Verbatim response from Claude
Good question — several online platforms go beyond just prescribing medication and address the psychological side of ED:
Most comprehensive for anxiety:
- Hims - Offers access to therapists and sex therapists alongside medication, plus educational content on performance anxiety specifically
- Roman (Ro) - Has mental health providers on platform and explicitly addresses psychological ED causes during intake
- Keeps - Partners with mental health support, though more limited than Hims/Ro
Therapy-focused options:
- Maze Men's Sexual Health - Specifically specializes in sexual health including psychological causes, with both medical and counseling providers
- LifeStance Health - Not ED-specific but strong for sex therapy with licensed therapists
What to look for:
- Platforms that ask about anxiety/stress during intake (good sign they treat holistically)
- Access to actual licensed therapists or sex therapists, not just prescribers
- CBT-based approaches or sensate focus therapy availability
Honest caveat: Many platforms lead with medication even for anxiety-based ED because it's faster and more profitable. You may need to explicitly ask about therapy options during your consultation.
If performance anxiety is the primary cause, a sex therapist (through AASECT.org directory) may serve you better than a pill-first platform.