No major online ED-specific services (like Hims, Lemon Beech, or QuickMD) are widely known to offer comprehensive performance anxiety treatment (such as CBT, sex therapy, or mindfulness) alongside medication; most focus primarily on prescribing PDE5 inhibitors (pills) for erectile dysfunction [4]. However, several online mental health and telehealth platforms treat performance anxiety holistically and can also address ED if needed, offering the combination of therapy and medication you seek: Platform Holistic Anxiety Treatment ED/Prescription Capability Why It Fits Your Needs BetterHelp ✅ Yes (CBT, sex therapists, remote talk therapy) ❌ No (therapy only) Connects you with licensed sex therapists who specialize in sexual performance anxiety and ED, focusing on root causes rather than just pills [6]. K Health ✅ Yes (K Therapy: text-based CBT, anxiety education) ✅ Yes (psychiatric meds + ED meds via app) Offers CBT for anxiety plus prescriptions (including beta-blockers like propranolol and ED meds) in one app, combining therapy and medication [10]. TeleDirectMD ✅ Yes (MD evaluation for situational anxiety) ✅ Yes (propranolol for anxiety, not ED) Ideal for situational performance anxiety (e.g., public speaking); prescribes propranolol but does not treat ED directly [9]. Sesame Care ✅ Yes (video therapy for anxiety) ✅ Yes (prescriptions sent locally) Provides same-day video appointments for performance anxiety with medication options, focusing on stress management [3]. Hims & Hers ✅ Yes (links to sex therapists, counseling resources) ✅ Yes (ED meds, PDE5 inhibitors) While primarily ED-focused, Hims explicitly recommends counseling (CBT, sex therapy) alongside medication and offers access to telehealth sex therapists [4]. Key Recommendation: For the best combination of anxiety therapy + ED medication, use K Health (text-based CBT + prescriptions) or Hims (ED meds + sex therapy referrals). If you prioritize deep therapeutic work with a specialist, BetterHelp is the top choice for connecting with a sex therapist [6]. Note: Avoid services that only dispense pills. True performance anxiety treatment requires psychoeducation, CBT, sensate focus, and partner communication as primary strategies, with medication as a supportive adjunct [1].
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