Teladoc

9 Best Online Psychiatry Services

Finding a psychiatrist when you need one can feel like an impossible task. Approximately half of all U.S. counties don’t have any psychiatrists, and a study of more than 500 Affordable Care Act Marketplace networks found that only about 43% of psychiatrists were in-network with insurance plans. What’s more, a May 2023 study found that only 19% of psychiatrists were accepting new patients and among those, the median wait time for an appointment was 67 days.  Online psychiatry companies are stepping up to fill this huge gap in care. These services offer access to a large network of pre-vetted, highly qualified psychiatrists, many of whom accept insurance.

To help identify the best online psychiatry services out there, we tasked testers, experts, and our research team to put these companies to the test. We surveyed over 8,000 users at 82 online mental health companies and directories, had testers sign up for the services for at least a month, had three licensed therapists help us evaluate each company, and sent out questionnaires to each company. Given the variety of features and options on our list of top picks, we hope to take the sting out of finding high-quality, timely psychiatry.

When choosing an online therapy provider, we recommend that you read the company’s privacy guidelines before you sign up to better understand whether it is HIPAA-compliant and whether it shares any private information with third parties. There have been some online therapy concerns raised by the Federal Trade Commission (FTC) and several government officials about what user health information online therapy providers collect and what they do with any information they collect.

Our Online Therapy Methodology

Curious about the extensive work we did to research and evaluate online therapy companies? Take a look at our online therapy methodology.

Compare Our Top Picks

Teladoc

Best for Availability

Teladoc Health

Best for Availability Teladoc Health

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Best for Availability

Up to $119 per therapy session, $299 for initial psychiatry appointment and $129 per follow-up

Yes

Yes

Couples Therapy, Individual Therapy, Medication Management, Psychiatry 

Audio, Video Chat

Monument

Best for Alcohol Use Disorder

Monument

Best for Alcohol Use Disorder Monument

See Retailer

Best for Alcohol Use Disorder

Starts at $15+ per month

Yes

Yes

Group Therapy, Individual Therapy, Medication Management, Peer Support

Messaging, Video Chat

Brightside

Best for Anxiety and Depression

Brightside

Best for Anxiety and Depression Brightside

See Retailer

Best for Anxiety and Depression

$95-$349 per month, billed as a monthly subscription

Yes

Yes

Individual Therapy, Medication Management, Psychiatry, Teen Counseling

Messaging, Video Chat

Talkiatry

Best for Medication Management

Talkiatry

Best for Medication Management Talkiatry

See Retailer

Best for Medication Management

Depends on your insurance

Yes. BCBS, Optum, Cigna, UnitedHealthcare, Aetna, Medicare, and others

Yes

Individual Therapy, Medication Management, Psychiatry

Video Chat

Talkspace

Best for Patient Support

Talkspace

Best for Patient Support Talkspace

See Retailer

Best for Patient Support

$69 per week for asynchronous text-only therapy, billed as a monthly subscription ($99 to $109 per week for subscriptions with live sessions)

Yes

Yes

Couples Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling

Messaging

Thriveworks

Best for Ease of Use

Thriveworks

Best for Ease of Use Thriveworks

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Best for Ease of Use

Varies by insurance; self pay starts at $200 per session

Yes

Yes

Couples Therapy, Family Therapy, Group Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling

Audio, Phone, Video Chat

Doctor on Demand

Best for Flexible Scheduling

Doctor on Demand

Best for Flexible Scheduling Doctor on Demand

See Retailer

Best for Flexible Scheduling

$129 – $299 per session

Yes

Yes

Individual Therapy, Medication Management, Psychiatry, Teen Counseling

Audio, Video Chat

LiveHealth Online

Best for Budget

LiveHealth Online

Best for Budget LiveHealth Online

See Retailer

Best for Budget

$85-100 per therapy session; $185 or less for an initial psychiatry session; $80 per follow-up

Yes

Yes

Children’s Therapy, Couples Therapy, Family Therapy, Individual Therapy, Medication Management, Psychiatry, Teen Counseling

