Super Tadalis SX is a combination medication that typically contains tadalafil (the same active ingredient in Cialis) and dapoxetine. Here's how both components work: Tadalafil: It is a PDE5 inhibitor, which helps increase blood flow to the ***** during ***** stimulation, making it useful for physical erectile dysfunction (ED) caused by issues like poor blood circulation. Dapoxetine: It is a selective serotonin reuptake inhibitor (SSRI), commonly used to treat premature ***** (PE), as it can help delay ***** by increasing serotonin levels in the brain. Psychological ED: Psychological erectile dysfunction is caused by mental or emotional factors, such as stress, anxiety, depression, performance anxiety, or relationship issues. Since Super Tadalis SX contains tadalafil, it can help treat the physical aspects of ED (e.g., improving blood flow to the *****) but does not directly address psychological causes of ED, such as mental stress or anxiety. That said, if psychological ED is a result of performance anxiety or stress, using a combination of tadalafil (for the physical side of things) and dapoxetine (to delay *****) might help in some situations. However, it won't resolve the root psychological issues. For long-term treatment of psychological ED, counseling, therapy (e.g., cognitive behavioral therapy), or relaxation techniques may be more effective. Does it work for psychological ED? In the short term, Super Tadalis SX can provide a temporary solution for physical symptoms (achieving and maintaining an erection), but it won't cure the underlying psychological causes of ED. If your ED has a psychological component, it might be helpful to address the root causes through therapy or counseling in conjunction with medication.