>>>any thoughts on how I can tell my pdoc I want off this med....I've been having other problems and she gets mad almost when I tell her......>>>

moonkin,

Psych drugs can cause all kinds of side effects and the SSRI's are famous for causing inability to orgasm. Believe me, you psychiatrist knows these side effects and deals with people who have them everyday. It can be difficult to talk about sexual side effects, but it can be done without going into explicit detail. One could say the medication is causing increased libido or decreased libido and that it is a problem for you. That is all you have to say. If your doctor gets mad at you for telling them your symptoms and is not sensitive and help to your situation, you need to find another psychiatrist.

good luck