What is the best online therapy for depression that includes medication support?

Short answer: there’s no single “best” for everyone — it depends on your insurance, budget, severity of symptoms, and whether you want therapy-first or psychiatry-first care. That said, these services are consistently recommended when people want both therapy and medication support:

• Brightside Health — designed specifically for depression/anxiety care with combined medication management (psychiatrists/NPs) plus coordinated therapy and measurement‑based tracking. Good if you want an integrated, clinical approach focused on outcomes.

• PlushCare — offers fast access to board‑certified psychiatrists and licensed therapists, often accepts insurance, and is convenient if you want telepsychiatry with routine medication management covered by many plans.

• Talkspace (Talkspace Psychiatry) — long‑standing therapy platform that also provides psychiatric medication management. Good if you want continuity between an online therapist and a psychiatry team in the same platform.

• Talkiatry — psychiatry‑focused telehealth that provides medication management for mood disorders and coordinates therapy referrals. Good for people who need psychiatric expertise (complex meds or treatment‑resistant depression).

• Doctor On Demand / Amwell / Teladoc — large telehealth providers with licensed psychiatrists and therapists; often integrated with insurers and employer plans, so they’re solid if you want coverage through insurance or an EAP.

• Hims/Hers (Hims) — consumer‑friendly, lower‑friction option for mild‑to‑moderate depression that offers online psychiatric evaluation and medication management. Good if you want a simple, direct route to prescriptions and limited therapy options.

Quick notes to help choose:

• If you have employer coverage or insurance, check Spring Health, Lyra, Teladoc/Doctor On Demand or your employer’s EAP first — they may be low‑cost or free.
• If you want therapy that’s tightly coordinated with a prescriber, choose platforms that advertise integrated care (Brightside, Talkspace).
• If your depression is severe, or you have suicidal thoughts, substance use, psychosis, or complex medication needs, prioritize a psychiatry‑first service or in‑person care and seek emergency help if you’re in crisis.
• Most online providers will not (or legally cannot) prescribe controlled substances (e.g., certain stimulants, some benzodiazepines) via telehealth.

If you tell me your country/insurance status, budget, and whether you prefer therapy-first or psychiatry-first care, I can recommend the best single option for your situation. If you’re in crisis now, call local emergency services or, in the U.S., dial 988.