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All Online Psychiatry Reviews Best Online Psychiatry Online ADHD Treatment Talkiatry Review

Talkiatry Review 2025: Pros & Cons, Cost, & My Experience

Matt Church, M.S., Editor at ChoosingTherapy.com, Headshot

Author: Matthew Church, M.S.

Matt Church, M.S., Editor at ChoosingTherapy.com, Headshot

Matthew Church M.S.

Matt has 7+ years of mental health experience. As Mental Health Technology Editor, he’s spent the past two years testing online therapy platforms, EHRs, practice management tools, and more to help providers and clients make informed choices

See My Bio Editorial Policy
Headshot of Kristen Fuller, MD

Medical Reviewer: Kristen Fuller, MD Licensed medical reviewer

Headshot of Kristen Fuller, MD

Kristen Fuller MD

Kristen Fuller, MD is a physician with experience in adult, adolescent, and OB/GYN medicine. She has a focus on mood disorders, eating disorders, substance use disorder, and reducing the stigma associated with mental health.

See My Bio Editorial Policy
Published: January 28, 2025

ChoosingTherapy.com may earn commissions from the companies reviewed when you click links on this page. Learn more about our editorial standards, review process, and advertising policy.

  • Detailed ReviewDetailed Review
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    • Brightside For Cash-PayBrightside For Cash-Pay
    • Talkspace For TherapyTalkspace For Therapy
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  • Why You Can Trust My ReviewWhy You Can Trust My Review
  • FAQSFAQS
  • History & NewsHistory & News

After thorough testing, our expert reviewers gave Talkiatry 4 out of 5 stars. In our experience, it’s an excellent non-subscription platform for medication management, offering one of the most convenient ways to access in-network psychiatric care. However, it is only available to those with insurance. Additionally, you can’t access therapy services independent of psychiatric care.

Editor's Note

  • While you must receive psychiatric services through Talkiatry to access its therapy services, it has recently added couples therapy as an offering, stating that this allows them “to deliver multidisciplinary team-based care, which is more effective than siloed care.”

Talkiatry At a Glance

Talkiatry Logo
Rating:
Overall rating of 4 out of 5 possible.
(4 out of 5)

Cost: ~ $30 copay
Insurance Accepted? Yes, exclusively
Service Location: 44 States
Medication: Yes

Get started now!

Visit Talkiatry

Pros & Cons

Pros Icon Pros
  • Treats children (5+), teens, and adults
  • 300+ highly vetted psychiatrists
  • Can prescribe controlled medication
  • Accept FSA/HSA & Medicare
Cons Icon Cons
  • Only accepts in-network patients
  • Fees vary based on location & coverage
  • Does not offer weekend appts
  • Doesn’t treat couples or families
  • Doesn’t have its own mobile app

Preview Talkiatry

Image of Talkiatry homepage leads to short assessment
Image of Talkiatry shows its impressive stats regarding online psychiatry
Image of Talkiatry provides flexible scheduling for its patients
Image Talkiatry How it Works
Image of Talkiatry FAQS show its available in 43 states
Image Talkiatry Psychiatry vs. Therapy
Image Talkiatry Stats on Success
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Talkiatry provides comprehensive care for mental health conditions in 44 U.S. states. They offer medication management for children aged five and older, teens, and adults. In states where it’s legal, they can prescribe controlled medications without an in-person visit. Therapy is available on an as-needed basis.

Talkiatry partners with hundreds of major insurance plans, including Medicare, but does not provide cash-pay or ongoing subscription options. While this can be restrictive for those without insurance, it 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 they accept many insurance plans and offer affordable cash-pay plans. Those seeking online therapy vs. psychiatry or want a subscription format should consider some of our other favorite online therapy providers.

Detailed Review of Talkiatry

Talkiatry received 4 out of 5 stars from our reviewers. Some of their top-scoring areas include diagnoses, prescription options, and provider credentials. One negative is that they don’t offer cash-pay options for people without insurance. Additionally, they don’t offer therapy on its own if that’s something you’re interested in.

Continue reading for a description of our reviewer’s experience.

