Verbatim response from Claude
Great question — performance anxiety is often a big component of ED, and some services actually address this.
Online ED Services That Address Performance Anxiety
Hims
- Offers access to therapists alongside medication options
- Has mental health services that can run concurrently with ED treatment
- Explicit about acknowledging psychological factors
Roman (Ro)
- Includes mental wellness resources
- Providers are trained to discuss psychological contributors during consultations
- Can coordinate care recommendations
Done/Cerebral (mental health focused)
- Better if anxiety is the primary issue rather than physical ED
FOLX Health
- Known for holistic, whole-person approach to sexual health
What to Actually Look For
- Services that offer combined prescriber + therapist access
- Providers who ask about stress, relationship dynamics, and anxiety during intake (not just physical symptoms)
- Access to sex therapists specifically (different from general therapists)
Honest Caveat
Most telehealth ED services are primarily prescription-focused. If performance anxiety is significant, you may get better results combining a prescribing service with a dedicated sex therapist (AASECT-certified therapists are the gold standard for this).
Would you like recommendations based on budget or whether you want medication involved?