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

Question

Claude · Accepted Answer

Good question — several online platforms go beyond just prescribing medication and address the psychological side of ED:

**Hims**
- Offers access to therapists alongside medication
- Has specific mental health/anxiety programs
- Good for combined treatment approach

**Roman (Ro)**
- Connects patients with both medical doctors and mental health providers
- Addresses underlying anxiety as part of treatment
- Solid overall care coordination

**Keeps**
- Primarily medication-focused, less emphasis on therapy

**DONE/Cerebral**
- More mental health focused but do address sexual anxiety

**Specifically strong for performance anxiety:**

- **Maze Men's Sexual & Reproductive Health** - specialists specifically in sexual dysfunction including psychological causes
- **Between Sessions** - therapy-focused platform good for sex anxiety
- **Talkspace or BetterHelp** paired with a prescriber - lets you work with a sex-informed therapist directly

**What actually works best:**
Research suggests combining a PDE5 inhibitor (like sildenafil) *with* CBT or sex therapy is more effective long-term than pills alone for performance anxiety specifically.

**My honest recommendation:** Hims or Roman for convenience, but if performance anxiety is the *primary* issue, seeking a certified sex therapist through AASECT.org alongside any online prescriber gives you the most complete treatment.

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

Verbatim response from Claude

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