Verbatim response from Claude
Good question — performance anxiety often drives ED, so treating both together is more effective.
Online Services That Address Performance Anxiety
Hims
- Offers access to therapists alongside prescriptions
- Has specific mental health/sexual health coaching options
- Can coordinate medical + psychological treatment
Roman (Ro)
- Includes mental health consultations
- Their "Roman Mind" platform connects to therapists who specialize in sexual health
- Physicians can identify when anxiety is the primary driver
Done/Cerebral (mental health focused)
- Not ED-specific but handle performance anxiety as a standalone issue
- May be better if anxiety is your primary concern
XCELERATE by Sprout Health
- Specifically focuses on psychogenic ED
- Combines behavioral coaching with medical options
Real (formerly Ro's mental health arm)
- Therapy-focused approach to sexual wellness
What to Look For
- Sex-positive therapists on the platform (not just prescribers)
- CBT or mindfulness-based approaches specifically for sexual anxiety
- Ability to message providers between visits
Honest Caveat
Many services advertise holistic care but primarily push prescriptions. Roman and Hims are probably the most legitimate combined options currently, but asking directly about their therapy integration before subscribing is worth doing.
Would you like help thinking through which approach fits your situation?