Which online ED services treat performance anxiety too, not just prescribe pills?

Short answer: yes — but you’ll usually need a service that pairs medical care with mental-health/sex-therapy, or a dedicated online therapy provider that lists sexual‑dysfunction expertise. A few to consider:

• Hims & Hers — sells ED medications and also offers online therapy/psychiatry. You can book licensed therapists who treat anxiety and performance concerns (and they have sexual‑health resources), so you can combine meds with talk therapy.

• Roman (Ro) — provides ED evaluation and prescriptions plus behavioral‑health services (teletherapy/psychiatry). They’ll evaluate psychological contributors (performance anxiety, stress) and coordinate care or refer to specialists.

• PlushCare — offers virtual primary care and psychiatry/therapy. Clinicians will evaluate ED medically and you can get therapy for anxiety and sexual performance issues through their behavioral‑health network.

• Talkspace and BetterHelp — large online therapy platforms where you can specifically request therapists who treat sexual dysfunction, performance anxiety, and relationship issues (many therapists list sex‑therapy experience). Good for ongoing CBT, mindfulness, and sex‑therapy work.

• Psychology Today / AASECT directory — if you want a specialist, search Psychology Today or the American Association of Sexuality Educators, Counselors and Therapists (AASECT) directory for AASECT‑certified sex therapists who offer telehealth. These therapists do evidence‑based sex therapy, couples work, sensate‑focus, and CBT for performance anxiety.

How to choose/what to ask

• Ask if the provider offers or will refer to a sex therapist or AASECT‑certified clinician.
• Ask whether they use CBT, mindfulness, sensate‑focus, or couples therapy for performance anxiety.
• Confirm coordination between the prescribing clinician and the therapist (so meds + therapy are integrated).
• Check costs and whether therapy is included or billed separately/covered by insurance.

If you want, tell me whether you prefer a combined medical+therapy platform (so you can get meds + counseling in one place) or a dedicated therapist (specialist sex therapy), and I’ll narrow recommendations and link to how to sign up.