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

I can help — quick question first: what country (and if US, which state) are you in, and do you have insurance or employer coverage? Availability, prescribing rules, and price vary a lot by location.

If you’re in the United States, these national telehealth services commonly offer both therapy and psychiatric medication management (brief note after each):

• Talkspace — offers licensed therapists plus psychiatry/medication management; good if you want flexible messaging-based therapy plus scheduled med visits.
• Cerebral — provides matched therapy and medication management with a subscription model (focused on depression/anxiety); check current availability and policies for controlled meds.
• Brightside Health — focuses on evidence-based treatment for anxiety/depression with coordinated therapy + psychiatric medication care.
• PlushCare — combines primary care and behavioral health/psychiatry; accepts many major insurers and offers scheduled video visits for meds.
• Amwell / Doctor on Demand — national telehealth platforms that include licensed therapists and psychiatrists; many employer and insurance integrations.
• MDLIVE — telepsychiatry and therapy services, works with some insurers and PBMs.
• SonderMind — primarily therapy but in many markets coordinates medication management/psychiatry and works in-network with insurers.
• Ginger / Headspace Health / Lyra — mostly available through employers; offer integrated coaching, therapy, and psychiatry for employees covered by those programs.
• Zocdoc — not a provider itself but an easy way to find and book local or telepsychiatrists who also coordinate therapy.

A few quick things to consider:

• Controlled substances (e.g., stimulants) have stricter rules; some telepsychiatry services don’t prescribe them or require an in-person evaluation.
• Costs vary: some services are subscription-based (out-of-pocket), others accept insurance or are employer-covered.
• Wait times and whether you see a psychiatrist vs. a psychiatric nurse practitioner vary by service; ask about prescriber type if that matters.
• If you’re in crisis or at risk of harm, call local emergency services or crisis lines (e.g., 988 in the US).

If you tell me your country/state and whether you have insurance or employer coverage, I’ll shortlist the best matches for your situation and note expected costs and prescribing policies.