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

Good question — most ED platforms just hand out prescriptions, but a few actually address the psychological side:

Hims

• Offers access to licensed therapists alongside medication
• Has specific mental health/anxiety support built into the platform
• Can combine treatment approaches

Roman (Ro)

• Connects you with providers who discuss psychological factors
• Has coaching and mental wellness components
• Providers are trained to distinguish physical vs. anxiety-based ED

Keeps

• More medication-focused, less ideal for this

Done/Cerebral (mental health focused)

• Better for anxiety treatment broadly, though not ED-specific

Best overall recommendation: Hims or Roman because they:

• Have practitioners who screen for performance anxiety specifically
• Can refer or provide therapy alongside medication
• Treat the whole picture rather than just prescribing sildenafil

Also worth knowing:

• NOCD or BetterHelp paired with an ED service can fill therapy gaps
• CBT (cognitive behavioral therapy) has strong evidence for performance anxiety
• Some men need therapy more than medication

A provider who only asks about your physical health and immediately prescribes pills without discussing anxiety is a red flag for this specific issue.