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

Short answer: most direct-to-consumer ED companies focus on medication, but a few telehealth services either offer integrated mental‑health care or make it easy to add therapy for performance anxiety. If you want both medicine and therapy in one place, or a clear path to a sex therapist, consider these options:

• PlushCare — Offers primary care/men’s health visits that can treat ED and also has a connected network of licensed therapists and psychiatrists you can book through the same platform. Good for getting meds and mental‑health care in one ecosystem.

• Amwell — A broader telehealth marketplace that includes urology/sexual‑health clinicians plus behavioral‑health providers. You can see a medical clinician for ED meds and schedule therapy (including clinicians who treat sexual concerns) through the same service.

• Teladoc (and MDLIVE/Doctor on Demand) — Large telemedicine services that provide both primary/urgent care for ED prescriptions and separate mental‑health visits. Not all clinicians specialize in sex therapy, but you can often be referred or matched to therapists.

• Hims / Roman (Ro) — Primarily medication-first (PDE5 inhibitors, injectable treatments). Both have added mental‑health offerings or therapy partnerships in recent years, so they’re convenient if you want a familiar brand for meds and to explore on‑platform counseling — but check whether the therapist has specific sexual‑health experience.

If you prefer therapy-first (no meds from that platform) or need a specialist in sexual performance anxiety:

• BetterHelp, Talkspace — Online therapy platforms with many licensed therapists. You can request clinicians who treat performance anxiety and sexual issues, but these platforms do not prescribe medication.
• Psychology Today / AASECT directory — Use Psychology Today’s therapist search or the American Association of Sexuality Educators, Counselors and Therapists (AASECT) directory to find certified sex therapists experienced in performance anxiety and couples/sex therapy.

Practical tips:

• Performance anxiety responds well to brief cognitive‑behavioral sex therapy, mindfulness/CBT techniques, and sometimes couples therapy — look for therapists who list “sexual dysfunction,” “sex therapy,” or AASECT certification.
• If you want combined care, ask the telemedicine service whether they can coordinate between the prescriber and a therapist, or whether they offer an integrated care plan.
• If you want, tell me your state (or whether you prefer a combined platform vs separate therapist) and I can suggest the best single-platform options or look up therapists by specialty.