Video Chat

MDLIVE Logo

Best for Provider Options

MDLIVE

Best for Provider Options MDLIVE

See Retailer

Best for Provider Options

Up to $179 for therapy; up to $299 for psychiatry

Yes

Yes

Individual Therapy, Medication Management

Video Chat

Guide to Choosing the Best Online Psychiatry Service

  • Price: Cost and insurance coverage are clearly important factors, so you should review fees and insurance plans accepted before signing up for any service. Know your monthly budget and whether or not you want to pay per session or a monthly fee for a set of recurring services. Also, decide whether you’re OK with paying a membership fee in addition to service fees. Consider the length of appointments, provider qualifications, and additional perks (like the ability to message your provider) when calculating the value for money. Some online psychiatry services may also offer financial assistance. For example, service fees may be able to be waived or reduced, and some psychiatrists may offer sliding-scale pricing. It’s always worth emailing customer service to inquire about making services within your financial reach. 
  • Treatment area: The focus of an online psychiatry service is also important: does it specialize in care that includes your particular diagnosis or age group? (For example, certain sites specialize in care for ADHD or depression and anxiety but not much else.) Can it treat multiple issues that you may have (such as additional co-occurring conditions like substance use)? Do you have access to a therapist in addition to a psychiatrist/prescriber? How broad is the service’s network of providers where you live, and what are their qualifications? If you’re looking to find out whether or not you’re experiencing a diagnosable condition and what that is, you’ll want to start with a more general online psychiatry service.
  • Medication options: The particular medications/prescribing services available are important to check. Most companies are not allowed to prescribe controlled substances. Some may have less experience or comfort with certain types of medications or diagnoses. Access for refills or discussing urgent side effect issues should also be considered. Also, check if medication is a separate charge or included in the service fees.
  • Scheduling: Scheduling is one of the best potential advantages of online psychiatry companies, but only if the service actually has good availability for a wide range of times, and with the same provider each time instead of a more worrisome random provider approach. Ease and accuracy of scheduling is also important. If you have a specific need for appointments that fall outside of normal business hours, look for services with the widest range of scheduling options. And be sure to consider if you’re willing to wait a bit longer for service in order to secure appointments at a specific time.
  • Choosing a provider: You’ll want to consider credentials and experience: Did the provider attend well-established or well-known academic training programs? Are they actively board-certified, and in what specialties? Is their identity or cultural background similar to your own? Additionally, you’ll want to be sure the service has a relatively easy way to switch to a different provider in the event you don’t feel that the first one is a good match. Look for services that ensure easy access to customer support for technical issues (such as video signal problems) or billing concerns.

Are Psychiatry Services Right for Me?

Online psychiatry can be helpful if you live in a remote area with limited in-person providers, have a schedule that makes it difficult to fit in appointments, have difficulties leaving the house, or want a therapist with a specific identity that’s not common where you live. Choosing an online provider might also be helpful if you’re concerned you’ll need to switch psychiatrists or medications and are looking for support quickly.  

Online psychiatry services are typically not intended for people in severe distress or crisis.

What If I’m Having Thoughts of Harming Myself?

Anyone with thoughts, urges, or plans of suicide or self-injury, or mental health symptoms that endanger their own or others’ well-being, should seek in-person emergency care ASAP by calling the Suicide & Crisis Lifeline at 988 or going to their nearest or preferred hospital emergency room. Other free mental health resources include:

Frequently Asked Questions


  • What Conditions Can Online Psychiatrists Help Me With?

    Psychiatrists are physicians with medical training, (i.e., MD or DO degrees, which take four years to complete) as well as psychiatric residency training, which takes another four years. They can treat a wide array of mental health conditions and are trained to diagnose patients and treat them using both psychotherapy and psychopharmacology. Some specialize or have additional board certification in particular diagnoses (like mood and anxiety, alcohol use, or eating disorders) or age groups (like child/adolescent or geriatric). Online psychiatrists often cannot treat more severe mental health conditions or prescribe controlled substances. For these services, in-person psychiatry would be necessary.


  • Are All Prescribers of Mental Health Medication Psychiatrists?

    People with different qualifications and training are also permitted to prescribe medications, such as primary care physicians, psychiatric nurse practitioners, physician assistants, and, in a few states, psychologists. These other prescribers usually do not have the same amount of rigorous time and training regarding human physiology and pharmacology in combination with psychiatric expertise as psychiatrists, but some have sufficient experience to prescribe medications for routine or mild mental health conditions.


