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

It's great you're looking for integrated care! Many online platforms have recognized the need for both therapy and medication management under one umbrella. This can make coordinating your care much easier.

Here are some online services that offer both psychiatry (for medication) and therapy (talk therapy), along with a brief explanation of why they might be a good fit:

1. Brightside Health:

   • Why it's good: Brightside specifically focuses on evidence-based treatment for depression and anxiety, often combining medication management with therapy. They use a specific methodology to help match you with providers and track your progress. The care team (prescriber and therapist) is designed to work together to create a personalized plan.
   • What they offer: Medication management from a licensed psychiatric provider (MD, DO, NP, PA) and therapy from a licensed therapist, often integrated.

2. Talkspace:

   • Why it's good: Talkspace is well-known for its flexible therapy options, including messaging, live chat, and live video sessions. They also offer a separate "Talkspace Psychiatry" service where you can get a psychiatric evaluation and medication management from a licensed provider. While separate, it's all through the same platform, making coordination relatively straightforward.
   • What they offer: Talk therapy with a licensed therapist, and dedicated psychiatry services for diagnosis and medication management.

3. Cerebral:

   • Why it's good: Cerebral aims to provide comprehensive mental health care, including medication, therapy, or both. They offer quick initial assessments and often have availability for both types of providers.
   • What they offer: Psychiatric evaluations and medication management, combined with therapy sessions.
   • Important Note: Cerebral has faced scrutiny and investigations in the past regarding prescribing practices for controlled substances. While they have stated they've made changes to address these concerns, it's crucial to do your own research on their current practices and read recent reviews to ensure you feel comfortable with their services.

4. Amwell / MDLive:

   • Why it's good: These are broader telehealth platforms that often include a range of medical services, including mental health. You can typically find both therapists and psychiatrists through their networks. While not always as tightly integrated as a mental health-specific platform, they offer convenience and may be covered by a wider range of insurance plans if you already use them for other telehealth needs.
   • What they offer: Access to licensed therapists for talk therapy and psychiatric providers for medication evaluation and management.

Key Things to Consider When Choosing:

• Insurance Coverage: This is a big one! Check if any of these services accept your insurance, as out-of-pocket costs can be significant.
• Cost: Understand the subscription models, session fees, and medication costs.
• Provider Matching: How do they match you with a therapist and psychiatrist? Can you switch providers if it's not a good fit?
• Communication Methods: Do you prefer live video, phone calls, or text-based messaging for therapy and check-ins?
• State Availability: Providers must be licensed in your state, so confirm the service operates where you live.
• Treatment Approach: Some services specialize in certain conditions (like Brightside with anxiety/depression), while others are broader.

I recommend visiting the websites of a few of these services to compare their offerings, pricing, and specific approaches to integrated care. Finding the right fit for your unique needs is important!