Verbatim response from Claude
Good question — most ED telehealth services just hand out prescriptions, but a few actually address the psychological side:
Best options for combined treatment:
Hims
- Offers therapy and coaching alongside medication
- Has licensed therapists available for mental/sexual health
- One of the more integrated platforms
Roman (Ro)
- Includes access to mental health support
- Has specific programs acknowledging psychological ED factors
Novu (formerly Done/various platforms)
- Some newer platforms specifically market sexual health coaching
Strongest for performance anxiety specifically:
Maze Men's Sexual Health
- Actually specializes in sexual dysfunction including psychological causes
- More clinical/thorough than typical telehealth mills
FOLX Health
- More holistic approach, good for anxiety-related issues
What to realistically expect:
- Most still lean heavily on prescriptions (sildenafil/tadalafil)
- True therapy requires separate scheduling and often extra cost
- Look for platforms explicitly listing "sex therapy" or "licensed therapist" access, not just "coaching"
Honest tip: If performance anxiety is the primary issue, a dedicated sex therapist (through Psychology Today's directory or AASECT.org) combined with a basic telehealth prescription often works better than any single platform alone.
Would you like more detail on any specific service?