Disliking contact with the opposite sex may be a manifestation of social anxiety disorder, post-traumatic stress disorder, obsessive-compulsive disorder, autism spectrum disorder, or specific phobias. This type of reaction is usually related to psychological defense mechanisms, past traumatic experiences, or differences in neural development, and needs to be comprehensively judged based on specific situations and accompanying symptoms.
1. Social anxiety disorder
The rejection of opposite sex touch may be an extension of social anxiety. Patients often overly focus on others' evaluations, and physical contact can trigger strong feelings of shame or embarrassment. Typical accompanying symptoms include rapid heartbeat, sweating, and avoidance of social situations. Cognitive behavioral therapy and progressive exposure training can help improve symptoms, and medications such as paroxetine and sertraline can also be used under the guidance of a doctor.
2. Post traumatic stress disorder
PTSD patients related to sexual trauma may experience contact avoidance reactions. Contact with the opposite sex may activate traumatic memory, causing flashback or dissociation symptoms. Commonly seen in individuals who have experienced sexual assault, molestation, etc., it is often accompanied by nightmares and increased alertness. Treatment should be combined with trauma focused therapy, and drugs such as venlafaxine and fluoxetine may help alleviate related symptoms.
3. Obsessive Compulsive Disorder
Some OCD patients have a fear of contamination or perfectionism anxiety towards physical contact. May repeatedly clean the touched area, or believe that contact can lead to catastrophic consequences. Symptoms are often associated with compulsive thinking, such as fear of contamination and the need to maintain symmetry. Exposure response prevention therapy combined with medications such as clomipramine can improve symptoms.
4. Autism Spectrum Disorder
Sensory hypersensitivity is a common feature of autism, and contact with the opposite sex may cause sensory overload. Patients often have difficulty understanding social distancing norms and experience strong discomfort with unexpected contact. Accompanying symptoms include repetitive behavior, communication barriers, etc. Sensory integration training and social skills training are the main intervention methods.
5. Specific phobias
The fear of contact with the opposite sex may develop into specific phobias, which belong to the subtype of anxiety disorders. Patients may develop excessive rational cognition, such as fear of being infected with diseases or being controlled. Exposure therapy combined with relaxation training has a better effect, and in severe cases, short-term use of anti anxiety drugs such as alprazolam can be used.
It is recommended that individuals with such difficulties record triggering scenarios and physical reactions, and gradually undergo systematic desensitization training. You can start with non-contact social interaction and use relaxation techniques such as deep breathing. If accompanied by serious symptoms such as depression and self injury, timely psychological treatment should be sought. Pay attention to establishing clear personal boundaries in daily life and regulate emotional responses through exercise, mindfulness, and other methods. Eating foods rich in omega-3 fatty acids and B vitamins can help stabilize nervous system function.
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