The stomach nervousness, chest tightness (dysautonomia) and hyper-vigilance make me think hyperactive norepinephrine/beta receptors are involved. Since low dopamine is probably playing a role in your symptoms and ginseng increases both DA and NE, I can recommend that at 2400mg. Allow 12 weeks for it to start working. Something to help with the shame/anxiety too, maybe just read some good articles, get exposure or theanine, idk. Forskolin boosts oxytocin and energy levels, but can be slightly anxiogenic.
It's usually the women experiencing the so-called postcoital dysphoria (PCD), in part because they are more likely to be victims of rape. In most PCD is an unpredictable phenomenon, occurring only once or twice over a lifetime. For others it's a daily reality. Most probably, a combination of sexual abuse and maladapted parenting strategies are to blame for the chronic subject's pathological shame (in the acute subject, alcoholic regrets are the typical culprit). It's worth noting PTSD can push you the other way, too, with clear trends towards hypersexuality and shamelessness (seen in cases of non-sexual abuse and in the related condition, borderline syndrome).
Although PTSD affects dopamine transport and reactivity, I find the likelier explanation to be non-pharmacologic. Certainly, SSRIs involve frontal dopamine and norepinephrine, and this somehow treats PCD, but PCD is not to be confused with the shame of PTSD. Like the girl's parents, your 2014 experiences are to blame. The OP's abuse, if I may stab a guess, was sexual, and to this day, the shame connected with an encounter endures for weeks. Allowing for the recency of the trauma and other uncontrollable life factors, the severity of your symptoms today is not so surprising. Given time and a supportive environment, a 90% recovery is possible.
I am not one who believes sexual deprivation to ever be good. Freud argued it was the main source of neurosis, an unresolved condition, the life force of frustrated chumps. Regardless what Freud thinks, the fear of intimacy explains your change of heart, shame, and difficulty connecting; you just have to work within it. Perhaps as sex becomes more regular (exposure), the body will re-acclimate itself and the negative effects will become less intense.
Edited by gamesguru, 04 November 2016 - 10:37 AM.