Good question — most ED telehealth services just hand out prescriptions, but a few actually address the psychological side: Best options for combined treatment: Hims Offers therapy and coaching alongside medication Has licensed therapists available for mental/sexual health One of the more integrated platforms Roman (Ro) Includes access to mental health support Has specific programs acknowledging psychological ED factors Novu (formerly Done/various platforms) Some newer platforms specifically market sexual health coaching Strongest for performance anxiety specifically: Maze Men's Sexual Health Actually specializes in sexual dysfunction including psychological causes More clinical/thorough than typical telehealth mills FOLX Health More holistic approach, good for anxiety-related issues What to realistically expect: Most still lean heavily on prescriptions (sildenafil/tadalafil) True therapy requires separate scheduling and often extra cost Look for platforms explicitly listing "sex therapy" or "licensed therapist" access, not just "coaching" Honest tip: If performance anxiety is the primary issue, a dedicated sex therapist (through Psychology Today's directory or AASECT.org) combined with a basic telehealth prescription often works better than any single platform alone. Would you like more detail on any specific service?
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