Psychological issues may play a role in
erection problems (erectile dysfunction). These issues may include depression, anxiety disorder, or another mental disorder.
Men with these types of problems may benefit from therapy.
Psychological treatment is most likely to be
helpful for men who:
Have an erect penis when they wake up in the
Can get a firm erection when
Have gone through a stressful major life event, such
as divorce, separation, death of a loved one, change in job, or
Grew up in an environment where sex and sexuality were
considered negative, wrong, or "bad," or who were sexually or physically abused
as a child.
Lost their mother or father during early
Have a history of serious relationship
Have a history of anxiety disorders or physical problems
that have a psychological component (such as
irritable bowel syndrome, migraines,
asthma, or nervous bladder).
The type of
therapy and how long it lasts depends on what type of problem you have. Both group or individual therapy may be used. It's often helpful to involve your partner in the therapy.
Evidence shows that group therapy helps with erection
problems in some men. Adding group therapy to treatment with sildenafil
(for example, Viagra) helped more than sildenafil alone. Men who took part in group therapy also
were more likely to keep taking their medicine.footnote 1
Melnik T, et al. (2007). Psychosocial interventions for erectile dysfunction. Cochrane Database of Systematic Reviews (3).