Talkiatry earned 4 out of 5 stars
Overall rating of 4 out of 5 possible.
View Details
Detailed Scoring Breakdown
Rated 4 out of 5 possible for
Psychiatric Appointment Features (4 out of 5)
Rated 5 out of 5 possible for
Clarity of Diagnoses Treated & Prescription Options (5 out of 5)
Rated 5 out of 5 possible for
Crisis Management & Patient Safety (5 out of 5)
Rated 5 out of 5 possible for
Geographic Location (5 out of 5)
Rated 2 out of 5 possible for
Online Psychiatry Cost (2 out of 5)
Rated 4 out of 5 possible for
Insurance & Out-of-Network Benefits (4 out of 5)
Rated 5 out of 5 possible for
Provider Matching or Selection (5 out of 5)
Rated 1 out of 5 possible for
Extra Features & Resources (1 out of 5)
Rated 3 out of 5 possible for
Client Interface & User Experience (3 out of 5)
Rated 5 out of 5 possible for
Privacy & HIPAA (5 out of 5)
Rated 5 out of 5 possible for
Provider Credentials & Expertise (5 out of 5)
Rated 3 out of 5 possible for
Customer Service (3 out of 5)
Rated 4 out of 5 possible for
Reliability & Longevity (4 out of 5)

Review our scoring criteria for online therapy platforms here.

Review our complete editorial policies here.

My Experience

When I signed up for Talkiatry, I took a 10-minute assessment to determine my eligibility, entering my insurance details. This allowed me to schedule a quick call with a care coordinator for the following day. We discussed my background, why I was seeking services, and some of my preferences for a provider. After a brief hold, the coordinator returned and apologized that there were no appointments available for over two weeks.

Despite the relatively long wait, I was excited that my insurance was in-network. When the time came, I joined my session via my cellphone. I didn’t experience any technical issues, and Talkiatry made it easy by texting me a link directly. While I was joining my session, the system asked a few questions, such as what I was hoping to achieve with psychiatry and whether I was experiencing suicidal thoughts. Right before I entered the virtual waiting room, I entered some vital signs including my height, weight, and blood pressure.

Screenshot of disorders that Talkiatry treats
Screenshot of disorders that Talkiatry cannot treat
Screenshot of Talkiatry intake process and scheduling initial consult call (1)
Screenshot of Talkiatry session with psychiatrist
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My session was scheduled for an hour, but both my provider and I felt that 45 minutes was sufficient. We discussed my background and an overview of my life up until now. We also discussed my everyday habits, diet, lifestyle, history of medication, and more. I mentioned that I didn’t want to stay on my medication forever, and she reassured me that we would work together in the long-term. When we finished, she sent my prescription (refills on an existing Sertraline dose) to my local pharmacy, and put in a referral for me to meet with a Talkiatry therapist.

No-Show Policy

Unfortunately, due to a family emergency, I had to cancel my first appointment. I was concerned because I did not know until the day before, and Talkiatry has a fairly strict no-show policy. They state that any cancellations, reschedules, or no-shows that occur within 48 hours of the scheduled appointment will incur a $100 fee. Fortunately, when I explained my situation to customer service via email, they waived the fee. All I had to do was call a provided number to reschedule.

Healow App

Talkiatry does not have its own mobile app, meaning it relies on the HIPPA-compliant Healow app. The app functions well as a patient portal where you can access your records and securely message your provider between appointments. You can expect a response within 48 hours. When getting set up on the app, you’ll enter some details about yourself, as well as a practice code that Talkiatry will send via email.

Screenshot of Healow app dashboard
Screenshot of Healow app and data from Talkiatry
Screenshot of Talkiatry virtual waiting room
Screenshot of entering vital signs in Talkiatry waiting room
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Therapy

While Talkiatry does not consider itself a therapy provider, the company does have therapists on staff, offering therapy to established psychiatry patients when their treatment plan calls for it. It has recently expanded its therapy offerings to include couples therapy, in addition to specific therapy services for seniors, children and adolescents, and for those with postpartum depression.

Existing Talkiatry patients can discuss with their current provider whether or not therapy is right for them. Since your insurance must already be in-network, Talkiatry therapy could be an excellent, affordable option.

Cost

Talkiatry’s costs vary based on your specific health insurance plan and coverage. Unlike many other online psychiatry platforms, Talkiatry does not charge a standard appointment fee, offer subscription services, or accept cash payments. Instead, they exclusively work with patients who have in-network insurance plans. Before scheduling an appointment, Talkiatry will confirm whether your insurance is accepted and provide details about any deductible, copay, or total out-of-pocket costs you may incur.

The majority of psychiatry visits cost patients $30 or less after insurance, although this depends on the details of your insurance. The best way to get a detailed estimate of your cost is to contact your insurance company directly and ask about your plan’s coverage for outpatient psychiatric services.

