First of all, talk to your doctor about this.
Secondly, it's about what you need first. Do you want to feel sane and calm with no erections and sex, or do you want to get hard, have sex and cum while you feel anxious and depressed most of the time?
I know it's very difficult to choose. I am in my mid 30s. And I've been there three times in my life. First time, when I was 18, secondly when I was 25 and third time, very recently.
I was on Anafranil for 2 years. When I was at the peak dosage for a period of 5 months, I neither got erect nor came. I was basically a eunuch LOL When we started lowering the dosage, I tried very hard to get erect, but I did! And I came like a fountain. Imagine...It was 5 month's worth of cum. It was so thick and heavy that I did not shoot. It literally oozed out of my penis for like 5,6 minutes. And when the ejaculation was over, I was still feeling full.
The second time, I was on Effexor, similarly on a high dosage. I did not cum for a while again. When we started lowering the dosage I could get hard and cum. But still, the erection quality was bad.
And third round with antidepressants took place this year when I started having strong panic attacks after catching Covid-19. I tried to cope with the frequent and strong panic attacks by myself. But I could not. I started taking Cipram. I've been on Cipram (20 mg) for six months. No erections no libido again.. Btw, my libido was already low when I got Covid. I was having erection issues. So I am not sure this low libido and erectile dysfunction was solely the work of Cipram or the effect of both combined. Bcoz I had long Covid. It took me three months to get back to my pre-Covid health. I started lowering the dosage two weeks ago. Still , I cannot get hard by myself. I have to touch my penis and make it erect. Erection quality is 8/10. I can cum again. I'm gonna cut off Cipram completely in a week or two and see what happens.