A Question For The Kinky Neurologists

Yes, it's a letters sort of week. But on this letter, I am putting out a call for suggestions. It's a tricky one, and I'd like to help this reader if I can.

Dear Mistress Matisse,

(Edited a bit for length. She said some very sweet things about my writing that made me smile.)

Thank you for helping to lay the groundwork that allowed me to come to a more fully actualized possession of myself as a masochist.

...I developed epilepsy due to a small laundry list of complications that occurred during my pregnancy. I have grand mal seizures and intense migraines now both of which are brought on primarily by too much stress; mentally, emotionally, or physically. I am being treated by a neurologist and I am medicated. My seizures have limited what I am able to do or the extent to which I am able to engage in a range of activities - I am contacting you in regards to what is perhaps the most viscerally frustrating.

My appetite for pain (bloodplay, floggings) and psychologically intense scenes (like rape fantasies) now far exceeds what I know I should really be putting myself through. Watered down scenes leave me restless and unfulfilled and while I can occasionally find satisfaction in primarily submissive play, in my heart I will always be a painslut. I enjoy being physically overpowered and it is nearly impossible for me to find my own pleasure without pain.

I suppose my question is simple yet infuriatingly vague - what should I do? My primary partner is new to BDSM (not that I'm exactly a veteran myself) so while he is wonderfully attentive and willing to learn, he doesn't have the experience or the intuition to be overly helpful. I'm almost always sexually frustrated now, and I'm at a loss as to how to reconcile my new limitations with the deliciously cruel treatment I crave.

Wow, this is a tough one. I get a lot of questions like this, from people who want to do BDSM, but who are challenged by various medical conditions. Usually I can come up with some suggestion. If you can't be hit with anything, if you can't have your skin broken, if you're not very strong, if your hearing or your vision or your speech or your balance are compromised - there are ways around most things. I've done BDSM with people in wheelchairs. You have to be creative, and it may not look just like the porn movies, but there's usually a way.

This one, though? I'm rather stumped. If you just flat can't be in any sort of pain or stress, regardless of how it's induced, then - my dear girl, you have my profound sympathy, but I don't know what to tell you.

Have you talked to your doctor about this? I think that's important, although I think you should go very carefully with that conversation. I would not use words like painslut and masochist. But you could certainly talk about how you and your partner like very vigorous sex, very intense sex.

But here's the one thing I can do for you: I can ask everyone else who's reading this: what do you know about this? Medical people in this field, and and other kinky people who have epilepsy - talk to me. What can this woman do? My email is MistressMatisse at aol.com, or at gmail.com.

I'll post replies here, and/or cut out the text and send it to her. Either way, everyone's anonymity will be preserved. Help me come up with some suggestions for this girl!