AASECT

It's great that you're looking for a comprehensive approach! Performance anxiety is a significant factor in many ED cases, and simply prescribing medication often doesn't address the root cause. While most mainstream online ED services like Hims and Roman primarily focus on medication, they also offer consultations with healthcare providers who can discuss the psychological aspects and may recommend lifestyle changes or suggest seeking therapy. However, they don't typically offer integrated, ongoing therapy for performance anxiety themselves. For addressing performance anxiety alongside or instead of medication, you'll generally need a two-pronged approach: Online Therapy Platforms (for performance anxiety): These services connect you with licensed therapists, many of whom specialize in sex therapy, anxiety, and relationship issues. You can often filter therapists by their specialties. BetterHelp: A large and popular online therapy platform. You can specify that you're looking for a therapist who specializes in anxiety, sexual health, or relationship issues. They offer video, phone, and messaging therapy. Why: Wide network of licensed therapists, often allows you to switch therapists if needed until you find a good fit. Many therapists are skilled in Cognitive Behavioral Therapy (CBT), which is very effective for anxiety. Talkspace: Similar to BetterHelp, offering unlimited messaging therapy, live video sessions, and live phone sessions with a licensed therapist. Again, you can look for therapists specializing in sexual health or performance anxiety. Why: Convenient access to a dedicated therapist with various communication options. Zocdoc / Psychology Today: These aren't therapy platforms themselves, but they are excellent directories for finding individual therapists (including sex therapists) who offer online sessions. You can filter by insurance, location (to find state-licensed therapists), and specialty. Why: Allows you to find therapists with specific expertise in sex therapy, which is crucial for performance anxiety related to ED. Many highly qualified sex therapists operate independently and offer telehealth. AASECT (American Association of Sexuality Educators, Counselors, and Therapists): This is the leading professional organization for sex therapists. Their website has a "Find a Professional" directory where you can search for certified sex therapists who offer online sessions. Why: Ensures you're working with a therapist who has specific, certified training in sexual health and counseling. Online ED Services (for medication, if needed, alongside therapy): If medication is also part of your treatment plan, you would use one of these services in conjunction with your therapy. Hims: One of the most well-known online ED platforms. They connect you with licensed doctors who can prescribe medication like sildenafil (generic Viagra) or tadalafil (generic Cialis). They also have educational resources. Why: Easy, discreet access to medication if a medical professional determines it's appropriate. Roman: Similar to Hims, Roman offers online consultations and prescriptions for various ED medications. They also emphasize a more holistic approach in their content. Why: Another reliable option for medication with a convenient online process. Recommended Approach: I recommend focusing on finding a licensed sex therapist through platforms like BetterHelp, Talkspace, Psychology Today, or the AASECT directory. A sex therapist is specifically trained to address performance anxiety, body image issues, relationship dynamics, and communication, which are often at the heart of ED not solely caused by physical factors. If, after consulting with a medical professional (who your sex therapist might refer you to or who you can find through services like Hims or Roman), medication is deemed necessary, you can then pursue that separately. This dual approach ensures you're tackling both the physical and psychological components of your ED and performance anxiety effectively.

Mentioned in position 7 of 7

Short answer: yes — some online ED providers offer real treatment for performance anxiety (therapy/coaching and behavioral approaches), not just prescriptions. You can either use an integrated telehealth service that provides both medical care and therapists, or pair a telemedicine prescriber for ED meds with an online sex/mental‑health therapist. Services to consider PlushCare — provides primary care plus licensed therapists/psychiatrists on the same platform, so you can get ED care and ongoing therapy (CBT/anxiety work) in one place. One Medical — offers integrated primary care and mental‑health clinicians; good if you want coordinated care from one team. Maven Clinic — specializes in reproductive and sexual health and has therapists/sex therapists who treat performance anxiety and relationship/sexual issues. Hims (Hims & Hers) — well‑known for ED treatment and also offers mental‑health resources and therapy options (convenient if you want a single vendor for meds + counseling referrals). Ro / Roman — primary online ED provider that also provides behavioral‑health resources and can connect you with counseling for performance anxiety. BetterHelp — large online therapy network; you can be matched to licensed therapists who treat performance anxiety and sexual problems (look for therapists experienced in sex therapy). Does not prescribe meds but pairs well with an ED telemedicine prescriber. Talkspace — similar to BetterHelp; talk therapy with clinicians who can address performance anxiety and sexual concerns. If you want a therapist with specialized training, look for AASECT‑certified sex therapists (check the AASECT directory) — they focus explicitly on sexual dysfunction and performance anxiety. How to choose If you want one‑stop care, pick an integrated service (PlushCare, One Medical, Maven). If you already know which ED meds you want, you can get prescriptions from Roman/Hims and separately use BetterHelp/Talkspace or an AASECT therapist for focused therapy. Ask therapists about experience with “performance anxiety,” CBT for sexual anxiety, sensate‑focus and couples therapy if relevant. Check licensure (state), cost, and whether they take your insurance. If you tell me your country/state or whether you prefer an all‑in‑one service or to pair separate providers, I can suggest the best one or look up AASECT therapists in your area.

