I need both therapy and medication. Which online services offer psychiatry plus therapy?

Good question — many telehealth companies now offer both medication management (psychiatry) and psychotherapy, but they differ in price, whether care is “integrated” (same team coordinates meds + therapy), insurance coverage, and state availability. A few reputable options to check:

• Talkspace — Offers therapy (messaging and video) plus psychiatry/medication management. Good if you want a consumer-friendly app and combined services in one platform.
• Brightside Health — Focuses on evidence-based care for depression and anxiety with integrated therapy + medication plans; known for structured care pathways and relatively fast starts.
• Teladoc (Teladoc Mental Health) — Large, insurance-friendly telemedicine company offering psychiatrists and therapists; good if you want broad insurer acceptance and same-platform video visits.
• Doctor On Demand (now part of Included Health ecosystem) — Offers both psychiatrists and licensed therapists; often works with major insurers and employer plans.
• Amwell — Telehealth platform that provides psychiatric and therapy visits and works with many insurers; good for matching with local-licensed providers.
• Lyra Health — Employer-provided mental health network offering coordinated therapy + psychiatry for employees at participating companies; high-quality matching and care coordination.
• Spring Health — Another employer-based program that provides assessment, therapy, and medication management for covered employees; fast matching and care navigation.
• Talkiatry — Psychiatry-first telemedicine service that focuses on medication management and also coordinates therapy when needed; useful if meds are your primary need.
• Mindpath Health — Offers psychiatric evaluations, ongoing medication management, and therapy (telehealth + in-person options); good for continuity care.

Also note:

• BetterHelp is therapy-only (no prescribing psychiatrists), so it won’t meet your medication need.
• Cerebral historically offered integrated care but has had business and regulatory changes; verify current availability in your state before relying on it.

How to decide / what to ask when you contact them:

• Do they coordinate therapy and psychiatry on the same care team?
• Do they accept your insurance (or offer sliding scale / transparent pricing)?
• Are prescribers licensed in your state, and do they provide ongoing follow-up/medication refills?
• Can they prescribe controlled substances if you need them (some services don’t)?
• Typical wait time for first visits and for ongoing follow-ups.

If you tell me your state (or whether you’ll use insurance or pay cash), I can narrow this to 2–3 best fits and compare cost/availability.