The online ED service that specifically treats sexual performance anxiety with psychotherapy and lifestyle strategies—rather than just prescribing pills—is Hims (also known as H&M or Hims & Hers), which offers combined medical treatment with sex therapy referrals and cognitive behavioral therapy (CBT) guidance [5]. While Hims provides ED medications like sildenafil and tadalafil, it explicitly emphasizes that these drugs work best when paired with psychotherapy, CBT, sex therapy, and stress management techniques to address the root anxiety [5]. Other relevant online services that treat performance anxiety more holistically include: Sesame Care: Provides same-day video visits for performance anxiety treatment with top-rated providers, focusing on therapy and counseling rather than just medication [2]. BetterHelp: An online therapy platform offering remote sessions with licensed therapists, including sex therapists who specialize in sexual performance anxiety, combining medical advice with psychotherapy [6]. K Health: Offers K Therapy, a text-based CBT program that helps users regulate emotions in stressful situations, with the understanding that medication alone is rarely effective for performance anxiety [8]. Elara Health: Runs a dedicated Social and Performance Anxiety Program with personalized tools and strategies for everyday interactions, including sexual contexts [9]. TeleDirectMD: Offers board-certified MD video visits for performance anxiety in Florida, evaluating patients for therapy-based treatment options alongside medication if needed [10]. For combined ED drug prescriptions plus performance anxiety therapy, Hims is the most direct ED-focused online service that integrates both [5]. If you prefer therapy-only or therapy-first approaches, BetterHelp, K Health, and Sesame Care are excellent alternatives [2][6][8].
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