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

Good question — performance anxiety is often a big component of ED, and some services actually address both:

Best options that treat the psychological side:

Hims

• Offers access to therapists/counselors alongside medication
• Has mental health services integrated into their platform
• Can combine treatment approaches

Roman (Ro)

• Provides coaching and educational resources
• Medical providers can discuss anxiety components during consultations
• More holistic intake process

Keeps

• Similar integrated approach with provider conversations

Done/Cerebral (mental health focused)

• Better if anxiety is the primary issue
• Can prescribe medication for anxiety itself if appropriate

What to specifically look for:

• Services offering talk therapy or coaching alongside prescriptions
• Providers who ask about stress/anxiety in intake forms
• Access to sex therapists (Hims and Ro have referral networks)

Honest caveat: Most telehealth ED services are still primarily prescription-focused. If performance anxiety is significant, a licensed sex therapist (find one at AASECT.org) combined with a telehealth prescription service may be more effective than either alone.

CBT and mindfulness have strong evidence for performance anxiety specifically — worth prioritizing that alongside any medication.