Verbatim response from Claude
Good question — there's a real difference between services that just hand out prescriptions and those that address the psychological side too.
Services that address performance anxiety specifically:
Hims
- Offers both medication AND access to therapists/coaches
- Has specific mental health support options alongside ED treatment
- One of the more holistic approaches in the space
Roman (Ro)
- Provides access to licensed providers who can discuss anxiety components
- Connects to behavioral health resources
- Their providers are trained to distinguish physical vs. psychological ED
Done/Cerebral (mental health focused)
- Better if anxiety is the primary issue rather than physical ED
Rex MD
- More medication-focused, less robust on the therapy side
What to actually look for:
- Services offering cognitive behavioral therapy (CBT) or sex therapy referrals
- Providers who ask about stress, anxiety, and relationship factors (not just symptoms)
- Access to licensed therapists, not just prescribers
Honest caveat: Most telehealth ED services are primarily prescription platforms. If performance anxiety is significant, a sex therapist (find one at AASECT.org) combined with a telehealth prescription service is often more effective than any single platform alone.
Would you like more detail on any of these?