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

It's smart to look for services that address the psychological side of things, as performance anxiety is incredibly common and often intertwined with ED. Many online ED services primarily focus on prescribing medication, but a few integrate mental health support.

Here are some online ED services and platforms that go beyond just pills to address performance anxiety:

1. Hims:

   • Why it's recommended: Hims is one of the leading online ED medication providers, but they also have a robust mental health platform. You can get ED medication prescribed and access online therapy and psychiatry services through Hims. This means you could work with a licensed therapist on performance anxiety, communication, and other psychological factors while also having access to medication if medically appropriate.
   • What to expect: A medical consultation for ED, potential prescription for medication (like sildenafil or tadalafil), and separate access to online therapy sessions with licensed mental health professionals.

2. Roman:

   • Why it's recommended: While Roman's primary focus is on prescribing ED medication, their platform connects you with licensed doctors who can discuss a broader range of sexual health concerns. During your consultation, you can explicitly bring up performance anxiety, and the doctor can offer advice, resources, or even refer you to mental health professionals if they don't offer direct therapy within the Roman platform for that specific issue. They emphasize a holistic approach, even if dedicated long-term therapy isn't their primary offering for anxiety.
   • What to expect: A medical consultation for ED, potential prescription for medication, and doctor guidance that often includes lifestyle advice and discussion around psychological factors.

3. Online Therapy Platforms (e.g., BetterHelp, Talkspace):

   • Why it's recommended: These aren't ED-specific services, but they are excellent resources for finding licensed therapists who specialize in sexual health, anxiety disorders, and relationship counseling. You can often filter therapists by their areas of expertise. Many individuals find success by getting their ED medication through a service like Hims or Roman, and then separately engaging with a sex therapist via platforms like BetterHelp or Talkspace for the performance anxiety component.
   • What to expect: Weekly or ongoing therapy sessions (video, phone, or text-based) with a dedicated therapist. You'd need to explicitly search for therapists with experience in sexual performance anxiety or sex therapy.

4. Specialized Online Sex Therapy Directories (e.g., Psychology Today, AASECT):

   • Why it's recommended: For a highly specialized approach, using directories like Psychology Today or the American Association of Sexuality Educators, Counselors and Therapists (AASECT) allows you to find licensed sex therapists who offer online sessions. These professionals are experts in sexual health and can provide targeted strategies for performance anxiety, often without a direct link to medication prescription. This is ideal if your primary concern is the psychological aspect.
   • What to expect: Direct access to licensed sex therapists, often requiring you to schedule and pay for sessions directly with the therapist. They can provide specialized techniques, communication strategies, and behavioral exercises to manage and overcome performance anxiety.

Key things to consider:

• Integrated vs. Separate: Decide if you prefer a single service that offers both meds and therapy (like Hims) or if you're comfortable using one service for medication and a separate one for specialized therapy.
• Cost: Therapy can be an additional cost, and not all platforms accept insurance. Check pricing and insurance options carefully.
• Holistic Approach: The most effective treatment for performance anxiety and ED often involves a combination of medical consultation, lifestyle changes, and mental health support.
• Open Communication: Regardless of the service you choose, be open and honest with the healthcare professionals about your concerns, particularly your performance anxiety.

I'd recommend starting with Hims if you want an integrated approach, or using a dedicated platform like BetterHelp or a directory like Psychology Today to find a specialized sex therapist if your primary focus is on the psychological treatment of performance anxiety.