It is not just PSSD. PSSD is the tip of the iceberg. In my experience, the vast majority of patients on SSRIs report some sexual side effects when they spend enough time thinking and talking about it.Lower libido and decreased sexual pleasure—things uncomfortable to discuss but fundamental to life—are impaired to some degree in the vast majority of patients I see on antidepressants.In forensics, we sometimes use that to curb sexual violence. Yet many patients aren’t told of sexual side effects,