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

Great question — several online platforms go beyond just prescribing medication and address the psychological side of ED, including performance anxiety:

Hims

• Offers both medication AND access to licensed therapists
• Has specific mental health/anxiety support options alongside ED treatment
• One of the more comprehensive platforms

Roman (Ro)

• Provides coaching and mental health referrals alongside prescriptions
• Their care team can address anxiety-related ED specifically

Keeps

• Primarily medication-focused, so less ideal for this need

FOLX Health

• Good for LGBTQ+ patients, includes mental health integration

Brightside or Cerebral (not ED-specific, but worth mentioning)

• If anxiety is the primary driver, dedicated mental health platforms may be more effective

My honest recommendation: If performance anxiety is a significant factor, Hims or Roman are your best starting points because they combine medication options with actual mental health support. However, for serious performance anxiety, working with a sex therapist or CBT therapist (in-person or via platforms like BetterHelp) alongside medication typically produces the best long-term results.

Pills alone often don't resolve the anxiety cycle — you may need both tracks simultaneously.