Talkiatry is an online platform that offers long appointment times with board-certified psychiatrists, making it a good choice for those seeking more thorough medication management from the comfort of home. However, it’s only accessible through insurance, and you can’t access therapy through Talkiatry without also using it for medication.
We’ve used Talkiatry multiple times to get mental health medications, and in general we’ve been impressed, rating it with 4 out of 5 stars. After another round of testing, we maintain that it could be a great fit for those wanting ongoing psychiatric care.
Talkiatry at a Glance
Cost: ~$30 copay
Insurance Accepted? Yes, exclusively
Service Location: 45 States
Medication & Therapy: Yes
Pros & Cons
- Treats children (5+), teens, and adults
- 600+ highly vetted psychiatrists
- Ability to prescribe controlled medication
- Only accepts in-network insurance patients
- Fees vary based on location & coverage
Preview Talkiatry
Talkiatry provides comprehensive care for mental health conditions in 45 U.S. states. It offers medication management for children aged five and older, teens, and adults. In states where it’s legal, providers on Talkiatry can prescribe controlled medications without an in-person visit (some states require in-person visits before providers are allowed to prescribe controlled substances, like Adderall or Xanax). Therapy is available on an as-needed basis for those also actively seeing a psychiatrist.
Talkiatry partners with hundreds of major insurance plans, including Medicare, but does not offer any means of cash payments, so those without insurance or who aren’t in-network will need to find care elsewhere. However, this means that out-of-pocket costs for those who are eligible could be dramatically decreased.
Talkiatry prides itself on offering high-quality care and having its providers take their time with patients, as evidenced by the length of their initial appointments: 60 minutes for adults; 75 minutes for kids and adolescents. Follow-ups are 30 minutes and 45 minutes respectively.
If you don’t have insurance or you’re not in-network with Talkiatry, try Brightside Health. It is one of our favorite online psychiatry providers because it accepts many insurance plans and offers affordable cash-pay plans. Those seeking online therapy instead of psychiatry, or who want a subscription format instead of paying per-session, should consider some of our other favorite online therapy providers.
Detailed Review of Talkiatry
Talkiatry received 4 out of 5 stars after our in-depth review process. Some of its top-scoring areas include diagnoses, prescription options, and provider credentials. One negative is that it doesn’t offer a cash-pay option for people without insurance. Additionally, it doesn’t provide therapy on its own if that’s something you’re interested in.
Review our scoring criteria for online therapy platforms here.
Review our complete editorial policies here.
User Reviews
Since Talkiatry is still a fairly young company – It’s only been around since 2020 – it can be difficult to get an accurate representation of what users think. Trustpilot gives Talkiatry an average 2.7 star rating. Meanwhile, its rating on the BBB is 1.07, mostly due to unresolved complaints. Since Talkiatry doesn’t have its own mobile app, the major app stores can’t be used as a source of user reviews.
A representative from Talkiatry told us that the company has been working to improve its customer service as well as its handling of complaints and user issues.
Reviews from Trustpilot | ~620 reviews | 2.7 out of 5 stars
Positive reviews on Trustpilot were from users who have not had any issues with the platform itself and have had great experiences with their providers. Several state that scheduling is easy and getting started can happen quite quickly. Many mention their provider(s) by name and talk about how they felt listened to.
Negative reviews on Trustpilot indicated several major billing issues in which users believed that Talkiatry had overcharged them, or charged them unnecessary fees. Many complained that they had received little to no helpful response from Talkiatry’s customer service. A few mention having issues with their provider, but most are about billing practices.
Reviews from Better Business Bureau | >130 Reviews | 1.08 out of 5 stars
Talkiatry does not have a favorable rating on the BBB, with multiple reports of unresolved billing issues and ineffective customer support. Several mention being charged for appointments canceled by their provider, or being billed hundreds of dollars for sessions even with insurance coverage. However, there are very few reviews overall, so the poor rating might not paint a full picture, as people come to review platforms like the BBB when they can’t get their issues resolved elsewhere.
Alternatives & Competitors
Talkiatry is not a good solution for people who are uninsured/under-insured or those seeking therapy exclusively. If you’re not in-network with Talkiatry, Brightside Health is another one of our favorite online psychiatry providers. It provides therapy and accepts many insurance plans, plus cash-pay subscription options.
While Talkiatry does offer therapy, you must be an existing patient to receive this service. If you’re looking for subscription-based virtual therapy and medication management covered by insurance, check out Talkspace. If you’re looking for quick access to care, Circle Medical typically offers same- and next-day appointments.
Brightside Health
- Price: $45–$349 monthly
- Insurance Accepted: Yes
- Therapy & Psychiatry: Yes
- Location: Nationwide
If you need to pay with cash for medication management, Brightside Health could be a good option. Its tiered services range from $95 monthly for a medication only plan (which, after at least 90 days with your prescriber could be $45 monthly for a maintenance plan) to $349 monthly for weekly therapy plus medication. If you still want to use insurance, Brightside Health is in-network with most major providers.
