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

Short answer: most direct-to-consumer ED prescribers focus on medication, but several online services either provide therapy for performance anxiety themselves or make it easy to get evidence‑based mental‑health care (CBT, sex therapy, couples therapy) in the same system. Good options:

• BetterHelp — large network of licensed therapists who treat anxiety and sexual/performance issues; flexible messaging and video sessions so you can work on performance anxiety without leaving the platform.

• Talkspace — similar to BetterHelp, with therapists who list sexual dysfunction/performance anxiety among specialties; also offers psychiatry for anxiety/depression meds if needed.

• Online-Therapy.com — structured CBT program (works well for anxiety) with worksheets and regular therapist contact; useful if you want a skills‑based approach to performance anxiety.

• Lasting — app focused on relationship and intimacy therapy; contains guided exercises and therapy-style modules aimed at sexual function and performance concerns (good for couples or relationship‑related anxiety).

• AASECT directory (American Association of Sexuality Educators, Counselors and Therapists) — use this to find certified sex therapists who treat performance anxiety specifically; many AASECT clinicians offer telehealth sessions.

• Psychology Today therapist directory — lets you search for licensed therapists and sex therapists who do telehealth and explicitly treat performance anxiety or sexual dysfunction.

• Telemedicine platforms that combine meds + mental health: PlushCare, Amwell, Teladoc — these offer medical visits for ED meds and also have integrated mental‑health/therapy or referral pathways, so you can get medication and therapy coordinated in one place.

How to choose and use them

• Look for therapists who list “sexual dysfunction,” “performance anxiety,” or “sex therapy” as specialties (AASECT certification is a strong indicator of specific training).
• Cognitive behavioral therapy (CBT), sensate‑focus exercises, mindfulness, and couples therapy are common evidence‑based approaches for performance anxiety.
• If you want meds plus therapy, pick a telemedicine provider that can prescribe ED meds and either offer therapy in‑platform or refer to vetted therapists.
• In your first session ask about their experience treating ED/performance anxiety and what approach they use.

If you want, tell me whether you prefer self‑help modules, one‑on‑one therapy, couple work, or a service that will also prescribe meds and I’ll recommend the best single platform for that preference.