9 Best Online Psychiatry Services for 2023

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Online psychiatry can be a more accessible alternative to in-person visits. Here are our top picks for the best online psychiatry services from Talkspace, Brightside, MDLIVE, Teladoc, and more. Get the details on each and determine if it’s right for you.

• Best overall online psychiatry platform:Talkspace
• Best for medication delivery:Brightside
• Best for a female-centric approach:Hers
• Best for flexible scheduling:MDLIVE
• Best for collaborative care:Amwell
• Best for choosing your own psychiatrist:Doctor on Demand
• Best for à la carte appointments:LiveHealth Online
• Best for local care:Teladoc
• Best affordable psychiatry:Rethink My Therapy

Like work meetings, fitness classes, and happy hours, psychiatry sessions can be held online now, too. Telemedicine is a safe and convenient way to seek mental health services in an increasingly virtual world.

Long wait times are often cited as a downfall of universal healthcare systems, but wait times in America have reached a new high, too. The average time to make a physician appointment as a new patient in 15 major U.S. cities is now 24 days, up 30% in just 3 years (2014 to 2018) according to physician recruiting firm Merritt Hawkins.

If you’re considering seeing a psychiatrist but prefer to hold sessions remotely, online psychiatry may be an ideal arrangement.

Christy Snyder ONLINE PSYCHIATRY

It’s OK to be intimidated

The first psychiatrist evaluation is, in my experience, the most intense and lengthy of your entrance into the world of seeing a psychiatrist. You’ll complete questionnaires (sometimes ahead of the appointment) and take surveys (usually scales on anxiety, depression, etc.). It can be overwhelming at first. It can also be scary because for me, I worried that the psychiatrist was going to discover a new diagnosis that I had not already been given. But, a few years later I can say that having a psychiatrist that I trust has made all of the difference in my ability to care for myself and my mental health.

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Here are our top picks for online psychiatry services.

Online therapy and psychiatry fall under the umbrella of telehealth and telemedicine services.

Instead of driving to your clinician’s office and speaking with them in person, online mental health services allow you to communicate remotely.

Seeing an online psychiatrist may consist of going over your existing mental health and medication history, talking about medication-based treatment options, and potentially receiving a diagnosis.

Psychiatry vs. therapy

Online therapy and online psychiatry differ in the same ways as face-to-face therapy and psychiatry. A licensed therapist can provide mental health counseling services, but they can’t prescribe medications. However, a psychiatrist can combine various forms of therapy with prescriptions.

Keep in mind

Online psychiatry is not a substitute for emergency services. In the event of a mental health emergency — if you’re thinking about harming yourself or someone else — call the 988 Suicide and Crisis Lifeline at 988.

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Best overall online psychiatry platform

Talkspace

• Why we chose it: Talkspace was included on this list for its ease of use and flexibility offered by the service.
• Insurance coverage: covered by a wide variety of networks

Being able to schedule and attend your psychiatric visits from your smartphone is one of the appeals of online therapy apps like Talkspace. Everything can be done at home from your fingertips — from the easy signup process to communicating via live video chat.

After filling out a brief assessment, Talkspace will match you with a licensed psychiatrist who can diagnose mental illnesses, prescribe medications, and conduct therapy sessions as needed. Talkspace psychiatrists can help with an array of mental health conditions, including anxiety disorders, depression, and more. You can also switch doctors at any time if you feel the match isn’t quite right.

See a full review of Talkspace services here.

How much does Talkspace cost?

Initial evaluations cost $199, and follow-up visits cost $125 each, but pricing can vary depending on the frequency of service.

Use code “SPACE” for $100 off your first subscription.

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Pros

• user-friendly platform
• you’ll be matched with a provider that best suits your needs
• it’s easy to switch doctors should you need to

Cons

• text therapy may not work for everyone
• can’t provide documentation for legal purposes or court-mandated treatments
• many medications can’t be prescribed through Talkspace, like Adderall and Xanax

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Best for medication delivery

Brightside

• Why we chose it: We selected this service for its ease of use for depression and anxiety, two very common reasons people seek psychiatric care.
• Insurance coverage: accepted by Cigna and Evernorth

Well-known telehealth platform BetterHelp partnered with Brightside to deliver prescription medications to patients who need them. This is great for people with anxiety and depression, though people with other mental health conditions can seek treatment with Brightside.

Members get unlimited messaging to professionals who specialize in anxiety and depression treatment. Treatment plans include monthly video sessions with a licensed therapist and regular communication with your psychiatrist.

