sense that I’m feeling overwhelmed.”
- “Anyone in this situation might feel this way.”
Self-validation reduces shame — and shame creates a barrier to emotional health.
The Takeaway
Validation says, “Your feelings make sense”. Agreement says, “Your conclusion about this situation is correct and I agree with how you see it”. You can validate without agreeing. You can validate and still hold your perspective. You can validate and maintain boundaries. And when you do, relationships shift from power struggles to understanding, connection, and trust.
In counselling, we often see that people don’t need to win an argument — they need to feel seen. Learning the difference between validation and agreement may be one of the simplest — and most powerful — relational skills you can practice.
Need help with practicing this your relationship? We’re here to help. Connect with us today.
by Fiona Scott | Dec 16, 2024 | Anxiety, burnout, Creativity, Guidance, holiday, Mental Health, Positive, Relationships, rest, Seasonal, Self Care, Stress, Tips
Where did all this holiday stress come from?
Diwali and Thanksgiving are over. Hannukah, Christmas and Solstice are rapidly approaching. Eid is still a little way off. But whatever and however you do, or don’t, celebrate, it’s impossible to miss ‘The Holiday Season’. It’s everywhere. It’s on every social media outlet, tv station, radio station … and it’s exhausting.
Don’t get me wrong – I love me some cheesy music, lots of pretty lights and the excitement of an approaching ‘event’. But even though this year we don’t have children to deal with (ours have grown), major family commitments, or a lot of enforced socializing, I still find myself automatically going into that continuous, low-grade panic state. You know, that constant pressure to get it all done, have my home in a state of decoration that I’d never consider necessary during the year, become an instant gourmet cook, be able to source the perfect locally-made and sold goods (affordably) for people I don’t know that well … and on, and on, and on.
This isn’t meant to be a downer. I’m just wondering, in the middle of this apparent marathon which is December, to take a detour from the prescribed racecourse? Here are some suggestions – and please, this is NOT supposed to be a ‘more things to check off the list’ set of tasks. Just a few thoughts about making some meaning at a time that’s meant to be meaningful, but often leads to sadness, stress, mental load and overwhelm.
Make a New Tradition
We all love our traditions, don’t we? Well … do we? I spent years making my family come to pick out and cut down a real Christmas tree – my favourite family tradition – until I realized that everyone except me hated it, and once I knew that, I couldn’t really enjoy it anymore. So, that’s no longer on the list.
So, how about making a new tradition? Or tweaking an old one? Would the big family get-together work better on Christmas Eve, or Boxing Day? Could an annual snowfight become a new tradition in your family? Or a holiday scavenger hunt?
What would it look like to do the usual things, but in a way that didn’t load on hany big expectations? Could making cookies with the family HAVE to be from absolute scratch with hand-piped designs, or could you buy the ready-made dough with the baked-in designs and let the kids do it themselves (with predictable but fun results)?
Play Dysfunctional Family Bingo
How I wish I could take credit for this, but it goes to the author Martha Beck. If you HAVE to attend a family celebration and you’re dreading it (for whatever reason), find one or more fellow attendees who are likely feeling the same as you (whether it’s your partner, a cousin, whatever) and make up a bingo card of all the things you’re worried might happen. Auntie Dolly will have one too many and start singing embarrassing rugby songs. Grandpa will say something insensitive about minorities. Uncle Dave will bring up politics and start an argument. One of the kids will sneak chocolate and get it all over Cousin Sally’s white sofa. You get the drill! That way, when the feared worse DOES happen, then you can sneak a look at your co-conspirators and it will become funny, rather than awful. Trust me, it works!
Have Breakfast for Dinner
At some point during the holidays, have breakfast for dinner – whether it’s a huge fried hot meal, or cold cereal. Pair it with hot chocolate or hot apple cider, and make it a fun occasion. Don’t worry – just for once – about making sure the kids have 3 vegetables, or whether they’ll get crazy on the sugar. Just let everyone choose what will make them happy, and release all expectations for just one night.
You could tweak this to be a hot dog night, or anything else that everyone else will enjoy – the point is to take the pressure off everyone for a day, be a bit silly, and take a moment to relax your expectations.
