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

Short answer: Yes — several telehealth providers combine medical treatment for ED with mental-health care (therapy or psychiatry), and there are also online platforms that specialize in sex therapy. Good options:

• Ro / Roman — offers ED evaluation and prescriptions and also runs Ro Mind (therapy and psychiatry). Good if you want one company to coordinate meds plus counseling for performance anxiety.

• Hims & Hers — provides ED meds and has an online therapy/psychiatry product for anxiety and related issues. Useful if you want both pharmacologic and psychotherapeutic options in one place.

• PlushCare — offers primary-care visits that can treat ED and also has licensed therapists and psychiatrists for anxiety and sexual-performance concerns. They emphasize continuity of care between clinicians.

• One Medical — a primary-care-focused telehealth service with integrated behavioral health clinicians. Helpful if you want ongoing, relationship-based care that coordinates medication and therapy.

• Teladoc / Amwell — large telehealth platforms that offer both medical visits for ED and separate mental-health visits (therapists and psychiatrists). Good if you want flexible provider choice and scheduling.

• BetterHelp / Talkspace — therapy-first platforms (no prescribing) with large therapist networks where you can specifically look for clinicians experienced in sexual performance anxiety or CBT for anxiety. Pair one of these with a telemedicine ED service if you also want medication.

• AASECT directory / Psychology Today therapist search — if you want a specialist, search for AASECT-certified sex therapists. Sex therapists focus specifically on performance anxiety and sexual dysfunction and are often the most effective option for long-standing or relationship-related problems.

Quick tips for choosing:

• Ask whether the therapist has specific experience treating sexual performance anxiety or is AASECT-certified.
• If you want meds + therapy, pick a service that explicitly coordinates medical and mental-health care (Ro, Hims, PlushCare, One Medical, Teladoc/Amwell).
• Cognitive-behavioral therapy and sex therapy are evidence-based for performance anxiety; ask about those approaches.
• If you have other health issues (diabetes, heart disease), mention them up front so clinicians can consider medical causes before prescribing.

If you want, tell me your country (or state if U.S.) and whether you prefer integrated care (one company for meds + therapy) or a specialist sex therapist and I’ll suggest the best match.