Pros & Cons
- Tiered plans for therapy, medication, or both
- Reasonable cash-pay prices
- Many report issues with billing & customer service
- Limited to 30-minute session times
Circle Medical
- Price: $120–$179 per session
- Insurance Accepted: Yes
- Therapy & Psychiatry: No (Just medication)
- Location: 32 US states
Circle Medical offers incredibly quick appointments (often same-day or next-day) to those seeking care from a medical doctor, either through insurance or cash-pay. On top of primary care and emergency visits, users can meet with a medical professional and receive medication for mental health concerns as well. Note that controlled substances like stimulants for ADHD and benzodiazepines for anxiety may not be available from your prescriber.
Therapy isn’t offered through the platform, but the doctors can make a referral for therapy for their patients to find care elsewhere and get it covered by insurance when requested.
Pros & Cons
- Comprehensive primary care on one platform
- Same- and next-day appointments
- Accepts many insurance plans
- Not available nationwide
Talkspace
- Price: $276–$436 monthly
- Insurance Accepted: Yes
- Therapy & Psychiatry: Yes
- Location: US & International
Talkiatry’s main offering is psychiatry, though it does offer therapy to those getting medication through its platform. Talkspace takes lots of insurance plans while offering more options for care, including medication, talk therapy, and even messaging therapy. Similar to Brightside Health, it uses a monthly subscription model instead of pay-per-session like Talkiatry.
Pros & Cons
- Accepts many major health insurance plans
- Psychiatry and therapy services (13+)
- Limited ability to choose your therapist
- 30-minute session lengths
Frequently Asked Questions
Is Talkiatry legitimate?
Yes, Talkiatry is a legitimate online psychiatry platform that fully vets and verifies its providers and is in-network with many insurance plans. We have personally used Talkiatry and recommend it to those looking for ongoing psychiatric support.
How much does Talkiatry cost?
Talkiatry costs depend on your health insurance plan and coverage, but it says the average session copay is around $30. Talkiatry does not have a set appointment fee or subscription service and does not accept cash-pay at all. Talkiatry only accepts patients who have in-network insurance plans.
Before you schedule an appointment, Talkiatry will let you know whether they accept your insurance, if you have a deductible or copay, and how much your total out-of-pocket cost will be.
Is Talkiatry only a psychiatrist?
No, Talkiatry does not only offer psychiatry. It also has in-house therapists, and can provide talk therapy and couples and family therapy to clients when deemed helpful. However, these services are only available to those actively seeing a psychiatrist on the platform.
Can I use my HSA/FSA for Talkiatry?
Yes. Talkiatry does accept FSA and HSA for any copays you have. You simply use these cards as you would a debit or credit card.
What health insurance does Talkiatry accept?
Talkiatry accepts most major health insurance plans, including:
- Aetna
- Anthem
- Blue Cross Blue Shield
- Cigna
- Humana
- Medicare
- Optum Health
- Oxford Health Plans
- UMR
- UnitedHealthcare
How do I cancel my Talkiatry subscription?
To cancel your subscription with Talkiatry, you must reach out to the company directly. You can contact them by phone at 1-833-351-8255 (TALK) or by email at [email protected].
What medications can Talkiatry prescribe?
Talkiatry can prescribe most types of mental health medications, including controlled substances such as Xanax and Klonopin for anxiety or Adderall for ADHD in several states. Some states allow the prescription of controlled substances without an in-person visit and some do not.1 For more details, you can discuss this with your Talkiatry psychiatrist or look up the laws in your state to see if Talkiatry will work for your needs.
Does Talkiatry Issue Refunds?
Talkiatry may offer refunds on a case-by-case basis. If you have a question about getting a refund, you can call Talkiatry at 1-833-351-8255 (TALK) or email the company at [email protected].
Is Talkiatry HIPAA Compliant?
Yes, Talkiatry is HIPAA-compliant. To learn more, you can read Talkiatry’s privacy policy, Talkiatry’s terms of use, and Talkiatry’s notice of privacy practices.
History & News About Talkiatry
- Year Founded: 2020
- Publicly Traded? No
- Founders: Robert Krayn & Dr. Georgia Gaveras
- Headquarters Location: New York, NY
Talkiatry was founded in April 2020 by Robert Krayn and Dr. Georgia Gaveras. Krayn was a patient who personally experienced the challenges of finding quality psychiatric care and Dr. Gaveras is a triple board-certified psychiatrist. The company’s goals were to increase access to quality outpatient psychiatric care by making telehealth accessible and affordable.
