Hims Competitors and Alternatives for Mental Health Care

• If you’re leaving Hims to use insurance, or to see a psychiatrist for ADHD, bipolar disorder, or OCD, start with Talkiatry. Talkiatry bills insurance and says most patients pay about $30 a visit. If you’d rather pay cash, Brightside’s psychiatry plan is $95 a month.
• Hims offers no therapy. Talkspace bills insurance directly and starts at $69 a week in cash, BetterHelp runs $70 to $100 a week, and Online-Therapy.com is $48 a week for the first month.
• For hair loss and ED, Hims’ main rivals are Ro (sold as Roman for men) and Keeps. Neither one offers mental health care.

Currently, Hims’ mental health service offers medication only. For anxiety and depression, providers prescribe from a list of eight generic drugs like escitalopram, bupropion XL, and lexapro. The price starts at $49 a month and covers unlimited messaging with the provider. Payment is cash only (self-pay) since Hims’ doesn’t currently accept insurance, Medicare, or Medicaid. They also do not have therapists and do not prescribe controlled substances such as Adderall or Xanax.

Other mental health and medical services differ from Hims. Talkiatry, similar to Hims is medication only, but will bill insurance and can also prescribe controlled substances where state law allows. Talksspace bills insurance for therapy and also offers psychiatry services. Whereas, Ro and Keeps compete with Hims on hair loss and ED services/treatment.

See Hims’ mental health plans from $49 a month

This article is for information only and is not medical advice. Talk to a doctor or licensed clinician before starting, stopping, or changing any treatment. If you’re in crisis, call or text 988; in an emergency, call 911. SAMHSA’s FindTreatment.gov is a confidential treatment locator, and its National Helpline is 1-800-662-4357.

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Quick Picks: Find the Right Alternative

We earn from the five linked picks. Open Path and in-person care earn us nothing.

• Talkiatry: best for psychiatry through insurance, including ADHD, OCD and PTSD.
• Brightside: best for medication plus therapy, paid in cash or through insurance.
• Talkspace: best for therapy and psychiatry billed to insurance.
• BetterHelp: best for a weekly live therapy session.
• Online-Therapy.com: best for the lowest weekly cash price on a therapy platform.
• Open Path Collective: $40 to $70 therapy sessions without insurance.
• In-person care: for conditions Hims doesn’t treat online.

Hims Alternatives Compared

Insured costs depend on your plan.

As of September 25, 2026.

Why People Look for Hims Alternatives

Not many reviews cover Hims’ mental healthcare, but those that do praise limited wait times and treatment within about a day. The most common complaints were price and recurring charges, renewals and orders people didn’t expect, and slow shipping. Lack of insurance and hard-to-reach or changing providers was also reported. Hims’ also only treats depression and anxiety disorders. It does not provide treatment for PTSD, OCD, bipolar disorder, or eating disorders.¹

Of the 9,395 Trustpilot reviews, 38% gave five stars and 29% gave one for a TrustScore of 2.9.² While Hims & Hers is BBB-accredited they have no BBB rating, and the BBB logged 4,471 complaints against it in the past three years.³. The FTC’s July 29, 2026 complaint, brought with Utah and California in the Northern District of California (No. 3:26-cv-07871), alleges unclear subscription charges, a hard-to-find cancel option and health data shared with ad platforms; Hims calls the claims baseless, and the case is pending.⁴⁵ Signup received better marks.

Mental Health Alternatives to Hims

Talkiatry

Talkiatry is a virtual psychiatry practice that works in-network with insurers and treats anxiety, depression, ADHD, bipolar disorder, OCD and PTSD. Most patients pay about $30 a visit, including copays, deductibles and coinsurance.⁶ Its psychiatrists can prescribe controlled substances where state law allows, though some states require an in-person visit first.

Talkiatry does not take Medicaid, so it only works if it takes your plan. Therapy is open only to its psychiatry patients, and cancelling inside 48 hours costs $100. More detail is in our Talkiatry review. Check whether Talkiatry takes your plan.

Brightside

Brightside offers psychiatry and therapy in all 50 states including DC from age 13. Paid by card, HSA or FSA, psychiatry is $95 a month plus your pharmacy copay. Therapy is $299 for four video sessions and unlimited messaging. Both psychiatry and therapy together cost $349.⁷ It also bills insurance, including some Medicare and Medicaid plans.

Since its cash psychiatry costs nearly twice the amount as Hims’ $49 starting price, it makes most sense if you want a therapist in the same plan or want your insurance billed. Stimulants are possible only for insured members in nine states, including California and Florida, and Brightside prescribes no benzodiazepines. See Brightside’s plans.

