Verbatim response from Claude
Good question — a few online platforms go beyond just prescribing medication and address the psychological side too:
Hims
- Offers both medication AND access to therapists/coaches
- Has specific mental health and sex therapy options
- Good for addressing anxiety alongside physical treatment
Roman (Ro)
- Provides physician consultations that include discussing psychological factors
- Partners with mental health providers
- More holistic intake process
Handled (formerly Nexus)
- Specifically focuses on combining medication with behavioral coaching
- Designed around the mind-body connection
NOCD (mental health focused)
- Not ED-specific but treats performance anxiety as a standalone issue through ERP therapy
What to realistically expect:
- Most "telehealth ED" services are primarily prescription-focused
- True therapy requires separate scheduling and costs more
- Real sex therapists (through Psychology Today's directory or AASECT.org) are often the gold standard for performance anxiety specifically
Honest recommendation: If performance anxiety is the primary issue, a certified sex therapist through AASECT.org combined with a medication option from Hims or Roman is probably more effective than any single platform alone.
Would you like more detail on any of these?