How much does Brightside cost?

Brightside offers three plans: Medication, Therapy, and Medication and Therapy.

• Medication and Therapy: $349 a month plus $15 per prescription
• Medication: $95 a month plus $15 per prescription
• Therapy: $299 a month

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Pros

• easy-to-use platform
• easy to obtain prescriptions for antidepressants and anti-anxiety medications

Cons

• platform primarily focuses on treating depression and anxiety, so you may have to seek alternative care for other conditions

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Best for a female-centric approach

Hers

• Why we chose it: This platform offers access to a variety of psychiatry services and medications, starting with a consultation to see which healthcare professional and prescription(s) are right for you.
• Insurance coverage: not accepted

Hers works with psychiatrists and other healthcare professionals to create personalized mental health care plans, including for depression and anxiety.

The Hers process works like this:

1. You create a profile on their secure platform and provide information about your health, lifestyle, symptoms, and medical history via an intake form.
2. You’ll be matched with a psychiatrist based on your answers to the form.
3. You’ll connect with a psychiatrist in your state who will begin your diagnosis and discuss possible treatment options.

Communication happens through Hers’ online platform. Once you receive a diagnosis and prescription for medication, it will be shipped directly to you.

How much does Hers cost?

Psychiatry medications start at $85 per month with free shipping, and visits with healthcare professionals are $39.

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Pros

• mobile app offers medication management, treatment tutorials, and more on-demand content
• opportunity to consult with healthcare professionals before committing to the service

Cons

• insurance isn’t accepted
• all communication is via online messaging — virtual, phone call, and in-person consultations are not available

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Best for flexible scheduling

MDLIVE

• Why we chose it: Although you might still have to wait for an appointment, and there are still some restrictions on the type of care provided and prescriptions that can be written, MDLIVE offers some of the best flexibility in terms of appointments.
• Insurance coverage:some networks accepted

One of the pain points of scheduling doctor’s appointments is sticking to conventional business hours. MDLIVE’s online psychiatry services may appeal to those with tight schedules since they offer appointments during the evenings and weekends. Doctors are on call 24/7 for around-the-clock mental health care.

Online appointments can take place over the phone or via video chat. If you don’t want to wait weeks for a psychiatric appointment, you can usually schedule an appointment through MDLIVE within days. Though your psychiatrist may live in a different city than you do, they can send prescriptions to your local pharmacy for pickup.

See a full review of MDLIVE services here.

How much does MDLIVE cost?

Depending on your insurance, psychiatric care can cost up to $284 per initial visit and $108 per follow-up appointment.

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Pros

• unconventional scheduling and extended appointment times mean that you can see a provider when it’s most convenient for you
• MDLIVE psychiatrists can prescribe many medications

Cons

• certain medications not available through this service, including ADHD stimulants
• they don’t treat certain conditions and people, such as active psychosis, substance misuse, moderate to severe autism spectrum disorders, and children under 10
• it may take some time to find an appointment that works for both you and your provider

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Best for collaborative care

Amwell

• Why we chose it: We chose to add Amwell to this list because of their scope of care and the opportunities the platform offers for collaboration with other healthcare providers.
• Insurance coverage:some networks accepted

Amwell isn’t just an online therapy and psychiatry service. They also cover other types of medicine, with board certified doctors available for direct-to-patient communication. If you’ve ever wished you could speak with your care team from the comfort of your own home, Amwell is one solution.

The behavioral health services with Amwell include a network of more than 100 board certified psychiatrists who specialize in medication evaluations and ongoing medication management. Amwell psychiatrists can address mental health conditions such as eating disorders, bipolar disorder, anxiety disorders, cognitive disorders, depression, insomnia, obsessive-compulsive disorder (OCD), and post-traumatic stress disorder (PTSD).

While some online psychiatry services only offer mental health care, Amwell offers collaborative care so your psychiatrist and primary care doctor can communicate.

See a full review of Amwell services here.

How much does Amwell cost?

An initial consultation with a psychiatrist costs $279. Follow-up appointments last about 15 minutes and cost $109 each.

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Pros

• pairs psychiatry services with a number of other telehealth services to create a collaborative care platform

Cons

• not all health insurance providers accepted

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Best for choosing your own psychiatrist

Doctor on Demand

• Why we chose it: This service allows you to view the qualifications and specialty areas of different mental health professionals and choose the right fit for you.
• Insurance coverage: Some networks are accepted. You can see if your health plan is supported during registration.

