Her Indoors,
If you are going to say No to meds for the simple reason that they stop you from climaxing, let me clarify two thoughts, please. First, antidepressants don't stop you from getting aroused, it just takes work. And you don't feel frustrated or unhappy because you can't climax; you don't miss it!
The way antidepressants work (correct me y'all if I am wrong) is that the drug keeps your brain at a middle point so that you can't feel so depressed that you want to hurt yourself, and at the other end of the spectrum, you can't feel so damn good that you can climax. That would make endorphins (pain controlling happy hormones) flow, which antidepressants control.
Sex still feels good, and I am happy with that feeling with no other goal. DH still enjoys me, and we are just doing what makes him feel good and he's satisfied with it all. He knows that I can't climax, and that's alright. I still enjoy him. I don't miss climaxes at all. I would just a soon read a book.
Some people are not affected sexually by antidepressants, but I have never actually met one.
The second thought is that if your life is out of control and you think you need help, please ask for therapy. Maybe consider meds short - term to see if your quality of life improves. You may change your mind. You are in control.
It is my sole opinion (correct me if your mileage varies, everyone) that we have to be on antidepressants for at least a year before your brain "needs" meds on a permanent basis. That statement might create a whole 'nuther thread. For example, my personal brain Needs Meds Forever. I have attempted to live med-free, and you wouldn't like me.
Personally, I am willing to give up great O's for mental stability and the chance to live in society as a free person. We all make trade-offs.