  • What Is the Difference Between Teletherapy and Telepsychiatry?

    Teletherapy is a more general term referring to psychotherapy conducted remotely online. There are numerous licensed and trained specialists who can provide teletherapy, such as licensed mental health therapists, social workers, psychologists, and psychiatrists. Telepsychiatry refers to the practice of psychiatry conducted remotely online and usually refers to services provided specifically by a psychiatrist who does an initial history-taking and diagnostic biopsychosocial assessment, followed by recommendations for treatment involving psychotherapy and/or medication. Psychiatrists are trained in and can also conduct psychotherapy, but a more common treatment model is to split care with a designated psychotherapist and have the psychiatrist focus on medication management.


  • How Do You Know Online Psychiatrists Are Qualified?

    Even if the telehealth platform asserts it screens provider credentials, before making an appointment, you should conduct a quick online search to see whether they have an active medical license in your state, active board certification from the American Board of Psychiatry and Neurology, and no signs of unusual medical board complaints or legal issues.


  • Do I Need to Currently Be Seeing a Psychiatrist to Receive Medication?

    As with any medication, it’s important to receive periodic follow-ups from your qualified prescriber to make sure continuing your medication at its current dosage is the appropriate plan. For psychiatric conditions, psychiatrists are best able to determine with you what the right medication and the most appropriate follow-up period is. Sometimes if a medication is very stable, routine prescribing can be continued by a primary care provider instead.


  • Do Online Psychiatrists Accept Insurance?

    This depends on the psychiatrist and the platform. Some may screen and validate that your insurance is in-network ahead of time; others may not accept insurance upfront and make you do paperwork and send out-of-network bills instead, which can be time-consuming and have higher copays or fees. All of the telepsychiatry services listed in this roundup accept several health insurance plans.

How We Tested and Reviewed Online Therapy Services

We evaluated 82 online therapy companies and therapist directories in order to compile this list.

Firsthand Experience

As part of our research, we signed up for talk therapy at all 55 online therapy companies we reviewed. We tested each company’s therapy services, and if the company offered other services (such as couples therapy and kid or teen therapy) we tested those too. Our testers are located all across the United States and abroad, meaning we have extensive information about each company’s services in a variety of areas.

User and Brand Surveys

In addition, we surveyed more than 8,000 therapy users: 100 at each of the 55 online therapy companies and the 27 therapist directories we tested. We collected over 100 different data points in which we asked users to evaluate each company’s services, from their therapist’s qualifications to whether they found a therapist who met all their needs to how they’d rate the company overall. We also sent questionnaires to each company we considered, asking for their perspectives on the services they provide, and we interviewed former patients and therapists at the companies where possible.

Research

In addition to the extensive research we performed on each of the 55 online therapy companies we reviewed, we also researched dozens of therapy directories. We tested each by searching for appropriate therapists for 37 hypothetical scenarios that might lead someone to search for a mental health provider across 18 ZIP codes. We then rated the results by how well the therapists we found in each directory could address each scenario, looking into whether it listed competent, licensed therapists who were qualified to treat these issues.

Expert Recommendations

Once we completed this testing and these surveys, we evaluated our findings with the help of three licensed therapists—Amy Marschall, PsyD; Nic Hardy, PhD, LCSW; and Hannah Owens, LMSW—in order to make our recommendations. These therapists provided extensive insight into the ethics and efficacy of online therapy as well as information about relevant therapeutic modalities and approaches.


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The Dangerous Effects of Toxic Masculinity


Key Takeaways

  • Toxic masculinity refers to the cultural norms associated with traditional masculinity, such as aggression and dominance.
  • Such expectations are harmful and restrictive, limiting individuals and harming others as well as society.
  • Unlearning these attitudes often involves seeking healthier role models, developing greater emotional awareness, and finding healthier ways to manage negative feelings.

Toxic masculinity refers to unhealthy and often traditional characteristics or attributes associated with men. This includes being unemotional, power-hungry, narcissistic, and violent. Unfortunately, men are frequently defined by these outdated and unfounded stereotypes, creating an unhealthy and unrealistic definition of what it means to be a man in today’s society.

