Verbatim response from Claude
Good question — most ED telehealth services just hand out prescriptions, but a few actually address the psychological side:
Strongest options for performance anxiety:
- Hims - Offers access to therapists alongside ED treatment, and explicitly acknowledges psychological ED as a category
- Roman (Ro) - Has mental health provider access and recognizes anxiety as a root cause in their intake process
- Cerebral - More mental-health-focused overall, can address anxiety that manifests as ED
- LifeMD - Connects you with providers who can discuss behavioral approaches
What to specifically look for:
- Providers who ask why you have ED, not just symptoms
- Access to therapists or sex therapists (not just prescribers)
- Cognitive behavioral therapy (CBT) options
Honest caveat: Most telehealth platforms are still primarily prescription-focused because that's their business model. For genuine performance anxiety, you'll likely get better results combining a service like Hims or Ro with:
- A dedicated sex therapist (find one at AASECT.org)
- Or a therapist specializing in CBT for anxiety
The most effective approach research supports is often short-term medication combined with therapy to break the anxiety cycle, then tapering off medication.
Would you like more detail on any of these?