If you want to bypass being matched with a psychiatrist and choose your own, consider Doctor on Demand. The service’s total virtual care includes 24/7 access to doctors, psychiatrists, therapists, and other medical experts. This can offer you peace of mind that care is always available and easily accessible from a computer, smartphone, or tablet.

Though care is virtual, it’s still personal. Visits occur over a secure video connection. Your personal information will not be shared with anyone, including your primary care physician unless explicitly requested.

See a full review of Doctor on Demand services here.

How much does Doctor on Demand cost?

Appointments are $299 for an initial 25-minute consultation and $129 for 15-minute follow-up appointments.

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Pros

• offers care from mental health professionals as well as other providers
• may be covered by insurance, at least in part

Cons

• your choice of providers may be limited in certain areas
• available prescriptions vary

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Best for à la carte appointments

LiveHealth Online

• Why we chose it: Unlike many telehealth platforms, LiveHealth allows you to choose health services one at a time rather than requiring you to sign on to a plan or subscription.
• Insurance coverage: accepted by some networks

People who need help with medication management may need to see a psychiatrist regularly. If you’ve never seen a psychiatrist and would like an initial evaluation, LiveHealth Online is a good option, since the platform allows à la carte appointments without requiring an ongoing subscription.

If you’re worried about the quality of online mental health services, telemedicine is a specialty of LiveHealth Online. All doctors are specifically trained to perform health visits online, so patients don’t miss out on the face-to-face experience of in-person appointments.

How much does LiveHealth Online cost?

Before insurance, initial evaluations cost $175, and follow-up appointments are available for $75 per visit.

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Pros

• you can choose from a variety of specialties without signing on to a service or subscription plan

Cons

• it can take up to 2 weeks to secure an online visit with a psychiatrist
• they don’t prescribe controlled substances

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Best for local care

Teladoc

• Why we chose it: The ability to choose a local provider you can see either online or in person earned Teladoc a spot on this list.
• Insurance coverage: accepts a wide variety of plans

Communicating through phone, video, or text may make it seem like your psychiatrist is on the other side of the planet. Through Teladoc appointments, your psychiatrist is closer than you think. Teladoc gives you the option of selecting a professional local to your area.

According to Teladoc, the service offers access to the top 5% of specialists worldwide and a 90% satisfaction rate. Their quality care professionals can review your mental health history and treatment plan to customize care to your needs.

Teladoc psychiatrists can prescribe medications, except for controlled substances or medications for treating bipolar disorder or schizophrenia. This is because prescriptions for these drugs require in-person care and ongoing monitoring.

However, people with these conditions can still use the service for guidance or other medications. Teladoc psychiatrists can offer prescriptions for antidepressants, some anti-anxiety medications, and some antipsychotics.

How much does Teladoc cost?

Depending on your insurance, psychiatric visits cost up to $299 for the first visit and up to $119 for a follow-up visit.

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Pros

• choose a care provider from a list of mental health professionals that match your needs
• select someone in your area to allow you flexibility in scheduling online or in-person visits

Cons

• treatment for conditions like schizophrenia and bipolar disorders may not be offered through telehealth services because of the medications required
• certain conditions and medications can only be treated or offered at in-person appointments

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Best affordable psychiatry

Rethink My Therapy

• Why we chose it: While this option may not work for everyone, people without insurance or those looking for low cost care can get comprehensive services with a basic subscription.
• Insurance coverage: not accepted

Psychiatric visits are typically more expensive than therapy sessions since psychiatrists undergo specialized education that allows them to prescribe medications. Without health insurance, these costs can add up quickly. Rethink My Therapy is an affordable online 24/7 psychiatry service that makes mental health care accessible to people with varying budgets.

The service’s monthly subscription includes ongoing access to primary care physicians, therapists, and psychiatrists for collaborative care. Care is primarily provided via video as best practice for behavioral health sessions, but phone visits are also available as a secondary option.

The network of psychiatrists can give ongoing medication management services for eating disorders, anxiety, depression, OCD, PTSD, and more. If you want to bundle your telemedicine and telehealth needs, Rethink My Therapy may help.

How much does Rethink My Therapy cost?

Rethink My Therapy offers $24.99 for a one-time virtual consultation or a $99 monthly subscription with 24/7 access to virtual primary care and $0 copay for psychiatrists.

