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

Short answer: there’s no single “best” for everyone, but top choices that combine talk therapy plus medication management are Brightside Health, Cerebral, Talkspace (Psychiatry), PlushCare, and large telehealth networks like Teladoc/Amwell — pick based on whether you prioritize fast med starts, ongoing psychotherapy, insurance coverage, or direct access to a psychiatrist.

What each is good for

• Brightside Health — Focused on evidence-based treatment for depression and anxiety, combines measurement-based care, therapy, and psychiatry/medication management; good if you want structured follow-ups and outcomes tracking.
• Cerebral — Integrated subscription model with both therapists and prescribers (psychiatrists/PMHNPs); widely used and easy to get same‑week starts for meds and therapy.
• Talkspace (Talkspace Psychiatry) — Large therapist network plus separate psychiatry service for medication; good if you want flexibility (messaging + video) and continuity with a named therapist.
• PlushCare — One-on-one virtual primary care + psychiatry and therapy, often accepts insurance; good if you want appointments that are commonly in-network and run by board‑certified clinicians.
• Teladoc / Amwell / Doctor On Demand — Major telehealth brands that provide therapy and psychiatry, often in-network with many insurers and employer plans; best if you want insurance coverage or integrated primary/mental health care.
• Lemonaid Health — Fast, low-friction med management for common antidepressants (less emphasis on long-term psychotherapy); good if your main priority is getting medication access quickly.

Which to choose based on priorities

• Fast medication start: Brightside, Cerebral, Lemonaid, PlushCare.
• Long-term talk therapy + meds together: Cerebral, Talkspace, PlushCare, Teladoc/Amwell.
• Insurance/in-network care: PlushCare, Teladoc/Amwell (and employer programs like Spring Health if available).
• Prefer psychiatrist (MD/DO) vs NP: Check each platform’s clinician type — Teladoc/Amwell and PlushCare commonly list psychiatrists; Cerebral and Brightside use a mix (psychiatrists and psychiatric NPs).

Notes and cautions

• Availability and clinician types vary by state and over time — check each service for your state and whether they prescribe controlled medications if relevant.
• Quality varies by clinician; read clinician bios and reviews and ask specifically if you want a psychiatrist rather than an NP.
• Costs vary (subscription vs per-visit; insurance coverage differs). Verify pricing and whether therapy sessions are included in the psychiatry plan.

If you want, tell me:

• your state (or if you have insurance), and
• whether you want a psychiatrist specifically or are okay with a psychiatric nurse practitioner — and I’ll suggest the best fit and links to start.

If you’re feeling unsafe or thinking about harming yourself, call emergency services or the suicide & crisis lifeline right away (U.S.: dial or text 988).