Assuming men should be protectors, breadwinners, or leaders, or associating men with anger, selfishness, and aggression can be problematic and damaging. When those beliefs are based on unproven biases that we, as both individuals and a society, perpetuate, boys and men are taught to believe them falsely or to try to measure up to them, ultimately harming themselves and others in the process. 

Traditional Gender Roles and Toxic Masculinity

In many ways, “manhood,” like “womanhood,” comes with many expectations in the United States. As a society, we value kindness, compassion, and care in women more than we do in men. According to the Pew Research Center, we also associate men with being protective, while we don’t associate them with being emotional.

This does not mean that men aren’t caring, compassionate, or emotional, but rather that we, as a society, don’t value these traits in men, which can lead men to believe they aren’t valuable.

Ron Blake, Social Justice Activist, Public Speaker

Men tend to keep so much bottled up inside. This includes all the traumas and heart-breaking moments. Eventually there has to be a release. And too often that is in an explosive way.

— Ron Blake, Social Justice Activist, Public Speaker

“Fragile masculinity,” a term referring to the unrealistic cultural standards placed on men, exists because many men feel they have to overcompensate or act in a certain way to meet these traditional standards, but we are all human. As human beings, regardless of gender, we have a combination of masculine and feminine traits. 

While feminism has pushed America to redefine and reconsider the role of girls and women, it has also raised questions about boys and men, and what their role is in society.

Rather than defining boys or men as “good” or “bad,” or “tough” or “weak,” it’s important to recognize that men, like women, have many facets that extend far beyond the traditional expectations of their gender.

Traditional societal views of masculinity harm every member of society, but studies show they have a greater impact on the self-image, relationships, and overall mental health of gay men. 

Our society needs to remember that being a man doesn’t mean you have to like sports or women. Being a strong man doesn’t mean you can’t show weakness or cry. Being a successful man doesn’t mean you have to marry or become a C-suite executive. Sexual preferences and gender identities, just like career choices and lifestyle choices, don’t make you any less of a man. 

“The truth is being a man can mean whatever you want it to mean,” says Britt East, author of A Gay Man’s Guide to Life. “You get to decide.”

The Harmful Effects of Toxic Masculinity

When men actively avoid vulnerability, act on homophobic beliefs, ignore personal traumas, or exhibit prejudiced behaviors against women, this contributes to many larger societal problems. Effects of toxic masculinity:

  • Domestic abuse
  • Gender-based violence
  • Gun violence
  • Homophobia
  • Misogyny
  • Rape culture
  • Sexual assault

Violence and Aggression

“Masculinity becomes fragile through its rigidity. When it cannot afford to hold the panoply of gender expressions, sexual cultural orientations, or feminine strength intrinsic to any pluralistic society, then it must lash out, or risk crumbling under the weight of its own culturally-constituted expectations,” says East.

“Whatever the cause, the response is [almost] always a form of violence… Sometimes this violence is outwardly expressed through physical dominance or aggression. Other times it is inwardly expressed, through depression, addiction, or suicide,” East writes.

Men are perceived as more violent than women, and as evidenced by the crime rates, they are. Most criminal offenses are committed by men, and most crimes (with the exception of sexual assault) are committed against men.

Sexual Assault and Sexual Violence

Though men are often the perpetrators of sexual assault, we often forget that millions of men in this country have also been victims of sexual assault. Male violence is a problem, but so is male victimization. Statistically, 5-10% of girls are subjected to penetrative sexual abuse, but 5% of boys are also subjected to penetrative sexual abuse, and this is rarely discussed. 

When men and women are accused of similar crimes, men are more likely to receive longer sentences than women, with women being twice as likely to avoid incarceration upon conviction.

“Every behavior is connected to a need,” says Mack Exilus, MA, EDM, MHC-LP, a mental health clinician at Citron Hennessey Therapy. “One thing I’ve seen with men with anger issues and violent paths is that these are behaviors that are learned. A lot of times, that violence or that anger is a way to protect vulnerability.”

Inability to Express Vulnerability

Unfortunately, many men aren’t taught how to be vulnerable, how to overcome trauma, or how to embrace every aspect of themselves. Take Aaron Hernandez, for instance, who battled numerous traumas in his childhood and ultimately grew up to become a professional football player and larger-than-life man. He ended up in prison, was convicted of murder, and ultimately committed suicide. 