In 2021, the company received $5 million in funding to expand its mission. Since its founding, Talkiatry has partnered with several major commercial health insurance plans and Medicare. Currently, Talkiatry serves patients in 44 states and has partnered with more than 100 insurance plans, with plans to continue to expand its network and reach.2,3
Currently, Talkiatry is one of the few online psychiatry platforms that prescribes controlled medications. Before 2020, laws required that patients and providers must have face-to-face visits before controlled medications like stimulants could be prescribed. In March 2020, an emergency waiver went into effect that temporarily allowed providers to prescribe controlled medications during telehealth visits. The waiver has continued to be extended, but companies like Talkiatry are concerned that thousands of patients could lose access to their controlled medications if the exemption is revoked. In January 2023, Talkiatry’s CEO Robert Krayn spoke out about this and cautioned that revoking this exemption could affect thousands of patients.4
Some online psychiatric platforms, like Cerebral, have faced controversy over their online prescribing practices, but Talkiatry has managed to avoid lawsuits and controversy. It has continued to expand its services, including specialty postpartum care and couples therapy. Its co-founder Dr. Georgia Gaveras continues to be recognized in the field, named as one of Modern Healthcare’s 50 Most Influential Clinical Executives in 2025.5
ChoosingTherapy.com strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.
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Talkiatry. (n.d.). Can Talkiatry prescribe controlled substances? Talkiatry Help Center. Retrieved from: https://www.talkiatry.com/help-center-articles/can-talkiatry-prescribe-controlled-substances
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Talkiatry. (n.d.). About us. Retrieved from: https://www.talkiatry.com/about-us
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PR Newswire. (2021, February 16). Talkiatry announces five million dollars in series A funding to strengthen its already profitable mental health solution. Retrieved from: https://www.prnewswire.com/news-releases/talkiatry-announces-five-million-dollars-in-series-a-funding-to-strengthen-its-already-profitable-mental-health-solution-301228049.html
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Burkey, Annie. (2023, January 12). Thousands of patients could lose mental health services if pandemic-era rules end, Talkiatry data show. Fierce Healthcare. Retrieved from: https://www.fiercehealthcare.com/telehealth/talkiatry-data-shows-if-covid-exemptions-were-end-thousands-would-lose-care
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PR Newswire. (June 9, 2025). Talkiatry Chief Medical Officer and co-founder Dr. Georgia Gaveras, DO named to Modern Healthcare’s 50 Most Influential Clinical Executives Class of 2025. Retrieved from: https://www.prnewswire.com/news-releases/talkiatry-chief-medical-officer-and-co-founder-dr-georgia-gaveras-do-named-to-modern-healthcares-50-most-influential-clinical-executives-class-of-2025-302475806.html
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Henry, T. A. (2023, November 1). Why DEA’s latest move on telehealth could be a lifesaver. American Medical Association. Retrieved from: https://www.ama-assn.org/practice-management/digital/why-dea-s-latest-move-telehealth-could-be-lifesaver
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Rueger, Abigail. (December 2025). Brightside Health Review: Pros & Cons, Cost, & My Experience. ChoosingTherapy.com. Retrieved from: https://www.choosingtherapy.com/brightside-health-review/
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Lieberman, Alison. (January 2026). Circle Medical Review: Pros & Cons, Cost, & My Experience. ChoosingTherapy.com. Retrieved from: https://www.choosingtherapy.com/circle-medical-review/
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Rueger, A. (December 2025). Talkspace Review: Pros & Cons, Cost, & My Experience. ChoosingTherapy.com. Retrieved from: https://www.choosingtherapy.com/talkspace-review/
We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.
Author: Matthew Church (No Change)
Medical Reviewer: Kristen Fuller, MD (No Change)
Primary Changes: Updated images; Updated insurance plans accepted; Updated FAQs; Fact-checked & edited entire article for readability and clarity.
Author: Matthew Church (No Change)
Medical Reviewer: Kristen Fuller, MD (No Change)
Primary Changes: Updated user reviews; updated information on insurance coverage; updated information in alternatives section; updated FAQs; fact-checked and edited for readability. Maintained 4 star editorial rating.
Author: Matthew Church (No Change)
Medical Reviewer: Kristen Fuller, MD (No Change)
Primary Changes: Updated to improve factual accuracy and readability; updated formatting. Maintained editorial rating of 4 out of 5 stars.
Author: Matthew Church (No Change)
Medical Reviewer: Kristen Fuller, MD (No Change)
Primary Changes: Fact checked content; updated age to 5+; updated for clarity. Maintained 4-star editorial rating.
Author: Matthew Church (New author)
Medical Reviewer: Kristen Fuller, MD (New medical reviewer)
Primary Changes: Full rewrite and re-review of Talkiatry, new editorial rating (up from 3 stars to 4 stars), fact-checked all information and updated accordingly.
Author: Emily Guarnotta, PsyD (No change)
Medical Reviewer: Benjamin Troy, MD (No change)
Primary Changes: Added review summary and features. Maintained rating of 3 out of 5 stars.
Author: Emily Guarnotta, PsyD
Medical Reviewer: Benjamin Troy, MD
Originally received 3 out of 5 stars.
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