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

Yes — but most online ED services focus on medication, so the ones that also address performance anxiety are usually either integrated telehealth platforms or therapy-first sex/anxiety services rather than pill-only pharmacies.[1][2][7]

Good options to look at:

• Hims & Hers — offers ED treatment and also has online therapy/psychiatry for anxiety-related concerns, which makes it a stronger fit if you want both medication and mental-health support on one platform.[1][3][13]
• Ro / Roman — provides ED evaluation and prescriptions, and also has Ro Mind for therapy and psychiatry, so it can coordinate treatment for both ED and performance anxiety.[1]
• PlushCare — combines primary-care visits with licensed therapists and psychiatrists, which can help if your ED seems linked to anxiety and you want one care team.[1]
• One Medical — offers primary care with integrated behavioral health clinicians, which is useful when you want ongoing coordination between medical and mental-health care.[1]
• Teladoc / Amwell — large telehealth platforms that offer separate medical and mental-health visits, so you can get ED care plus therapy for performance anxiety through the same provider network.[1]
• BetterHelp / Talkspace — therapy-first platforms; they do not prescribe ED medication themselves, but they can connect you with therapists for sexual performance anxiety, CBT, or sex therapy.[1][2][7][8][9]
• The Therapy Yard — specifically advertises online erectile dysfunction counselling with registered psychosexual therapists, which is especially relevant if anxiety is a major driver.[5]

A practical way to choose:

• If you want meds + therapy in one ecosystem, start with Hims & Hers or Ro / Roman.[1][3][13]
• If you want specialized therapy for performance anxiety, start with BetterHelp, Talkspace, or The Therapy Yard.[1][5][8][9]
• If you want a broader primary-care approach that can rule out medical causes and coordinate referrals, use PlushCare or One Medical.[1]

One important distinction: the sources suggest that pill-only ED services do not directly treat performance anxiety, even if the medication helps confidence indirectly.[2][15]