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Pros

• subscription provides access to a variety of healthcare professionals at a relatively low cost

Cons

• designed to bypass insurance companies, so you can’t use your existing coverage to pay for services or care

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Pricing	Insurance	Services offered	Considerations
Talkspace	$199 initially, then $125 for each appointment	covered by some health plans	therapy and psychiatry that covers a range of conditions, like anxiety disorders, depression	• easy to switch providers • unable to prescribe some medications
Brightside	$349 per month	covered by Cigna and Evernorth in every state Brightside functions except Minnesota	24/7 appointments for psychiatry/medication management and therapy	• easy platform to maintain care and manage anxiety or depression • focused only on treating depression
Hers	$85 per month for prescriptions, $39 per visit	not accepted	psychiatry, medication management, therapy	• can consult with professionals before committing • communication via online messaging only
MDLIVE	$284 initially, then $108 for each appointment	covered by some health plans	psychiatry	• you can meet with a psychiatrist whenever is convenient for you • unable to prescribe some medications
Amwell	$279 initially, then $109 for each appointment	covered by some health plans	psychiatry	• pairs psychiatry with other services • not all insurance plans cover Amwell
Doctor on Demand	$299 initially, then $129 for each appointment	covered by some health plans, but you have to create an account to know if your network is accepted	therapy and psychiatry that covers conditions like PTSD, eating disorders, OCD, depression	• offers both mental health professionals and other professionals • choice of professional is limited in particular areas
LiveHealth Online	$175 initially, then $75 for each appointment	psychiatry	psychiatry	• choose from a variety of specialties without subscribing • can take up to 2 weeks to secure an appointment • does not prescribe controlled substances
Teladoc	$299 initially, then $119 for each appointment	psychiatry	psychiatry	• able to choose a professional in your area • treatments of some conditions are not offered
Rethink My Therapy	$99 per month	not accepted	psychiatry	• low subscription cost • does not accept insurance

We considered many factors when choosing the best online psychiatry services, including quality, ease of use, and user ratings.

A team of mental health experts oversees Austra Health’s vetting process. This process uses specific criteria to ensure we’re making the best recommendations.

Some factors we considered in the vetting process include:

• whether the brand meets industry standards
• if there is a third-party certification
• whether the brand meets appropriate federal, state, or industry regulations
• if any legal action has been taken against the brand

Each service recommended in this list has a network of board certified psychiatrists who offer telehealth appointments, so diagnoses and prescriptions can be arranged without setting foot in a doctor’s office.

It’s important to note that you may not meet with a licensed psychiatrist when using one of these services. Nurse practitioners and physician assistants can also prescribe medications for mental health conditions, so you may meet with one of these professionals instead.

Many people put off meeting with a psychiatrist out of fear or nervousness. If you’re unsure whether you should sign up for online psychiatry, consider your health history and any sudden changes in the way you feel physically and mentally.

“Individuals that are experiencing changes in their mood, sleep, and appetite, or have thoughts of harming themselves or other people, should consider seeing a psychiatrist,” explains Tamir S. Aldad, MD, psychiatrist and CEO of Mindful Urgent Care.

“If the patient feels that their symptoms are mild, starting with a therapist might be appropriate. Combining talk therapy with treatment involving medication has been shown to have better outcomes for some patients,” Aldad says.

Common reasons to see a psychiatrist include:

• anxiety
• depression
• addiction
• thoughts of suicide or self-harm
• trouble sleeping
• obsessive thinking

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Scheduling an online psychiatry appointment can also be a good fit if you need a psychiatric diagnosis, prescription medication, or second opinion.

When considering the help of a psychiatrist, you may first want to consider why you are seeking help. Psychiatrists may provide general care, but some specialize in certain areas of therapy, like:

• anxiety disorders
• attention deficit hyperactivity disorder (ADHD)
• bipolar disorder
• major depression
• PTSD
• schizophrenia
• substance use disorders

Your primary care doctor may offer you suggestions for selecting a psychiatrist, or even refer you to a local provider. If you are looking for online services or a telehealth provider, the list above can be a good starting point.

Some factors to take into account when picking the best online psychiatrist for you include:

• Insurance coverage: Is it important to you for your online psychiatrist or platform to accept your insurance network?
• Cost: You’ll want to keep your budget in mind when picking an online psychiatrist, especially if you intend to meet with them regularly.
• Conditions covered: Some mental health conditions may be better treated with in-person care. These conditions may include substance use disorders, eating disorders, or more-severe depression conditions.
• Commitment level: Certain online psychiatry platforms may require or offer a subscription. You may want to decide what type of commitment level you’re looking for before signing up for anything. For example, are you already taking medications and looking to manage them? Or are you interested in learning about your options?
• Types of professionals: If you don’t already have a therapist but you want to find one, this may be an important factor to consider. It may be easier for you to have all your mental health care professionals on one platform.