For Goodness’ Sake, Get Out!
Isn’t it interesting that we have this perception that we should spend 24/7 with our loved ones at this time? If you don’t play ‘happy families’ at other times, then why do you think that you should be able to do that at a time the stress is already high? Find reasons to get out, whether it’s walking the dog, offering to be the one to pop out to the store to get extra stuffing or being the one to drive someone home after they’ve had a few drinks (buying you the solo drive back home).
The point of this is to manufacture little breaks in your time where you can put on some music/podcast, or just listen to the peace and quiet outside, take a few breaths, allow some stillness to creep into your mind and realize that life will go back to normal soon.
Try to Manage Expectations
You may have a very strong opinion on how things should go during the holidays. However, try thinking of things from others’ perspectives – maybe the twins’ parents need to leave early because right now it’s taking 3 hours to get them both to sleep. Maybe Uncle Bert refuses to attend a family dinner because he is scared to drive home at night but doesn’t want anyone to know. We don’t always know why people behave the way that they do, but if we can try to ‘assume best intentions’ – that they have their reasons and it probably doesn’t have anything to do with you – then it’s a lot easier to enjoy whatever energy people bring at this time of year, and return your best to them, also.
Support for Holiday Stress: Navigating the Season with Ease
If you’re finding the holiday season especially overwhelming this year, you’re not alone. The pressure to meet expectations, balance family dynamics, and maintain a sense of peace can take a toll on your mental well-being. Alongside You is here to support you during this challenging time. Whether you’re struggling with anxiety, stress, or simply need someone to talk to, our team of compassionate professionals is ready to help. Don’t face the holiday season alone — contact us today to explore how we can help you navigate this time with greater ease and peace of mind.
Whatever your holidays do, or don’t, look like – happy holidays, and I hope you find some peace this year.
by Andrew Neufeld | Jun 4, 2020 | Connection, Counselling, Racism, Relationships, Stress, Trauma
Yesterday, I took the day off from work. Originally it was scheduled so that I could take my wife to another of her recurrent surgeries for her chronic pain, which thanks to COVID-19, has been cancelled indefinitely. It happened to line up nicely, however, with cabinet install day for our home renovation that is thankfully heading ever so much closer to the finish line. It also coincided with a need that I’ve identified lately – that is, a need for rest. What I didn’t expect is to be spending most of the day feeling sad. For a while, I didn’t know why I was feeling this way, until the question loomed in my mind, “How do I respond to racism?”
You see, I’m one of the ones who is, on most given days, gleefully ignorant about racism. It’s not that I am not aware of it, because I am aware because on different parts of the world I’ve lived in, different ethnic groups I’ve worked with, clients I’ve seen, etc. It is, however, because on any given day, I am not personally subjected to it. In fact, it’s been exceedingly absent in my life. While I was pondering this question about how do I respond to racism all day yesterday, I realized that I can only think of one time in my life where I was keenly aware that I was being treated poorly because of my race. The details of the situation aren’t important here I don’t think, and likely wouldn’t spark any sort of helpful conversation, but it does highlight that in 39 years I can only think of one time where I was very aware of being discriminated against based on my race.
This doesn’t mean that I haven’t been aware of being treated differently, because I have been while travelling. While I would suggest that it’s still not okay, it’s normal, in my experience, to be seen as other when you’re in another country, and even hearing words like gringo if you happen to be white. Or, if you’re living in Ukraine and your friend is from Korea, it’s not uncommon for kids to stop dead in their tracks and stare simply because they’ve never seen an Asian person before.
There’s a massive difference, however, in the experiences I’ve had versus those from whom we’ve all been hearing from in the past few days through the Black Lives Matter movement and protests, and the devastating events around the death of George Floyd. In all of my 39 years, I can only recall one instance where I felt unsafe or threatened as a result of my treatment based on my race.
This is in contrast to some who can’t go 39 days, or 39 minutes, or perhaps 39 seconds between experiences that make them feel unsafe, threatened, or less than.
This makes me sad.
It makes me feel a whole lot of other things, including mad, confused, angry, frustrated, scared, and more. But, if I give myself the time to actually sit with the emotions and discern what I’m feeling, the core of it is sadness.
