Verbatim response from Claude
Good question — most ED telehealth platforms just hand out prescriptions, but a few actually address the psychological side:
Strongest on mental health integration:
- Hims - Offers therapy and coaching alongside medication, with licensed therapists who specialize in sexual health
- Ro (Roman) - Has a "Mind" mental health program and providers who can discuss anxiety components during visits
- FOLX Health - Known for more holistic, whole-person care conversations
Worth considering:
- Done or Cerebral - More general mental health platforms but can address performance anxiety specifically
- BetterHelp or Talkspace - Pure therapy options where you can find sex-positive therapists
Honest caveats:
- Most platforms still lean heavily toward pills as the primary solution
- The "therapy" some offer is limited in depth
- For genuine performance anxiety (where ED is primarily psychological), a licensed sex therapist through a dedicated platform or Psychology Today's therapist finder is often more effective than telehealth ED services
- Medication can actually help break the anxiety cycle in the short term, so combined approaches work well
Best practical advice: Look for providers who ask about stress, relationship factors, and mental health during intake — not just physical symptoms. That's a signal they treat the whole picture.