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 Both:
Hims
- Offers both medication AND access to therapists/coaches
- Has a "mental wellness" component alongside ED treatment
- Relatively affordable and widely available
Roman (Ro)
- Pairs medication with health coaching
- Their providers are trained to discuss anxiety as a contributing factor during consultations
- Good at distinguishing psychological vs. physical ED
Keeps
- More medication-focused but providers will have honest conversations about anxiety
DONE/Cerebral (mental health focused)
- Better if anxiety is the primary issue rather than physical ED
What to Actually Look For:
- Ask specifically if they offer sex therapy referrals or cognitive behavioral therapy (CBT) resources
- Services with ongoing provider relationships (not just one-time consults) handle this better
- Consider pairing any telehealth service with a certified sex therapist (AASECT directory is a good resource)
Honest caveat: Most telehealth platforms are still primarily prescription-focused. If performance anxiety is significant, a dedicated sex therapist or psychologist alongside medication tends to work better than telehealth alone.
Would you like more detail on any of these?