You already know that
stress or anxiety are external factors that can affect climax control, but there are other psychological reasons why you may develop a occasional lack of control or even experience premature ejaculation.
This is why
the mind plays a very important role in achieving optimal climax control. But for an ejaculatory reflex to occur, a
combination of both physical and mental factors must be present. This is why
cognitive-behavioral therapy can be highly effective,
as it fosters self-awareness and helps individuals recognize the interplay between their thoughts, emotions, and behaviors, without relying on medications.