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

Here are reputable online services that combine therapy plus psychiatric medication management (psychiatry). Brief notes on why each might fit different needs — and a few important caveats at the end.

• Talkspace — offers licensed therapists plus psychiatry/medication management. Good if you want an integrated, therapy-first subscription model with optional medication care through the same platform.
• Brightside (Brightside Health) — focuses on evidence-based treatment for depression/anxiety with coordinated medication management and therapy; good if you want a structured program with measurement-based care.
• Cerebral — provides therapy and psychiatric medication management and is designed for ongoing, convenient follow-up. (Note: Cerebral has had regulatory/operational changes in recent years; check current service availability in your state.)
• Teladoc / Doctor On Demand — large telehealth providers that offer both psychiatry and therapy via licensed clinicians; strong option if you want broad telemedicine services and often good insurance coverage.
• Amwell — telehealth platform with psychiatry and therapy options; widely used by health systems and insurers.
• PlushCare — offers both therapy and psychiatry (often via psychiatric NPs or MDs) and can be a straightforward choice for scheduled med management plus talk therapy.
• SonderMind — primarily a therapy network but also offers psychiatry/medication management in many markets; good if you prefer therapist-matching with local/virtual options.
• Lyra Health / Spring Health — employer-based programs (if your employer offers them) that coordinate therapy and psychiatry with strong care navigation and quick access.

Important things to check before you sign up

• State availability and licensing: not all platforms operate in every state.
• Who prescribes: psychiatrists (MD/DO) vs psychiatric nurse practitioners — both can prescribe, but credentials and experience vary.
• Controlled substances: many telehealth services limit or won’t prescribe stimulants/benzodiazepines remotely.
• Costs and insurance: some platforms accept insurance or employee benefits; others are subscription or per-visit fees.
• Care model: ask whether therapy and psychiatry are coordinated by the same team or are separate providers on the platform.

If you tell me your state, whether you have insurance or an employer plan, and whether you need controlled substances, I can narrow this to the best specific option for you.