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

Good question — a few services go beyond just prescribing medication and address the psychological side too:

Hims

• Offers both medication AND access to licensed therapists
• Has specific mental health/anxiety support built into the platform
• Can combine treatment approaches

Roman (Ro)

• Connects you with doctors who discuss psychological factors
• Has expanded into broader men's health coaching
• Physicians can refer or coordinate mental health support

Done/Cerebral (more mental health focused)

• Better if anxiety is the primary issue
• Can prescribe medication AND provide therapy

LifeMD/Rex MD

• Physician consultations that include discussing anxiety triggers
• Less robust on the therapy side

Best overall recommendation: Hims or Roman if you want an integrated approach where one platform handles both medication and mental health support.

Honest caveat: Most online ED services are primarily prescription platforms. If performance anxiety is significant, a dedicated sex therapist (through Psychology Today's directory or AASECT.org) combined with your prescriber often works better than any single app.

A combined approach — medication short-term plus therapy — tends to have the best long-term outcomes for anxiety-related ED specifically.