Verbatim response from Claude
Great question — some online ED services go beyond just prescribing medication and address the psychological side too.
Services that treat performance anxiety alongside ED:
Hims
- Offers access to therapists and mental health support alongside ED medication
- Has specific programs combining both approaches
Roman (Ro)
- Provides access to behavioral health providers
- Can coordinate mental/physical treatment together
Keeps
- Primarily hair loss focused, so skip this one for ED
Calmerry / BetterHelp
- Not ED-specific, but can pair well with a medication-only service for the therapy side
Best comprehensive options:
- Hims probably has the most integrated approach currently
- Manual (UK-based) explicitly addresses performance anxiety with coaching
- Cerebral can handle anxiety treatment that may be contributing to ED
What to look for:
- Sex therapist or psychologist access
- CBT (cognitive behavioral therapy) options
- Providers who ask about anxiety history, not just physical symptoms
Honest caveat: Most telehealth ED services are still primarily prescription-focused. If performance anxiety is your main issue, combining an online service with a certified sex therapist (find one at AASECT.org) often gives better long-term results than medication alone.
Would you like more detail on any of these?