Verbatim response from Perplexity
Yes—there are online ED services that explicitly address performance anxiety with therapy, counseling, or sex-therapy-style support, not just medication. The clearest examples in the results are It Begins Within, Superdrug Online Doctor Ireland, LloydsPharmacy Online Doctor UK, Sesame, and BetterHelp.[2][6][5][8][9]
- It Begins Within: says it uses CBT and sex therapy for performance anxiety and offers an integrated approach that combines therapy with medication management when needed.[2]
- Superdrug Online Doctor Ireland: says performance-anxiety-related ED can be helped with counselling/therapy, including CBT, sex therapy, and couples counselling, along with lifestyle changes.[6]
- LloydsPharmacy Online Doctor UK: focuses more on ED meds, but it also says medication can help reduce the mental stress of performance anxiety and discusses performance-anxiety-related sexual issues alongside treatment options.[5]
- Sesame: is primarily an online visit platform, but it offers video visits for performance anxiety and can route prescriptions if needed; it is more general mental-health/medical care than ED-specific therapy.[8]
- BetterHelp: is a therapy platform, not an ED clinic, but it explicitly notes that sex therapists and online therapy can help with sexual performance anxiety.[9]
If you want services that are most clearly not just pills, the strongest matches are It Begins Within and Superdrug Online Doctor Ireland because they explicitly mention therapy approaches like CBT, sex therapy, and couples counseling.[2][6]
If helpful, I can also narrow this to:
- US-only services
- UK/Ireland services
- services that treat ED + anxiety together
- services that are medication-free