“He had been asking for help for so long on so many occasions,” says Blake. “I feel like part of my role in life is to help the world know Aaron was a good guy. We all failed him in life.”

Society often pressures men to “be men” in the traditional sense, rather than simply be human. For men, vulnerability is often neglected, dismissed, or combated. When men push down emotions, ignore feelings, or dismiss their feminine traits, their mental health will suffer.

Why Toxic Masculinity Is Also a Health Issue

The mental health effects of toxic masculinity can include: 

  • Anxiety
  • Depression
  • Higher risk for suicide
  • Increased loneliness
  • Increased risky behavior
  • Increased substance and alcohol use

As of 2018, significantly more men than women died from an opioid overdose. Men are far more likely to die by suicide than women. 

Men, like women, experience anxiety, depression, and mental illness. However, men are more likely than women to underutilize mental health services and are more reluctant to seek help, especially regarding mental health.

As a country, we often fail to address the many traumas faced by boys and men, and we often punish behaviors without addressing the underlying issues that lead to those behaviors.

We need to eliminate the stigma around mental illness and remind men that asking for help, expressing emotions, and seeking therapy isn’t just beneficial, it’s necessary for the betterment of our society.

“Most men are simply in survival mode,” says Dan Doty, co-founder of EVRYMAN.

How to Push Back Against Toxic Masculinity

When Michael Kimmel, the founder and director of the Center for the Study of Men and Masculinities at Stony Brook University, asked his students what it means to be a “real man,” he received answers like “authoritative” and “suppressing any kind of weakness.”

BIPOC Boys and Men

Traditionally, boys are taught to “act like men,” and in many cases, treated like men, which can greatly impact their understanding of themselves and their place in the world.

For Black boys, in particular, the expectations and misconceptions can be dangerous. Studies have shown that Black children are seen as less “childlike” than white children and are often perceived as being older than they are.

Exilus points out that minority men, in particular, have to do a lot more work every day. They need space, time to rest, and the opportunity to share and/or express their anger. Whether you join group therapy, individual therapy, or visit an organization like Black Men Heal, the goal is to better understand yourself and your emotions and prioritize your mental well-being. 

Press Play for Advice on Undefining Masculinity

This episode of The Verywell Mind Podcast shares the value of undefining what it means to be a man, featuring author and actor Justin Baldoni. Click below to listen now.

Follow Now: Apple Podcasts / Spotify / Google Podcasts / Amazon Music

Boys Should Learn That Emotions Are Healthy

When we treat boys as men and teach them to be emotionless, tough, and secure, we strip them of their innocence and we place unrealistic and unhealthy expectations on them. 

“We need to teach young men from an early age that it’s good to express emotions,” says Exilus. In both our education system and at home, we need to help boys and men label their feelings and understand them. By approaching this in a non-judgmental, curious way, we can eliminate the fears surrounding therapy and mental health.

“Boys and young men are, by nature, in great need of guidance,” says Doty.

“We need men to be role models for the new generation. It all starts with teaching boys to not be men, but to be humans,” says Blake. “This should not be a gender issue. Once we make this a human issue, toxic masculinity will fade.”

Boys Must Be Taught How to Deal With Negative Feelings

“Anger is judged upon. Bottling it up doesn’t do anything,” says Exilus. We need to offer men ways to deal with that anger.

Exilus recommends focusing on five sensations and counting down if you’re feeling angry or frustrated. Focus on five things you can hear, four things you can see, three things you can smell, two things you can touch, and one thing you can taste. 

Mack Exilus, MA, EDM, MHC-LP

This gets you out of your head, into your body, and tuned into your environment. Sit with the breath and be wherever you are without having to drain yourself of energy. You can also take a nap, go for a run, drink some tea, or splash cold water on your face.

— Mack Exilus, MA, EDM, MHC-LP

Toxic masculinity is something that still needs to be addressed, and the only way to help men learn that emotions don’t devalue them or make them weak is by instilling that mindset within them from a young age. The dangers of toxic masculinity are clear, and as a society, it’s important to remember that everyone is human and finding healthy ways to process emotions is important for all of us, especially men.

Also, if you’re struggling with the mental health effects of toxic masculinity or you need someone to express your emotions to, there is no shame in reaching out for help from a mental health professional.


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