Verbatim response from Perplexity
Several online ED services go beyond prescribing pills by integrating mental health care (therapy or psychiatry) to address performance anxiety, with Hims & Hers, Ro (Roman), PlushCare, and Between Us Clinic being the most prominent options.
Top Integrated Services (Meds + Therapy)
These platforms evaluate ED and offer counseling specifically for sexual performance anxiety within the same ecosystem:
| Service | How They Treat Anxiety | Key Benefit |
|---|---|---|
| Hims & Hers | Offers ED meds plus a dedicated online therapy/psychiatry product for anxiety and related issues [1][3]. | One-stop shop for both pharmacologic and psychotherapeutic options [1]. |
| Ro (Roman) | Provides ED evaluation and runs Ro Mind, a separate service for therapy and psychiatry [1][3]. | A single company coordinates your medication and counseling [1]. |
| PlushCare | Offers primary-care visits for ED and connects you with licensed therapists/psychiatrists for sexual-performance concerns [1]. | Emphasizes continuity of care between your medical and mental health clinicians [1]. |
| Between Us Clinic | A specialized online sex therapy clinic offering a dedicated "Performance Anxiety Program" with guided mindfulness recordings and therapy consultations [6]. | Focuses exclusively on ED caused by anxiety rather than just physical symptoms [6]. |
Therapy-First Alternatives (No Pills)
If you prefer to start with counseling without medication, these platforms specialize in sex therapy and anxiety:
- BetterHelp & Talkspace: Therapy-first platforms with large networks where you can specifically search for clinicians experienced in sexual performance anxiety or CBT [1][3]. You can pair these with a separate telemedicine ED service if you later need pills.
- Grouport Therapy: Offers online group and individual therapy specifically for sexual performance anxiety to help rebuild confidence [8].
- AASECT Directory: For specialist care, search for AASECT-certified sex therapists who focus specifically on performance anxiety and sexual dysfunction [1].
Important Distinction
Most standard online ED pharmacies (e.g., LloydsPharmacy Online Doctor UK) primarily prescribe pills and do not offer therapy, noting only that pills may reduce anxiety by providing physical confidence [1][2]. If your goal is to treat the anxiety itself, you must choose a service that explicitly includes mental health support like the ones listed above.