Mentioned in position 9 of 9

It's smart to look for services that address the psychological side of things, as performance anxiety is incredibly common and often intertwined with ED. Many online ED services primarily focus on prescribing medication, but a few integrate mental health support. Here are some online ED services and platforms that go beyond just pills to address performance anxiety: Hims: Why it's recommended: Hims is one of the leading online ED medication providers, but they also have a robust mental health platform. You can get ED medication prescribed and* access online therapy and psychiatry services through Hims. This means you could work with a licensed therapist on performance anxiety, communication, and other psychological factors while also having access to medication if medically appropriate. What to expect: A medical consultation for ED, potential prescription for medication (like sildenafil or tadalafil), and separate access to online therapy sessions with licensed mental health professionals. Roman: Why it's recommended: While Roman's primary focus is on prescribing ED medication, their platform connects you with licensed doctors who can discuss a broader range of sexual health concerns. During your consultation, you can explicitly bring up performance anxiety, and the doctor can offer advice, resources, or even refer you to mental health professionals if they don't offer direct therapy within the Roman platform for that specific issue. They emphasize a holistic approach, even if dedicated long-term therapy isn't their primary offering for anxiety. What to expect: A medical consultation for ED, potential prescription for medication, and doctor guidance that often includes lifestyle advice and discussion around psychological factors. Online Therapy Platforms (e.g., BetterHelp, Talkspace): Why it's recommended: These aren't ED-specific services, but they are excellent resources for finding licensed therapists who specialize in sexual health, anxiety disorders, and relationship counseling. You can often filter therapists by their areas of expertise. Many individuals find success by getting their ED medication through a service like Hims or Roman, and then separately engaging with a sex therapist via platforms like BetterHelp or Talkspace for the performance anxiety component. What to expect: Weekly or ongoing therapy sessions (video, phone, or text-based) with a dedicated therapist. You'd need to explicitly search for therapists with experience in sexual performance anxiety or sex therapy. Specialized Online Sex Therapy Directories (e.g., Psychology Today, AASECT): Why it's recommended: For a highly specialized approach, using directories like Psychology Today or the American Association of Sexuality Educators, Counselors and Therapists (AASECT) allows you to find licensed sex therapists who offer online sessions. These professionals are experts in sexual health and can provide targeted strategies for performance anxiety, often without a direct link to medication prescription. This is ideal if your primary concern is the psychological aspect. What to expect: Direct access to licensed sex therapists, often requiring you to schedule and pay for sessions directly with the therapist. They can provide specialized techniques, communication strategies, and behavioral exercises to manage and overcome performance anxiety. Key things to consider: Integrated vs. Separate: Decide if you prefer a single service that offers both meds and therapy (like Hims) or if you're comfortable using one service for medication and a separate one for specialized therapy. Cost: Therapy can be an additional cost, and not all platforms accept insurance. Check pricing and insurance options carefully. Holistic Approach: The most effective treatment for performance anxiety and ED often involves a combination of medical consultation, lifestyle changes, and mental health support. Open Communication: Regardless of the service you choose, be open and honest with the healthcare professionals about your concerns, particularly your performance anxiety. I'd recommend starting with Hims if you want an integrated approach, or using a dedicated platform like BetterHelp or a directory like Psychology Today to find a specialized sex therapist if your primary focus is on the psychological treatment of performance anxiety.