I’m sad because although I do my very best to honour everyone, regardless of race, colour, creed, ethnicity, or otherwise, I know that at some point I have unwittingly made someone feel this way myself.
I’m sad, because a part of my heritage story is related to culture – my family came to Canada in the early 1900’s because they were literally being killed off for being who they were, and coming to Canada saved their lives. And we still have the same problems over 100 years later.
I’m sad because although my wife and I do our best to raise our girls to love and respect everyone they meet, from all races and creeds and backgrounds, they too will struggle to follow through and will make mistakes, and this will inflict further pain even into the next generation.
We come from privilege. We are white, middle-class, and I am male. This carries a privilege that I am becoming more and more aware of. It carries a responsibility to realize this, and understand this, and do better in our actions as we move forward.
Now, some of you may have just cringed at that last paragraph. Some of you may feel that what I’m saying means that those of us who come from privilege need to be sorry for, repentant of, or similar for the fact that we are white, grew up reasonably well off, and may be male.
That’s not at all what I’m saying, and that’s not at all what privilege means. It simply means that we have some advantages in life that others do not, simply by being born into what we’re born into. With that carries a responsibility to be aware of this, and use this privilege to care for others.
It also doesn’t mean we didn’t work hard to get what we have, to do what we do, and that we shouldn’t appreciate it, and enjoy it. It simply means that if we didn’t have the privilege we do, it likely would have been harder for us to have the same successes in life.
How Do I Respond To Racism?
Herein lies the problem. I am by no means an expert on race relations, cultural history, sociology, or otherwise. I don’t have any perfect answers to this, or even particularly qualified ones. Instead, here are some thoughts I’ve had over the past few days that hopefully might be helpful to us all as we wrestle with this issue of racism that I don’t believe is going to go away anytime soon. How do we respond? What do we need right now to make changes?
We Need Grace
Nothing highlights the need for grace more to me right now than writing this article. I know that it is nowhere near perfect, and doesn’t come up with any astounding answers to any of the massive, looming questions many of us have. I know I’ve made mistakes in this article in my own ignorance.
This highlights our need for grace as we navigate this challenging issue, in a challenging time. While this article isn’t authoritative, or perfect, it is honest.
This are simply my honest wrestling with an issue I don’t know enough about. It is the start of an attempt to lend help, even in my own imperfection, with initial thoughts on a complex issue.
I ask for your grace as you read this, and I would ask for grace for us all, from those who are subjected to racism on a daily basis. You don’t deserve this treatment, and we don’t deserve your grace – but, if you can muster some grace for us while we try to change our understanding and our behaviour, we will all hopefully win in the end.
With grace, we can have hope for a different future, one that honours everyone, from all races and cultural backgrounds. A future that holds promise for us all.
We need to feel sad
Understandably, there is a lot of anger right now over the state of race relations, and particularly over the death of George Floyd. And, there should be anger over what happened to Mr. Floyd, and what has happened to far too many people over the years who have been subjected to similar treatment.
In my area of expertise, psychology, we understand generally that anger is a basic emotion (one of the 6 basic emotions according to the Gottman Institute). Anger, however, is often a secondary emotion – based on underlying emotions that aren’t expressed.
One of the most common source emotions for anger that I see, particularly in men, is sadness. I know for myself, I am far more likely to express anger than I am sadness. It’s not particularly socially acceptable in North America for men to express sadness, but it is much more socially acceptable (if only for being more common) to be angry.
The problem is that very few productive conversations happen through anger and the expression of anger. It doesn’t mean it’s not valid, it just isn’t as effective in communication. If someone is angry with us, our back usually goes up and we become defensive. Very rarely is our response to ask something like, “Can you help me understand why you’re angry, please tell me more.” Instead, our fundamental biology kicks in through our limbic system and we go to defensive mode, and most likely, enter into our fight-or-flight stance (or freeze for that matter).
What happens, then, if we embrace the underlying sadness? I’d suggest it instructs us better (I can easily describe right now why I’m so sad about all of this versus if you asked me in the angry moments to describe why I’m angry), and it’s more effective in communication. If someone tells us they’re sad, we’re far more likely to respond in curiosity and kindness wanting to know more, simply because our limbic system isn’t firing.