Talkspace

Talkspace bills insurance for therapy and psychiatry in one account and says most insured members pay a $0 copay.⁸ In cash, therapy is $69 a week for messaging, $99 with up to four 30-minute video sessions a month, and $109 with workshops.

Self-pay/out-of-pocket psychiatry is $299 for the first evaluation and $175 per follow-up, far above Hims’ price. Talkspace also prescribes no controlled substances. It suits someone who wants a therapist alongside medication and whose plan pays. Check your Talkspace coverage.

BetterHelp

If adding weekly talk therapy is a goal, BetterHelp has more than 35,000 therapists and offers live sessions plus messaging. Self-pay runs $70 to $100 a week, billed every four weeks, and you can cancel any time. Some providers are in-network, with a $23 average copay for eligible members. Psychiatry runs through a separate provider, UpLift, at about $20 average copay. See BetterHelp’s plans.

Online-Therapy.com

Online-Therapy.com pairs therapy with a CBT program. First-month prices, with 20% off, are $48 a week for messaging and the program, $72 with one live session a week, and $96 with two; after that, pricing changes to $60, $90 and $120. They accept no direct insurance payments, but will provide itemized receipts. Since therapists can’t prescribe medication, anyone leaving Hims medication would need a separate prescriber. Compare Online-Therapy.com plans.

Open Path Collective

Open Path is for people paying for therapy out of pocket who want to pay by the session or for those who may be struggling to cover the costs of out of pocket therapy. Its nonprofit network has more than 40,000 vetted therapists who work online or in person. After a one-time $65 membership, sessions cost $40 to $70.

In-person Care

Hims’ FAQ provides more information about medications that are not prescribed, as well as those they cannot treat such as those with substance use or eating disorders. They point these individuals toward in-person psychiatry, therapy, or counseling.

Hims Compared to Roman and Keeps

Hims, Ro, and Keeps compete primarily surrounding hair loss and ED. Ro and Keeps do not offer mental health services; however, Ro does provide sertraline for premature ejaculation treatment only. Keeps, a Thirty Madison brand, now sells ED treatment as well as hair loss care.

As of September 25, 2026.

Hims’ starting prices depend on the plan purchased. Ro ships hair treatment only quarterly and lowers the monthly price on 6- and 12-month plans.⁹ Keeps ships every three, six or twelve months and charges $5 a visit after a free first consult. Ro and Keeps price ED drugs per dose, so the monthly cost depends on use. Hims’ combination hair products and Ro’s Mane Spray are compounded and not FDA-approved.

BlueChew sells only ED treatment, as compounded chewables, and shows prices after a short quiz (its Gold tablet from $7.30 each). Our Hims ED review covers Hims’ ED line.

Hims & Hers competitors and industry peers

Hims & Hers’ 2025 annual report says no direct competitor offers its full range of treatments and direct-to-consumer contact points. It identifies pharmacies, large retailers, niche direct-to-consumer brands, and larger telehealth firms that serve employers and insurers as types of competitors.¹⁰ Fierce Healthcare reported in April 2025 that Novo Nordisk made Wegovy available through Hims & Hers, LifeMD, and Ro.¹¹

Hims & Hers’ 2026 proxy also lists a separate group of companies used to benchmark executive compensation. The group includes agilon health, Globus Medical, Privia Health Group, Astrana Health, Insulet, Samsara, Bill, Lyft, Toast, Dynatrace, MongoDB, UiPath, Elastic, Nutanix, Unity Software, Evolent Health, and Okta.¹² The compensation committee selected these companies based on factors including revenue, market value, and industry focus. These are compensation peers rather than companies that necessarily compete directly with Hims & Hers for customers.

For Hers, the closest overlaps are Nurx and Ro. Nurx, a sister brand to Keeps, offers birth control, menopause hormone therapy, and mental health care with or without insurance. Ro sells women’s oral minoxidil for $30 a month on a quarterly plan.

Who Is Hims For?

Hims is the best fit for adults with anxiety or depression who can self-pay, do not need scheduled appointments, and want care quickly. Its landing page promises a provider diagnosis in less than 12 hours, a starter plan with an introductory dose, and free delivery. Without mental health coverage, $49 a month is the lowest cash psychiatry price in this comparison.

If you prefer or need to use insurance, want a therapist, or need care for ADHD, bipolar disorder, PTSD, or OCD Hims won’t be the best fit.

Note: Payment is upfront, so check the plan length and renewal date at checkout. Our Hims mental health review covers the service in more depth. See whether Hims’ mental health plan fits you.