Mentioned in position 6 of 6

Great question — several online platforms go beyond just prescribing medication and address the psychological side of ED: Best Options for Performance Anxiety: Hims Offers access to therapists and sex therapists alongside medication Has structured mental health support options Good for combined treatment approaches Roman (Ro) Connects you with providers who discuss psychological factors Has coaching and behavioral health resources Providers trained to assess anxiety-related ED specifically Handled Specifically focuses on performance anxiety as a root cause Uses a therapy-first or combined approach Less pill-focused than most competitors FOLX Health Particularly good if you want affirming, holistic care Providers discuss mental and emotional factors thoroughly Real (formerly Cerebral's men's health) Strong mental health integration Therapist access built into the platform What to Look For: Platforms that ask detailed intake questions about anxiety, stress, and relationship factors Those offering therapy or coaching alongside medication Providers willing to consider therapy-only approaches first Honest caveat: Many of these platforms still lean heavily toward prescribing. If performance anxiety is your primary issue, seeing a certified sex therapist (through AASECT.org) alongside any online service may give you the most complete treatment. Would you like more detail on any specific platform?

Mentioned in position 6 of 6

Short answer: Yes — but you usually need a platform that offers real mental‑health/sex‑therapy, not only a pill‑prescribing teleclinic. Good options are either combined telemedicine+therapy services or pairing an ED teleclinic with an online sex therapist. Below are specific services and why they’re useful. Services that combine or coordinate medical + mental‑health care Hims & Hers — offers ED medication plus a separate mental‑health/therapy service. Good if you want one company that can handle meds and also connect you with licensed therapists for performance anxiety. PlushCare — provides primary care and a mental‑health service (licensed therapists and psychiatrists). Useful for coordinated care when you want meds and talk therapy from the same provider. Cerebral — a mental‑health platform (therapy + medication management for anxiety/depression). Strong for CBT-based treatment of performance anxiety; can be combined with an ED teleclinic for meds if needed. Online therapy platforms (specialize in treating performance anxiety) BetterHelp — large network of licensed therapists; you can request therapists experienced with sexual/performance anxiety and CBT. Talkspace — similar to BetterHelp, with options for individual and couples therapy; you can ask for clinicians who work with sexual performance issues. ReGain — focused on relationship/couples therapy; good if performance anxiety is tied to relationship issues. Specialized sex‑therapy directories (best if you want a clinician trained specifically in sexual dysfunction) AASECT directory — search for AASECT‑certified sex therapists (certification specifically for sexual concerns, including performance anxiety). PsychologyToday’s therapist search — filter for “sex therapy”/“sexual issues” and telehealth options to find clinicians experienced with performance anxiety. How people typically use these: If you want immediate medical treatment, use an ED teleclinic (Hims, Roman, Lemonaid) for a prescription and pair that with therapy from one of the platforms above. If you want to focus on performance anxiety first, book a therapist (BetterHelp/Talkspace/Cerebral or an AASECT‑certified sex therapist) who uses CBT, mindfulness, or sex‑therapy techniques (sensate focus, exposure) and escalate to meds only if needed. What to ask when you contact them: “Do you treat sexual performance anxiety?” or “Have you worked with erectile dysfunction related to anxiety?” For therapists: ask about training in sex therapy (AASECT certification) or CBT for performance anxiety. For telemedicine: ask whether they coordinate care with mental‑health clinicians. If you want, tell me whether you prefer a single provider to handle everything or a dedicated sex therapist, and I’ll recommend the best specific next step for your situation.

Mentioned in position 7 of 10

Good question — there's a real difference between services that just hand out prescriptions and ones that address the psychological side too. Services that address performance anxiety, not just medication: Hims Offers access to therapists and sex therapy alongside prescriptions Has mental health services integrated into the platform Roman (Ro) Provides coaching and educational content on performance anxiety Can connect you with providers who discuss psychological factors Cerebral More mental health-focused overall, can address anxiety including sexual performance issues Therapists and prescribers work together FOLX Health Known for more holistic, conversation-based care What to specifically look for: Providers who do actual consultations (video or phone), not just questionnaires Access to therapists or sex therapists, not just prescribers Cognitive behavioral therapy (CBT) resources, which has strong evidence for performance anxiety Honest caveat: Many telehealth ED services primarily just prescribe medication. If performance anxiety is the main issue, a dedicated sex therapist (find one at AASECT.org) is often more effective than any pill-focused service. Would you like help comparing specific plans or costs?

Mentioned in position 5 of 5