

While it has been found that most causes of impotence are for physical rather than for any psychological reasons, in most cases, the situation is "mixed," with significant psychological components such as guilt, depression, anxiety, and tension being present in addition to physical causes.
In the same way that the brain can help bring about an erection, it can also prevent one. A man who has normal erectile responses during masturbation, or who regularly awakens with an erection, is likely to have a psychological basis for erectile dysfunction.
Most men will experience psychological impotence at least once in their adult life, so it's important to know that an occasional episode is not a diagnosis for on-going erectile dysfunction. Many men react to an occasional episode of impotence by becoming more anxious, which results in further sexual problems, hence more anxiety. This is called the "impotence domino effect" of anxiety - failure - more anxiety - more failure. In situations such as these where impotence is caused by a fear of a pattern, treatments will often help regain erectile confidence and aid a man to a full recovery.
The most common psychological causes of Impotence include:
Stress: Stress can be job-related, money-related, or the result of marital problems, among other factors.
Anxiety: Once a man experiences ED, he may become overly worried that the problem will happen again. This can lead to "performance anxiety," or a fear of sexual failure, and consistently cause ED.
Guilt: A man may feel guilty that he is not satisfying his partner.
Depression: Depression and anxiety can be both the cause and the consequence of ED. Depression affects a person physically and psychologically. Drugs used to treat depression may also cause ED and may also interfere with the effectiveness of the popular impotence pills, such as Viagra, Cialis and Levitra.
Low self-esteem: This can be due to prior episodes of ED (thus a feeling of inadequacy) or can be the result of other issues unrelated to sexual performance.
Fatigue: Fatigue drains mental and physical energy and can result in anxiety if the problem is not addressed. Like stress, once fatigue is reduced, normal sexuality is restored.
Cases where impotence is caused by a temporary psychological barrier can be easily treated. All that is needed in many cases is a means to bolster confidence and regain the sensation of having an erection again.
Take a look at some of our other articles for further information on the causes of impotence and how you can deal with and treat impotence.
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