Hello dear Understand your concern I think psychiatric problem like anxiety and that lead to depression are the main cause of erectile dysfunctions. You should consult the psychiatric for treatment and proper evaluation. First you have to take anti anxiety drugs which will be prescribed by psychiatric. Take full treatment and do not withdraw without informing psychiatric.For erectile dysfunction doctor may give following advice: Cognitive behavioral therapy and counselling: active therapy sessions (4-5 days per week, 40-45 minutes/sessions)-that identify the defect in though process and help in treatment. Start regular exercise like walking followed by medication in the morning for 45 min to 1 hour, be relax , positive and creative, stop alcohol and smoking, loose weight if you are overweight, use double condoms during sex, try women on top position, do pelvic exercise, take high protein diet, fresh fruits and anti oxidant rich items like almonds and Co Q tablet. Tablet gonadil F. If above advice will not work take tablet sildenafil plus paroxentine 30 minutes before sex after proper evaluation. Hope this may help you Best regards Dr. Sagar