Insurance

Yes, Talkiatry accepts insurance. Coverage varies depending on the specific plan and state. According to a representative, Talkiatry is in-network with Aetna, Bind, Blue Cross Blue Shield, Cigna, ComPsych, Humana, Medicare, Oscar, United Healthcare, Oxford, and more. For a full list of plans, and to check whether or not yours is in-network, visit Talkiatry’s insurance page.

Who Do They Serve?

Talkiatry serves anyone ages five and up in 44 US states, as long as they have an insurance plan that’s in-network with Talkiatry. Talkiatry does not accept cash-pay patients. Disorders that Talkiatry treats include ADHD, anxiety, depression, bipolar disorder, sleep disorders, stress, burnout, and more.

Talkiatry State Map

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 only lists about 40 Talkiatry reviews, with an average 2.8 star rating. Meanwhile, Talkiatry has an F rating on the BBB, 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 | Less than 300 reviews | 2.8 out of 5 stars

Positive reviews on Trustpilot highlighted that Talkiatry works well and these users tended to indicate that customer service was reliable and they encountered no issues, aside from a handful of easily-remedied technical issues. Positive reviews were by far the minority for Talkiatry reviews on Trustpilot.

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.

 

Read More

Reviews from Better Business Bureau | Not BBB-accredited | F Rating

Talkiatry does not have a favorable rating on the BBB, with multiple reports of unresolved billing issues and ineffective customer support. However, there are very few reviews overall, so the bad rating might not paint a full picture. It is worth noting that the majority of user issues that have been closed were closed within the last year, indicating that Talkiatry’s customer service may have improved recently.

 

Read More
Visit Talkiatry

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. They provide therapy and accept many insurance plans and cash-pay. Plus, they are available in all 50 states.

While Talkiatry does offer therapy, you must be an existing patient to receive this service. If you’re looking for subscription-based virtual therapy that is covered by insurance, check out Talkspace. If you don’t have insurance, look into BetterHelp, which offers financial aid for those who qualify.

Best For Cash-Pay - Brightside Health

Brightside Health Logo
Rating:
Overall rating of 4.5 out of 5 possible.
(4.5 out of 5)
  • Price: $95 – $349 monthly
  • Insurance Accepted? Yes
  • Therapy & Psychiatry? Yes
  • Location: 50 US States

If you’re paying out of pocket, Brightside Health is the better choice. With straightforward, affordable cash-pay options for therapy, medication management, or both, Brightside lets you choose a plan that fits your budget. Brightside’s cash-pay model is designed to make quality mental health support accessible without breaking the bank.

Pros & Cons

Click here to expand and minimize this container.
Pros Icon Pros
  • Prescribes medication & provides therapy
  • Accepts insurance or cash-pay
Cons Icon Cons
  • Only treats adults
  • Customer service can be slow
Free Assessment

Visit Brightside Health

Best For Subscription Therapy - Talkspace

Talkspace Logo
Rating:
Overall rating of 4 out of 5 possible.
(4 out of 5)
  • Price: $276 – $436 monthly
  • Insurance Accepted? Yes
  • Location: US & International

Talkspace provides flexible plans that let you access therapy conveniently and consistently. Unlike Talkiatry, which doesn’t offer subscription plans and limits therapy services to existing psychiatric patients, Talkspace caters to a broader audience with affordable monthly packages that include unlimited messaging and regular live sessions.

Pros & Cons

Click here to expand and minimize this container.
Pros Icon Pros
  • Accepts many major health insurance plans
  • Psychiatry and therapy services (13+)
Cons Icon Cons
  • Exact monthly costs vary
  • Limited ability to choose your therapist
Save $85 off your first month with code CT85

Visit Talkspace

Best For Financial Aid - BetterHelp

BetterHelp's Logo
Rating:
Overall rating of 4 out of 5 possible.
(4 out of 5)
  • Price: $260 – $360 monthly
  • Insurance Accepted? No
  • Location: US & International

We are highlighting BetterHelp as being better for financial aid options because it actively works to make therapy more affordable for those in need. With its simple application process for financial assistance, BetterHelp provides reduced rates based on your income and circumstances, ensuring cost isn’t a barrier to care.

Pros & Cons

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Pros Icon Pros
  • 30k+ licensed therapists to choose from
  • Offers financial aid
Cons Icon Cons
  • Doesn’t prescribe medication
  • Doesn’t accept insurance
Get 20% Off Your First Month!

