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Talkiatry online psychiatry review 2024 | expert insights

inding psychiatric care that’s accessible, cost-effective, and in-network with your insurance plan can be difficult. Online psychiatry platforms like Talkiatry help break down the barriers to care, especially for people who have difficulty with transportation or live in an area with limited in-person options.

Talkiatry is an online mental health platform that offers psychiatric care only to people with insurance. Psychiatry is recommended for people who are seeking a diagnosis and medication management for a mental health condition. (1)

Therapist Rychel Johnson, who specializes in anxiety treatment, shares that many of her clients are interested in psychiatric care to accompany the work they do in therapy. However, barriers like long wait times and being unable to find a good fit in a psychiatric provider are common. Johnson shares, “Finding a psychiatric provider you can trust is challenging. An online option opens more doors for people to explore how to address their mental health needs.”

We examined every aspect of Talkiatry to provide a comprehensive review of the platform. In addition to research, we ran a survey and focus group on online therapy users, interviewed mental health experts, and spoke with a Talkiatry user who has used the platform since October 2022. Her insight helped us uncover the benefits and drawbacks of the platform, allowing us to share firsthand experiences with our readers.

A person talks to their therapist online.
A person talks to their therapist online.
Talkiatry is an insurance-only psychiatry platform with quality providers. Find out if it’s the right option for you.
Fortune Score:
4.7 / 5

Key product features

Icon Price
Cost $30 co-pay on average
Icon One Time Fee
Financial aid Not offered
Icon Quality
Focus Psychiatry
Icon Insurance Accepted
Insurance Yes, in-network insurance only
Icon Supplement Bottles
Prescribes medications Yes

What you should know

  • Talkiatry offers specialized care from a matched provider, meaning that patients are paired with mental health professionals who have specific expertise in their particular conditions and treatment needs.
  • The platform only accepts insurance; the average co-pay is around $30 per session, but this will depend on the provider you’re matched with.
  • Signing up and scheduling an appointment with a provider is quick and easy, as the platform is designed with user-friendly interfaces that guide patients through a straightforward registration process.
  • Users report that Talkiatry’s billing process can be confusing and inconvenient, often citing issues such as unclear statements, unexpected charges, difficulty understanding insurance coverage and co-payments, and a lack of timely customer support to address billing inquiries and resolve discrepancies.
Pros
Can prescribe controlled substances
Payment plans available
Specialists available for children, adolescents, and adults
Psychiatrists can order bloodwork if needed
Unlimited messaging available
Cons
Not available in every state
Doesn’t accept Medicaid
Billing can be difficult and inconvenient

What is Talkiatry?

Talkiatry is a mental health service provider that primarily focuses on psychiatric care through telehealth visits. The company aims to make psychiatric care more accessible and convenient for patients by leveraging technology and a network of qualified mental health professionals. 

Talkiatry has more benefits than drawbacks, and overall, we think it’s an affordable platform with quality providers. While the Talkiatry platform does not offer therapy services alongside medication management, consumers can utilize their insurance to access virtual psychiatric care that’s tailored to their needs. You will be matched with a clinician through Talkiatry, and continue to meet with the same person as you continue to address your mental health treatment.

We like that many aspects of the platform are quick and easy. The sign-up process is seamless. It took us 10 minutes to complete, and we encountered no issues or delays. It also didn’t take long to be matched with a provider. You can be matched on the same day as signing up. If you need an appointment soon, the care coordinator may be able to find an appointment within the next few days, so you won’t have to wait long to receive care. A Talkiatry user we spoke to said that she was able to schedule her initial appointment for the next day. 

The ease of the platform applies to medication refills as well. You can request refills in the patient portal, Healow, with the click of a button. There’s no need to send a message to your provider and wait for a response. A Talkiatry user reported her medications were often available within the same day she requested the refill. Additionally, providers can order blood tests to gather more information about your health, which speaks to the level of care you receive. (2) Through Healow, you can also send messages to your provider and expect to receive a response in less than a day. Talkiatry users we spoke to reported receiving responses often within a few hours. 

Overall, the promptness and ease are impressive. Signing up, scheduling an appointment with a provider, receiving your medication, or receiving a response when messaging your provider are quick and easy. Plus, these processes were seamless.

How does Talkiatry work?

To sign up for Talkiatry, you must complete a short assessment on its website or mobile app. It took us about 10 minutes to complete. The assessment begins with an eligibility check. It asks for your state of residence and insurance plan to make sure you’re eligible for the platform, since it’s only available in 42 states and Washington, D.C., and it only accepts certain insurance plans. 

After the eligibility check, it will ask you personal and clinical questions to understand why you’re seeking psychiatric care and how your provider may be able to help you. 

Match with a provider

Once you’ve completed the assessment, you’ll be matched with a provider, and you can schedule your first visit at a convenient time. 

