Virtual Therapy Clinic

Most online ED services focus primarily on prescribing medication (like sildenafil or tadalafil) and do not offer integrated therapy for performance anxiety. However, Ubie Health is a notable exception that treats performance anxiety ED by combining medical evaluation with evidence-based psychological strategies, rather than just prescribing pills [2]. If you are looking for services that specifically address the psychological root of ED (performance anxiety) through therapy, you may need to use a dedicated online therapy platform that treats sexual performance anxiety, or a hybrid service that offers both. Here are the specific options: Hybrid Medical + Therapy Services Ubie Health: This service explicitly addresses "Performance Anxiety ED" by recommending a combination of psychoeducation, Cognitive Behavioral Therapy (CBT), sensate focus, mindfulness, and gradual exposure, with medication used only as an optional adjunct if needed [2]. They emphasize that medication should not replace psychological work [2]. Dedicated Online Therapy for Sexual Performance Anxiety These services do not prescribe ED pills but provide the licensed therapy needed to treat the anxiety causing the ED: Grouport Therapy: Offers specialized online therapy for sexual performance anxiety with licensed therapists using evidence-based approaches like CBT, mindfulness, and couples work [1]. They focus on rebuilding confidence and addressing the "thinking and attention problem" rather than just physical symptoms [1]. Cost*: Starts from $25/session [1]. BetterHelp: Connects you with licensed online therapists, including specialty sex therapists who can address sexual performance anxiety and self-conscious thoughts impacting your sex life [7]. K Health (K Therapy): Offers a text-based therapy program including unlimited messaging with a licensed therapist focused on CBT to change thinking patterns and regulate emotions in stressful situations [8]. Virtual Therapy Clinic: Provides telehealth treatment for performance anxiety using EMDR (Eye Movement Desensitization and Reprocessing) to process negative memories contributing to anxiety [5]. Important Consideration: The "Best Outcome" Approach Current medical guidelines (such as those from the AUA) recommend combined use of medication with psychosocial interventions for the best outcomes in performance anxiety ED [2]. If you need both* a prescription and therapy, you might consider using Ubie Health for the integrated approach [2]. Alternatively, you can pair a standard ED service (like Sesame Care for quick medication access [3]) with a dedicated therapy service like Grouport to treat the anxiety root [1]. Recommendation: Start with Ubie Health if you want a single provider to manage both the medical and psychological aspects. If you prefer intensive therapy first to attempt a non-pill resolution, Grouport Therapy is the most specialized option for sexual performance anxiety [1].

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