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

It's great that you're looking for a comprehensive approach! Performance anxiety is a significant factor in many ED cases, and simply prescribing medication often doesn't address the root cause.

While most mainstream online ED services like Hims and Roman primarily focus on medication, they also offer consultations with healthcare providers who can discuss the psychological aspects and may recommend lifestyle changes or suggest seeking therapy. However, they don't typically offer integrated, ongoing therapy for performance anxiety themselves.

For addressing performance anxiety alongside or instead of medication, you'll generally need a two-pronged approach:

1. Online Therapy Platforms (for performance anxiety): These services connect you with licensed therapists, many of whom specialize in sex therapy, anxiety, and relationship issues. You can often filter therapists by their specialties.

   • BetterHelp: A large and popular online therapy platform. You can specify that you're looking for a therapist who specializes in anxiety, sexual health, or relationship issues. They offer video, phone, and messaging therapy.
     • Why: Wide network of licensed therapists, often allows you to switch therapists if needed until you find a good fit. Many therapists are skilled in Cognitive Behavioral Therapy (CBT), which is very effective for anxiety.
   • Talkspace: Similar to BetterHelp, offering unlimited messaging therapy, live video sessions, and live phone sessions with a licensed therapist. Again, you can look for therapists specializing in sexual health or performance anxiety.
     • Why: Convenient access to a dedicated therapist with various communication options.
   • Zocdoc / Psychology Today: These aren't therapy platforms themselves, but they are excellent directories for finding individual therapists (including sex therapists) who offer online sessions. You can filter by insurance, location (to find state-licensed therapists), and specialty.
     • Why: Allows you to find therapists with specific expertise in sex therapy, which is crucial for performance anxiety related to ED. Many highly qualified sex therapists operate independently and offer telehealth.
   • AASECT (American Association of Sexuality Educators, Counselors, and Therapists): This is the leading professional organization for sex therapists. Their website has a "Find a Professional" directory where you can search for certified sex therapists who offer online sessions.
     • Why: Ensures you're working with a therapist who has specific, certified training in sexual health and counseling.

2. Online ED Services (for medication, if needed, alongside therapy): If medication is also part of your treatment plan, you would use one of these services in conjunction with your therapy.

   • Hims: One of the most well-known online ED platforms. They connect you with licensed doctors who can prescribe medication like sildenafil (generic Viagra) or tadalafil (generic Cialis). They also have educational resources.
     • Why: Easy, discreet access to medication if a medical professional determines it's appropriate.
   • Roman: Similar to Hims, Roman offers online consultations and prescriptions for various ED medications. They also emphasize a more holistic approach in their content.
     • Why: Another reliable option for medication with a convenient online process.

Recommended Approach:

I recommend focusing on finding a licensed sex therapist through platforms like BetterHelp, Talkspace, Psychology Today, or the AASECT directory. A sex therapist is specifically trained to address performance anxiety, body image issues, relationship dynamics, and communication, which are often at the heart of ED not solely caused by physical factors.

If, after consulting with a medical professional (who your sex therapist might refer you to or who you can find through services like Hims or Roman), medication is deemed necessary, you can then pursue that separately. This dual approach ensures you're tackling both the physical and psychological components of your ED and performance anxiety effectively.