I never thought I'd say this but I now believe my EA to be mainly psychological. I have been having some success as of late - build up is the same seeing stars as it was the ten years or more ago when all was working. I believe I have an obsessive personality type; despite being fit, relatively healthy and of sound mind, I have a body dysmorphia problem which has troubled me (I now realise) since it all began. The success in feeling has for me been down to managing to switch off this obsessional thinking momentarily. GABA helps with this I have found. The hope ignited when I read here of a doctor claiming to have treated our problem, the cause being a 'mind-body disconnect', which I believe to be the case for me. Has anyone else here experienced similar? I believe I have a genetic disposition to anxiety related problems - I have suffered, and also rather miraculously recovered from bi-polar, and stress related disorders are evident in my family. For now the EA doesn't bother me so much - my libido is healthy, and I enjoy life, however my body dysmorphia is crippling! I believe my EA is a symptom of that. I have hope, though the dysmorphia does seem like the most difficult thing in the world to treat! However if I manage to treat it my life will turn around, irrespective of EA resolution.
Best, Empathy