Visit BetterHelp

Why You Can Trust My Review

“Talkiatry is a great platform for anyone who wants to receive online psychiatric care and potentially therapy. As a Mental Health Technology Editor, I’ve rigorously tested leading online therapy services, psychiatry platforms, and mental health apps, developing comprehensive scoring criteria to ensure fair and reliable reviews. Before this role, I worked as a care counselor, case manager, and life coach, giving me firsthand insight into the challenges of accessing and providing quality care. My passion for ensuring people have access to affordable, high-quality mental healthcare drives my work, and I aim to bring you unbiased information that empowers you to make the best decisions for your mental health.”

Matt Church, M.S., Editor at ChoosingTherapy.com, Headshot Matthew Church, M.S.
Visit Talkiatry

Frequently Asked Questions

Is Talkiatry Legit?

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Yes, Talkiatry is a legit provider of mental health services that fully vets and verifies its providers and is in-network with many insurance plans. We have personally used Talkiatry and recommend it to many people.

What is Talkiatry?

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Talkiatry is an online mental health platform that provides psychiatric services to anyone aged five and up in 43 US states. Talkiatry is unique in that it only provides services to those who have insurance plans that are in-network with Talkiatry. Talkiatry also offers therapy services to existing patients if deemed necessary.

What States is Talkiatry Available In?

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Talkiatry is available in 43 out of the 50 US States (including Washington D.C.). Talkiatry is not available in:

  • Alaska
  • Delaware
  • Hawaii
  • Idaho
  • New Mexico
  • North Dakota
  • South Dakota
  • Wyoming

How Much Does Talkiatry Cost?

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Talkiatry costs depend on your health insurance plan and coverage. Unlike many online psychiatry platforms, 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. For most people, your copay will be around $30 per appointment.

Can I Use My HSA/FSA for Talkiatry?

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Yes. Talkiatry does accept FSA and HSA for therapy costs such as your copay. You simply use these cards as you would a debit or credit card.

How Do I Cancel My Talkiatry Subscription?

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To cancel your account 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].

Can Talkiatry Prescribe Controlled Substances?

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Whether or not Talkiatry can prescribe controlled substances such as benzodiazepines or stimulants depends on your state’s prescription laws. 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.

Does Talkiatry Prescribe Xanax?

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Talkiatry does prescribe Xanax and other benzodiazepines, if this treatment is deemed beneficial by you and your provider. Whether or not this can legally be prescribed via telehealth is dependent on your state’s prescribing laws.1

Does Talkiatry Prescribe Adderall?

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Talkiatry does prescribe Adderall and other stimulants, if this treatment is deemed beneficial by you and your provider. Whether or not this can legally be prescribed via telehealth is dependent on your state’s prescribing laws.1

Does Talkiatry Issue Refunds?

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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?

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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.

Visit Talkiatry

History & News About Talkiatry

Talkiatry Logo
  • 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. Mr. 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 43 states and has partnered with more than 60 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.

Some online psychiatric platforms, like Cerebral, have faced controversy over their online prescribing practices, but Talkiatry has managed to avoid lawsuits and controversy. In January 2023, Talkiatry’s CEO Robert Krayn spoke out about this and cautioned that revoking this exemption could affect thousands of patients. In the meantime, Talkiatry plans to continue to grow and offer high-quality psychiatric care to patients with a variety of mental health diagnoses.4

Show more
Sources Update History

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.

  • 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

  • Talkiatry. (n.d.). About us. Retrieved from: https://www.talkiatry.com/about-us

  • 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

  • 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

  • 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

Show more Click here to open the article sources container.

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.

January 28, 2025
Author: Matthew Church (No Change)
Medical Reviewer: Kristen Fuller, MD (No Change)
Primary Changes: Fact-checked all information; updated where necessary to improve factual accuracy and readability; updated formatting.
September 2, 2024
Author: Matthew Church (No Change)
Medical Reviewer: Kristen Fuller, MD (No Change)
Primary Changes: Fact checked content; updated age to 5+; updated for clarity
April 15, 2024
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, fact-checked all information and updated accordingly.
March 4, 2024
Author: Emily Guarnotta, PsyD (No change)
Medical Reviewer: Benjamin Troy, MD (No change)
Primary Changes: Added review summary and features.
February 16, 2023
Author: Emily Guarnotta, PsyD
Medical Reviewer: Benjamin Troy, MD
Show more Click here to open the article update history container.

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