How do I know whether mine is psychological or physical?
You usually cannot know with certainty from one pattern alone. If erections are more reliable alone or in the morning and difficulties are strongly situational, that can suggest an important psychological or contextual component. It does not rule out physical contributors. Persistent difficulties are worth discussing with a GP.
Am I too young for this to be physical?
Erection difficulties and performance anxiety can occur at any adult age. Being young makes a major vascular cause less likely than it would be in an older man, but age alone cannot tell you the cause.
What if ED medication did not work?
A poor response does not identify the cause by itself. Dose, timing, stimulation, medical factors and anxiety can all matter. Take an unexpected response back to the prescriber or pharmacist rather than using it as proof of one particular cause.
Is the programme just videos?
No — deliberately. The videos teach; the workbook is where the change happens. Each module leads into a specific exercise or practice rather than asking you simply to watch information.
Do I have to speak to anyone?
No. The programme is designed for private self-guided use. You do not have to describe anything personal or attend live sessions.
Can I still use the programme if I am having medical treatment?
Yes, the programme is designed to sit alongside appropriate medical care. It does not ask you to choose between a medical and psychological explanation.
What if I would rather talk to someone?
Optional 1:1 help is available. Many of the men I work with prefer online sessions for this particular subject because of the privacy and lack of travel. Whether online or in-person work suits you better is individual.