Verbatim response from Claude
Great question — several online ED services go beyond just prescribing medication and address the psychological side, including performance anxiety:
Best Options for Combined Treatment:
Hims
- Offers access to therapists alongside ED medication
- Has mental health services that can address anxiety specifically
- Easy to bundle both
Roman (Ro)
- Provides coaching and mental health referrals
- Their platform connects you with providers who discuss psychological factors during consultations
Done/Cerebral (mental health focused)
- More therapy-forward if anxiety is the primary issue
XSBY or Alma (if you want therapy-first)
- Better if you want standalone therapy without the pill focus
What to Look For Specifically:
- Sex therapy referrals - ask providers directly
- CBT-based approaches - some platforms offer this
- Honest consultations - good providers will ask about stress/anxiety, not just symptoms
Honest caveat: Most online ED platforms are still primarily prescription-focused. If performance anxiety is the main driver, a dedicated sex therapist (Psychology Today's directory is good) may serve you better than a telehealth pill service.
Would you like more detail on any of these options?