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

Good — here are reputable online services that explicitly offer both therapy (psychotherapy) and psychiatry/medication management, with a brief note on what makes each one different. Always check state availability and whether they can prescribe controlled substances where you live.

• Teladoc Mental Health — National telehealth company that offers licensed therapists and board-certified psychiatrists. Good if you want an integrated platform that often works with insurance and employer plans.

• Doctor on Demand (Included Health) — Offers video therapy and psychiatry/medication management with clinicians licensed across the U.S. Widely accepted by insurers and employers; solid for scheduled video visits and same-week appointments.

• Talkspace — Known for flexible messaging therapy plus a psychiatry service (Talkspace Psychiatry) for medication management. Good if you prefer messaging-based therapy plus the option of psychiatric follow-up.

• PlushCare — Offers both licensed therapists and psychiatrists/psychiatric nurse practitioners; accepts many major insurances and also provides primary care telemedicine, which helps coordinate overall care.

• Amwell — Large telehealth platform with behavioral health options including therapy and psychiatry, often used by health systems and insurers. Useful if you want continuity with other telehealth specialties.

• (Employer/plan-specific) Lyra Health, Spring Health — These are often provided through employers/insurance and deliver both therapy and psychiatry with care navigation and faster access. Check whether your employer offers them.

What to check before you sign up

• Insurance and cost: Does the service accept your insurance or is it cash-pay/subscription? Pricing models vary (per visit vs subscription).
• Prescribing limits: Many platforms will not prescribe controlled substances (e.g., some stimulants, certain sleep meds) via telehealth or in some states — ask upfront if a specific medication is needed.
• Wait time and continuity: Ask typical wait time for first psychiatrist appointment, and whether your therapist and prescriber coordinate care.
• State licensure: Make sure the clinician is licensed in your state.
• Emergencies: These platforms are not for emergencies — ask about crisis procedures and local resources.

If you’d like, tell me your state and whether you have insurance (or want cash pricing) and I’ll narrow this to the best options and estimated costs.