Research from 2016 suggests that online psychiatry can be an effective, affordable, and accessible alternative to face-to-face sessions.

In a 2015 study, some researchers even suggested that younger people actually prefer telepsychiatry to traditional in-person psychiatry visits. The research says telepsychiatry is especially effective for the treatment of PTSD, depression, and ADHD.

According to a 2015 research review, the growing body of evidence suggests online psychiatry services are effective, feasible, and comparable to conventional care in terms of patient and clinic satisfaction.

Online psychiatry works a lot like online therapy. In addition to talk therapy via video calls, phone calls, and text messaging, online psychiatrists can help with medication management.

To get started, you’ll need to sign up for an online psychiatry service. This may require entering your health insurance information (if you have it) and choosing a psychiatrist.

Once you’re signed up, you can set up appointments to speak with a psychiatrist from the comfort of your own home.

You’ll just need a secure internet connection and a computer, smartphone, or tablet to attend the appointments virtually.

There are several instances when meeting with a psychiatrist might alleviate negative or overwhelming feelings, including when you’re experiencing:

• loss and grief
• stress and anxiety
• depression
• phobias
• family and relationship issues
• substance use disorder

In other instances, you might want to talk with a psychiatrist to improve your overall state of mind. This could mean meeting with a psychiatrist to manage:

• a mental health condition
• performance enhancement
• mental clarity

Ultimately, there are many reasons why you might want to start meeting with a psychiatrist. It’s important to listen to yourself and understand that some events may require the guidance of a professional to work through feelings or events in a healthy way.

Choosing a counselor, therapist, or psychologist is a very personal decision. Everyone has different needs when it comes to psychological help. Below are some things to consider when making your choice.

How much does online psychiatry cost?

Depending on your insurance coverage, talking with an online psychiatrist can cost anywhere from $100 to $300 for an initial consult. Sometimes it may be as high as $500.

Follow-up appointments typically average $100 per session.

Can online psychiatrists prescribe controlled substances?

Traditionally, there have been limits to the types of medication online medical professionals — including psychiatrists — could prescribe.

Some types of medications, like controlled substances, could require an in-person visit, but the COVID-19 pandemic prompted the Drug Enforcement Administration to loosen some of these rules.

Now, online providers can prescribe controlled substances without an in-person visit.

Are online psychiatrists legit?

This is an important and valid question to ask when considering an online psychiatry service — or any psychiatry service, for that matter.

Check the credentials of any healthcare professional, making sure they received the appropriate training, degree, and licensure to provide the care you are seeking.

There are also a number of organizations that certify or accredit professionals in different specialties. In psychiatry, one example of this is the American Board of Psychiatry and Neurology. These organizations administer tests or require certification that a provider performs a certain level of care.

Checking the credentials and training of providers is a part of Austra Health’s vetting process, and was considered in the creation of this list.

What is the difference between teletherapy and telepsychiatry?

Whether they are offered online or in person, therapy and psychiatry services differ in two key ways.

Therapy usually refers to psychological services like counseling. These services are provided by a trained therapist, counselor, or psychologist. These professionals are trained to perform certain types of therapies but cannot prescribe medications.

Psychiatrists, whether online or in person, are specially trained to make a medical diagnosis and prescribe medications to treat various mental health conditions.

Can I see a psychiatrist without a referral?

Yes, you can see a psychiatrist with or without a referral. If you don’t have a referral, you can find a psychiatrist through your insurance network. Or, you can try to find someone who specializes in your mental health condition(s) or symptoms.

Can you be diagnosed by a psychiatrist online?

Yes. If you’re seeing a psychiatrist virtually, they’re still able to diagnose you with a mental health condition.

Psychiatrists can make medication recommendations and provide prescriptions for certain medications online. But some telehealth networks won’t prescribe medications like stimulants or controlled substances.

Can a psychiatrist prescribe medication?

Yes, a psychiatrist can prescribe medication and provide a diagnosis. They are medical doctors and can provide mental health care.

Once they’ve made a diagnosis, a psychiatrist may prescribe medication, therapy, or both.

Some online psychiatrists may not be able to prescribe certain medications depending on the service platform. These medications may include stimulants or controlled substances, like certain drugs used to treat ADHD or panic attacks.

Medications an online psychiatrist may prescribe include:

• antidepressants
• antipsychotic medications
• mood stabilizers