In the not too distant past, it was widely believed that most erectile dysfunction had its roots in psychological problems. Although it is now recognized that the vast majority of ED can be traced to physiological causes, psychotherapy can help the 10 percent or so of men whose erection difficulties are emotional or psychological in origin.
It probably is a good idea to get fully checked out by your medical doctor to see if your impotence is physiological in nature. Even if it is physiological, there may be a psychological component to the problems that would make it helpful to talk over your fears and worries with a psychotherapist.
Among the more common psychological factors that can cause impotence, according to EverydayHealth.com, are general anxiety, depression, lack of interest in sex, and problems related to low self-esteem. Other factors that a psychiatrist or psychotherapist can address are relationship problems, problems communicating with your partner, anxiety or nervousness about sex, stress at home or at work, overly high expectations of yourself in terms of performance, and feelings of self-consciousness during sexual activity.