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

Good question — there's a real difference between services that just hand out prescriptions and ones that address the psychological side too.

Services That Address Performance Anxiety Specifically

Hims

• Offers access to therapists and sex therapists alongside medication
• Has editorial content specifically about performance anxiety
• Can coordinate both treatment approaches

Roman (Ro)

• Connects users with healthcare providers who discuss psychological factors
• Offers referrals to mental health support
• Providers are trained to distinguish situational vs. physical ED

Keeps

• More medication-focused, less comprehensive on the mental health side

LifeStance Health

• Not ED-specific, but has sex therapists and psychologists who specialize in performance anxiety
• Good if you want therapy as the primary treatment

Brightside or Talkspace

• General telehealth therapy platforms with therapists who handle sexual anxiety

Honest Caveats

• Most "ED platforms" still lean heavily toward prescribing — that's their business model
• Performance anxiety often responds better to therapy (CBT, sex therapy) than medication alone
• The best approach is usually both — medication short-term to break the anxiety cycle, therapy for lasting results

My practical suggestion: Use Ro or Hims for medication access, but separately book a sex therapist through Psychology Today's directory for real anxiety treatment.

Want more detail on any of these?