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 be very convenient and help ensure your providers are on the same page.

Here are some reputable online services that offer both psychiatry (for medication) and therapy:

1. Talkspace:

   • Why: While primarily known for its therapy services, Talkspace also offers psychiatric medication management. You can be matched with a licensed therapist for ongoing talk therapy and then, separately, matched with a prescriber (psychiatrist or psychiatric nurse practitioner) for medication evaluations and management. They aim for coordinated care, but you might have separate providers.
   • How it works: Typically subscription-based, with different tiers for therapy only, or a combination of therapy and medication.

2. MDLive / Teladoc / Amwell (Now Amwell):

   • Why: These are large, established telehealth platforms that offer a wide range of medical services, including robust mental health departments. You can search for both therapists and psychiatrists/prescribers through their platforms. They are often covered by many health insurance plans, making them a cost-effective option for many.
   • How it works: You schedule appointments for therapy and/or psychiatry. Coverage varies, but they're often good choices if you want to use your insurance.

3. Brightside Health:

   • Why: Brightside specifically focuses on treating depression and anxiety, and their model is built around integrating medication management with evidence-based therapy (often CBT). They emphasize personalized treatment plans and track your progress.
   • How it works: They offer a plan that includes both medication and therapy, often involving a psychiatric provider for meds and a separate therapist for talk therapy, with communication between the two. They often have transparent pricing and work with some insurance plans.

4. Cerebral:

   • Why: Cerebral offers plans that combine medication management with therapy. They were one of the first to market heavily for this integrated approach.
   • However, it's important to note: Cerebral has faced scrutiny and investigations regarding its prescribing practices in the past. If you consider them, research recent reviews and ensure you're comfortable with their current approach and any changes they've implemented.

5. K Health:

   • Why: K Health is a membership-based platform that offers a range of medical services, including mental health care. They can provide medication management for common conditions like anxiety and depression and connect you with therapists for talk therapy.
   • How it works: It's often a more affordable, membership-based option, which can be appealing if you don't have insurance or have a high deductible.

Important Considerations When Choosing a Service:

• Insurance Coverage: Always check if your specific health insurance plan covers the service and individual providers. Many online platforms work with various insurers, but coverage can vary.
• Cost: Understand the pricing model – whether it's a monthly subscription, per-session fee, or a co-pay.
• Provider Licensing: Ensure the therapists and prescribers are licensed in your specific state. Telehealth laws require providers to be licensed where the patient is located.
• Integrated Care Model: Ask how well the therapist and psychiatrist communicate and coordinate your care. Ideally, they are on the same platform and can easily consult with each other about your progress.
• Initial Assessment: A good service will conduct a thorough initial assessment to understand your needs and determine the best course of treatment (medication, therapy, or both).
• Comfort and Fit: Just like in-person care, finding a therapist and prescriber you feel comfortable with is crucial. Don't hesitate to request a different provider if the fit isn't right.
• Urgent Care/Crisis: Online services are generally not suitable for immediate crises or emergencies. Ensure you know your local emergency resources if you ever need them.

I hope this helps you find the right support!