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

Short answer: look for services that combine ED medical care with licensed mental-health providers or sex therapists. A few places to try:

• Hims & Hers — Offers ED telemedicine plus a separate online therapy product (licensed therapists, CBT/sex‑therapy–oriented counseling). Good if you want one company to handle both meds and talk therapy.

• Ro / Roman — Known for ED treatment and has expanded into behavioral health/therapy offerings; can coordinate medical and mental‑health care for performance anxiety.

• BetterHelp or Talkspace — Large online therapy platforms with many licensed therapists; you can search for clinicians who treat sexual performance anxiety and relationship issues. They don’t prescribe meds but are easy for ongoing psychotherapy.

• Lasting (app) — A couples/sexual wellness app with guided programs that include strategies for performance anxiety and intimacy work (useful as an adjunct to therapy/medical care).

• AASECT directory (American Association of Sexuality Educators, Counselors and Therapists) — If you want a specialist, search this directory for certified sex therapists who specifically treat performance anxiety and sexual dysfunction.

• Academic/Multidisciplinary sexual‑medicine clinics (Mayo Clinic, Cleveland Clinic, Johns Hopkins, major university urology centers) — Many now offer telemedicine and provide integrated care (urologist + psychologist/sex therapist) for complex or persistent cases.

What to ask when you contact a service

• Do you have therapists/counselors experienced in sexual performance anxiety or certified sex therapists?
• Do you offer CBT, sensate‑focus, couples therapy, or other evidence‑based approaches for performance anxiety?
• Will the therapist coordinate with the prescriber if medications are needed?

If you tell me where you’re located (country/state) and whether you want meds + therapy together or just therapy, I can suggest the best option available in your area.