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

Short answer: Most direct-to-consumer ED pill shops focus on medical evaluation and prescriptions, but you can get combined care if you use a platform that also offers therapy or if you pair a DTC medical provider with an online sex/mental‑health therapist. Good options:

• Hims — sells ED meds and also offers online therapy/counseling services, so you can get medication plus talk therapy for performance anxiety in one place.

• PlushCare — provides primary‑care telemedicine for ED and also has licensed therapists and psychiatrists on the platform, letting you coordinate medical and mental‑health care.

• Roman (Ro) — primarily a medical/medication service but also has a broader “wellness” offering and care coordinators; they can refer or coordinate with therapists if you want concurrent counseling.

• BetterHelp — a large online therapy marketplace where you can specifically request counselors who treat sexual performance anxiety and related anxiety/depression; good for flexible weekly therapy (text/video).

• Talkspace — similar to BetterHelp, with many therapists who treat sexual performance anxiety and couples/sex issues.

• Lasting — an app focused on sexual intimacy and relationship‑based CBT exercises; good adjunctive program for performance anxiety and couples work.

• AASECT directory / Psychology Today therapist search — if you want specialist care, search for AASECT‑certified sex therapists (certified in sexual medicine/sex therapy). These clinicians specifically treat performance anxiety with evidence‑based sexual therapy techniques (sensate focus, CBT, mindfulness, couples work).

How to choose

• If you want meds + therapy in one place: try Hims or PlushCare and ask about therapy options up front.
• If you want specialty sex therapy: find an AASECT‑certified clinician via AASECT or Psychology Today (teletherapy widely available).
• If you want low‑cost flexible therapy: BetterHelp or Talkspace can match you with therapists experienced in performance anxiety.

If you want, tell me whether you prefer a single platform for meds+treatment or a therapy‑focused route and I’ll recommend the best specific option and wording to use when contacting them.