I am aware of these things. Perhaps further information from me would assist you in reaching a more vivid conclusion. I am diagnosed with severe depression, and i have been prescribed medication for help with mood. I have high blood pressure, i am African-American, I am married to a beautiful...yet obese woman (Caucasion) that i want to leave because i am embarrassed by her appearance. Furthermore, I am attracted to more fit female bodies. When I see even a moderately fit woman, I want to have sex with her. Then I feel very upset because the woman that i married is not as fit as the typical woman on the street. I then feel guilty for feeling this way.
I know that this information is a bit much but, this is what i deal with everyday.