Yes. If clinically appropriate, an online provider on Sesame can prescribe medication and other treatments for performance anxiety. Any prescriptions will be sent to a pharmacy of your choice for pickup.

Sesame also offers affordable medication management through Mental Health Rx, a monthly subscription that includes prescriptions and refills for medication if appropriate, as well as video visits and unlimited messaging.

No single medication works best for everyone. The right option depends on your symptoms, health history, and the situations that trigger your anxiety.

Beta-blockers such as propranolol and atenolol are sometimes prescribed off-label to help reduce short-term physical symptoms of performance anxiety, such as rapid heart rate, shaking, and sweating. If you're a competitive athlete, tell your provider before taking a beta-blocker. Some beta-blockers are prohibited in certain sports under anti-doping rules.

Providers may also prescribe selective serotonin reuptake inhibitors (SSRIs), such as sertraline and paroxetine, or serotonin-norepinephrine reuptake inhibitors (SNRIs) such as venlafaxine or duloxetine, when performance anxiety is part of a broader condition, such as generalized anxiety disorder or social anxiety disorder.

Performance anxiety can cause intense worry or nervousness before or during a situation in which you feel pressure to perform. It may involve public speaking, sexual activity, work, school, sports, or other high-pressure situations.

Common symptoms include:

• Rapid heart rate
• Shortness of breath or hyperventilation
• Dry mouth
• Sweating
• Trembling or shaking
• Nausea or an upset stomach
• Dizziness
• Muscle tension
• Feeling hot or flushed
• Fear of making a mistake or being judged
• Temporary memory loss

Performance anxiety can interfere with work, school, relationships, or other parts of daily life.

If you're concerned about your symptoms, a provider on Sesame can review your health history and discuss whether performance anxiety may be contributing to them. They can also recommend treatment options based on your needs.

Sesame does not accept insurance for online visits. You'll see the full appointment price before you book, with no hidden fees or surprise bills. You may also be able to pay for your online visit using your Health Savings Account (HSA) or Flexible Spending Account (FSA) card.

If you're prescribed medication, your insurance may cover some or all of the cost, depending on your plan. Sesame will also provide a prescription savings card. Because the card price may be lower than your insurance copay, compare both options before filling your prescription.

Yes. You don't need insurance to use Sesame. Browse available providers, compare appointment times and upfront prices, and pay directly for your online visit.

If medication is prescribed, it will be sent to your preferred pharmacy. Medication costs are separate from the visit price, but Sesame will provide a prescription savings card that may help lower the price.