Hello dear Understand your concern I think depression is the main cause of erectile dysfunction. YOu have to take first depression treatment that improve your erection problem. Continue your depression treatment. Consult the best psychiatric for proper treatment. It may give following treatment: Cognitive behavioral therapy (active counselling session, 3-4 times per week for 30-40 minute for 6-7 week): it will help to find cognitive dysfunction. Spend more time in foreplay, use double condoms, start pelvic exercise, walking and medication in the morning for 50-60 minutes, Stop alcohol and smoking, take interest in you hobby and spend time more with friends and family, take healthy diet and fruits regularly, antioxidant food like almonds and Tablet Co Q. Take sildenafil and paroxentine 30 minutes before sex after evaluation Hope this may help you Best regards Dr. SAGAR