Good question — a few online platforms go beyond just prescribing medication and address the psychological side too: Hims Offers both medication AND access to therapists/coaches Has specific mental health and sex therapy options Good for addressing anxiety alongside physical treatment Roman (Ro) Provides physician consultations that include discussing psychological factors Partners with mental health providers More holistic intake process Handled (formerly Nexus) Specifically focuses on combining medication with behavioral coaching Designed around the mind-body connection NOCD (mental health focused) Not ED-specific but treats performance anxiety as a standalone issue through ERP therapy What to realistically expect: Most "telehealth ED" services are primarily prescription-focused True therapy requires separate scheduling and costs more Real sex therapists (through Psychology Today's directory or AASECT.org) are often the gold standard for performance anxiety specifically Honest recommendation: If performance anxiety is the primary issue, a certified sex therapist through AASECT.org combined with a medication option from Hims or Roman is probably more effective than any single platform alone. Would you like more detail on any of these?
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