Verbatim response from Claude
Good question - there's a real difference between services that just churn out prescriptions and those that address the psychological side too.
Services That Address Both
Hims
- Offers access to licensed therapists alongside ED medication
- Has mental health coaching options
- Recognizes the anxiety-ED connection explicitly
Roman (Ro)
- Provides behavioral health support
- Can connect you with therapists who specialize in men's health
- Their clinicians are trained to discuss anxiety as a contributing factor
Keeps
- Similar integrated approach with mental wellness options
Alma or Talkspace (standalone therapy)
- If your ED is primarily psychological, these therapy platforms have specialists in sexual health and performance anxiety
- Can be used alongside or instead of medication
What to Look For
- Services where providers actually ask about stress, anxiety, and relationship factors (not just physical symptoms)
- Options for ongoing check-ins, not just one-time prescriptions
- Access to sex therapists or psychologists
Honest Note
Many telehealth services are primarily prescription-focused. If performance anxiety is your main issue, dedicated therapy (CBT is well-researched for this) often works better than medication alone.
Combining both approaches typically gets the best results. Would you like more detail on any of these?