Hi,
I am a third year medical student and I'm feeling very down. I have no life, I literally go to my rotation, come home study and sleep. I try to exercise a lot, and I do exercise almost every day but it's not helping at all and aside from the temporary endorphin rush it brings me, I feel down afterwards. It's not like an immediate feeling of sadness, but something implicit and just there.

I am Canadian and on private loans so I have to watch what I spend. I am also from a single parent household as my father has abandoned us in my first year of medical school. My family is far away and I miss them terribly, even my dad. I have seen a lot of death and I don't know how to deal with it, was at a trauma center for my surgery rotation, an inner city ICU rotation and now am at an Obgyn rotation with long hours. All my colleagues are cut throat and super competitive so I can't even catch a break. My school does not help and I don't have the time or the money to go see a psychatrist. I had a girlfriend who I really loved and cared about wanted to marry who left me after she got into med school in another state and is seeing someone else now.

I have tried to have sex with two different girls and suffered from horrible ED both times. The last time I had sex was with my ex girlfriend and it was normal, but that was over a year ago. I'm a good looking guy who is on the outside very charming, intelligent and suave but am very sad and very stressed out on the inside. I'm only 29 and too young to be having ED.

Please help. Thank you.