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

You're looking for a comprehensive approach, which is smart because performance anxiety is a significant factor in many ED cases. While many online services focus solely on medication, a few are starting to integrate mental health support or offer clear pathways to it.

Here are some online ED services that address performance anxiety, not just prescribe pills:

1. Hims:

   • Why: Hims is one of the leading platforms that offers both prescription ED medications (like sildenafil and tadalafil) and online therapy for anxiety and depression. This integrated approach allows you to address the physical aspects of ED while also working through the psychological components like performance anxiety with a licensed therapist. They make it relatively easy to access both types of care through their platform.

2. Roman (Ro):

   • Why: While Roman is widely known for ED medications, their broader "Ro" platform includes various health services, including mental health. While it might not be as tightly integrated as Hims' direct therapy offering within their men's health section, you can often coordinate care or use their resources to find a therapist who can help with performance anxiety in conjunction with your ED medication.

3. General Telehealth Platforms (e.g., Amwell, Teladoc):

   • Why: These platforms connect you to a wider network of doctors and therapists. While they don't specialize in ED and anxiety as a single, pre-packaged service, you can specifically look for a general practitioner who can discuss and prescribe ED medications. Crucially, you can also separately connect with a licensed therapist (potentially one specializing in sexual health or cognitive-behavioral therapy for anxiety) within the same platform or via referral. This gives you more control over finding the right mental health professional.

4. Dedicated Online Therapy Platforms (e.g., Talkspace, BetterHelp - used in conjunction with an ED service):

   • Why: While these services focus only on therapy and do not prescribe ED medication, they are excellent resources for directly addressing performance anxiety with licensed therapists. Many platforms allow you to search for therapists specializing in sexual health, anxiety, or relationship issues. You could use one of these services in conjunction with an ED-focused platform (like Bluechew or RexMD, which are pill-only) if you prioritize finding a very specific type of therapist for the anxiety component.

Key things to look for when choosing:

• Integrated Care: Does the service directly offer both medication and mental health support, or do you have to navigate two separate systems?
• Therapist Specializations: Can you find a therapist through the platform who specializes in sexual health, anxiety, or CBT (Cognitive Behavioral Therapy), which is often effective for performance anxiety?
• Cost: Understand the pricing for both consultations, prescriptions, and therapy sessions.

Always have an open conversation with your healthcare provider about all aspects of your ED, including any psychological factors like performance anxiety.