Cost is a real factor in this decision, and I'd rather lay out actual numbers than pretend it doesn't matter.
Sex Therapy or CBT Therapy
Individual sessions typically run $100 to $250 per session in most of the US, sometimes more in major cities, sometimes less with a sliding scale or through community mental health resources. A meaningful course of therapy is rarely a single session, so realistic total cost for a few months of consistent work often runs into the thousands, which is a real barrier for a lot of men, regardless of how effective it might be.
Couples Therapy
Similar per-session range, often on the higher end, and requires both partners committed to attending, which adds its own logistical barrier beyond just cost.
Medication
Cost varies widely depending on what's prescribed and your insurance situation, but there's also the cost of the doctor's visit itself to get the prescription in the first place, plus ongoing visits to monitor it.
Apps and Subscriptions
Meditation and therapy apps typically run $10 to $70 a month, which adds up over a year, and as covered elsewhere on this page, general mindfulness apps don't specifically target this mechanism even when they're genuinely good products.
A Structured Book
A one-time cost, no recurring charge, no waitlist, no session-by-session billing. Performance: Unlocked is $39 total, once, for the complete ten-chapter system, revisitable indefinitely afterward at no additional cost.
The Honest Framing
This isn't a replacement for therapy when therapy is genuinely the right call, covered honestly elsewhere on this page. But as a starting point, especially when cost has been part of what's kept you stuck, it's a low-risk way to begin actually working on this instead of continuing to research it for free.
$39, instant download, in my Shop.