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Old 17-04-2021, 10:08 AM
DoctorTan DoctorTan is offline
 
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Re: unable to stay erected in real life but can fap off porn

Quote:
Originally Posted by StealthBomber View Post
Doctor, certainly brain / mental state has a big role to play. Like how stress totally kills performance Concern about using meds is that, again, mental state might shift to psychological dependence on it. Is this a possibility and creating a new problem?
You are absolutely right. We are concerned about creating a psychological dependence on meds. What some Doctors do to overcome this is to give these meds on a scheduled dose rather than a on-demand dose. In my personal experience, most of my patients actually are able to stop using the meds and do not develop a dependence.

Of course if the patient can recover without meds that will be ideal. I have tried referring some patients to a therapist/counsellor but many times the counsellor advises the patient to come back to see me for meds.

It is a challenging issue and I certainly admit western medicine does not have ideal solutions.