“Anger is valid and ok, but we shouldn’t gloss over the underlying sadness.”
We need to educate ourselves
This may seem blatantly obvious, but it’s still the truth. We are woefully uneducated as a whole about racism, no matter what our background is. This is where I will plead ignorance regarding resources because I’m at the stage of doing my best to find out what some of the most helpful resources are.
There are two main reasons that we need to educate ourselves: to understand, and to reduce pain.
While I am early on in my journey toward education on this subject, I did come across this article that lists a number of resources that I have seen posted many, many times and seem to be helpful. Our very own Rebecca Farnell posted the book, Me and White Supremacy: Combat Racism, Change the World, and Become a Good Ancestor on her Instagram feed and it seems like it would be a good resource for those of us wanting to learn more. I am continuing to look to find resources that are suggested by people who know far more about this than I do. I’ll update this post as I find more resources as I hope it will be helpful to others.
The second reason we need to educate ourselves is because when it comes to pain, the inevitable result of racism, current pain science research shows that it is one of the greatest modifiers of the pain we experience.
Since I do have a particular interest in chronic pain and the psychological management of pain, I was reading The Explain Pain Handbook: Protectometer yesterday to try to find some resources for a client. In this book they explain that in terms of physical pain, embracing bioplasticity and education about pain can adapt the body to reduce pain and disability and increase life satisfaction (p.30). They also state that bioplasticity is based on the research on neuroplasticity which is the research showing that our brain is able to change over time, no matter our age.
What we do know, is that physical pain and emotional pain act the same way in the brain, and hit the same receptors. We have documented data on the effects of traumatic stress on the brain. It seems to me that if education can reduce our physical pain, it should help our emotional pain. If we know what is happening, we can respond differently, and this can change the impact on our neurobiology.
We need to connect
More than ever, we need to connect around this issue. We need to learn together, do better together, change together. I’m convinced that the solution to our problem with racism lies in human connection. It’s going to be a long road, but connection is where we start.
If we connect, we can learn from those who are hurting and change our behaviour. If we connect, those who are hurting can understand the perspective of the perpetrators and what they are trying to do to change, thus reducing their pain. Note well, this is not to excuse the perpetration, it is to understand one another’s positions and the efforts being made to change for the better, and to reduce pain in the meantime.
If we connect, we can reduce pain. I remember a study that Sue Johnson mentioned once (and I’m actively trying to find the study), where subjects participated in a random controlled trial on secure relationships and pain response. From memory, they had three conditions:
- Subject enters the room, is shocked with electricity, and their pain response is measured.
- Subject enters the room, a random person is also sitting in the room, and the subject is shocked with electricity and their pain response is measured.
- Subject enters the room, another person they have a safe, secure relationship with is also in the room, and the subject is shocked with electricity and their pain response is measured.
In that third condition, the study found that they could get the pain response down to almost zero. Let’s remember, the other person in the room did nothing other than sit in the room with them.
This is how powerful safe, secure human connection is. If we can find ways of doing this in the midst of our pain around racism, we stand a chance to weather the storm while we try to make the changes we need to make to do something about it.
Our commitment at Alongside You
I hope it goes without saying that everyone is welcome at Alongside You. We embrace all races, cultures, and backgrounds at our clinic. Our staff and associates come from all backgrounds, as do our clients. Our intent is to welcome anyone and everyone and that they would feel loved, and cared for.
I also understand that we are not perfect, and we too make mistakes. Here is my commitment as the Director of our clinic – if anyone has had, or in future has any concerns about how they are treated by our clinic for any reason, and particularly with regard to race and ethnicity, please contact me directly and I will sit down with you personally to listen, to learn, and to see what if anything needs to change at our clinic.
Safety, security, compassion, and respect are core to our values and I commit to doing anything I can do ensure that these values are communicated to every client by our words, our actions and our policies.
Thank you for taking the time to read this, and if you’re struggling with racism in any way, we’re here with you in the middle of it. Let us know how we can help.