In some cases, Talkiatry may need to gather more information from you, so a care coordinator may request to schedule a 15-minute phone call. When we were asked to schedule the phone call, we only saw open availability for the next three days, but there were plenty of time slots to choose from. You can contact customer service if none of the time slots work with your schedule. 

During the phone call, the care coordinator will ask you for any additional information they need, like insurance information, and they will work with you to find an appointment time for your initial consultation.

We were impressed by the fact that if you need an appointment soon, Talkiatry will do its best to match you with someone who is immediately available.

“I was dealing with intense anxiety at the time and needed to see a psychiatrist quickly. If this is the case and the psychiatrist they initially match you with can’t see you immediately, they’ll re-match you with someone who can. That’s what happened to me. I saw her within a day of setting up my account, and I’m eternally grateful for that.”

Verified Talkiatry User

Another Talkiatry user we spoke to said that she had worked with three different psychiatrists while using the platform, and each one was a great match for her. She explained that the providers specialized to her specific needs and were caring and willing to help.

Live video sessions

The initial consultation is a live video session that lets you see if the matched provider is a good fit for you and if they can help you with your current symptoms. Here are some tips for preparing for a video telehealth visit:

  • Find a quiet spot where you feel comfortable to talk openly.
  • Ensure the spot you’re taking the session also has good access to the internet.
  • Tell your provider or the care coordinator if you need a screen reader, closed captioning, a translator, or other support.
  • Sign on early to make sure you can connect to your visit successfully.
  • Test your speakers or headphones to make sure you can hear well.

The initial session is 60 minutes for adults or 75 minutes for children and teens. If you’re interested in Talkiatry for your child, note that a parent or guardian must be present for the initial consultation with the provider. The ability for a child to have an extended session can be beneficial, as it can take time for kids to open up about their issues. Parents can add insight too, which can help establish appropriate medication treatment for the child. After the initial session, a parent or guardian will not be required for follow-up visits. Before each session, you will fill out a quick questionnaire and can input any vitals like your heart rate.

“I have yet to have any issues connecting to any of my appointments. The connection is always clear, and the sound quality is great. The portal shows you your next appointments as well as a list of your previous appointments.”

Verified Talkiatry user

You and your psychiatrist decide how often you should meet after the initial appointment. Follow-up sessions are 30 minutes long for adults or 45 minutes for teens and children. If you find that your provider isn’t a good fit, you can call or email customer service to switch providers.

Who is Talkiatry right for?

Talkiatry is best for people who have insurance, are seeking medication management for a mental health condition (3), and are experiencing mild to moderate mental health symptoms. Some conditions that can benefit from Talkiatry’s services are: 

  • Anxiety disorders: Those experiencing generalized anxiety disorders, social anxiety, panic disorders, and other anxiety-related conditions.
  • Depression: Individuals with major depressive disorder, dysthymia, and other forms of depression can receive diagnosis, treatment, and medication management.
  • Bipolar disorder: Patients with bipolar disorder can get support managing mood swings and other symptoms through therapy and medication.
  • Attention Deficit Hyperactivity Disorder (ADHD): Both children and adults with ADHD can benefit from diagnosis, treatment plans, and medication management.
  • Obsessive-Compulsive Disorder (OCD): Those with OCD can receive specialized care to manage compulsions and intrusive thoughts.
  • Post-Traumatic Stress Disorder (PTSD): Individuals with PTSD can find support and treatment to manage symptoms stemming from trauma.
  • Other psychiatric conditions: Talkiatry is equipped to handle a wide array of other mental health issues, ensuring comprehensive psychiatric care.

Additionally, Talkiatry is right for people seeking convenient and accessible care, such as individuals living in remote locations, busy professionals, students, and caregivers. It’s also ideal for people with social anxiety, mobility issues, and frequent travelers.

Talkiatry can only provide care for people with certain health insurance plans. If you are having severe symptoms, we recommend that you seek in-person care to receive the best treatment.

Who should seek an alternative to Talkiatry

Talkiatry isn’t the right fit for everyone. For example, someone who requires more extensive care or whose mental health concerns cause safety concerns, an in-person psychiatric provider is needed. Individuals with intensive care needs may need a higher level of care, such as residential treatment, that Talkiatry is not equipped for. Talkiatry cannot provide treatment to the following groups of people:

  • People who have schizophrenia or eating disorders.
  • People who are currently experiencing suicidal ideation.
  • People who need medication that must be given in person.
  • People who were hospitalized for a mental health condition within the last six months.

Talkiatry is only available in certain states. Suppose you live in New Mexico, Alaska, Hawaii, North Dakota, South Dakota, Wyoming, Idaho, or Delaware. In that case, Talkiatry is unavailable in your state, and you should look for an alternate platform. If Talkiatry isn’t right for you, we recommend looking at Brightside or Talkspace for psychiatric treatment. 

How therapists are onboarded

Talkiatry is primarily a psychiatry practice, though it does have therapists on staff to see patients who are also seeing one of our psychiatrists. The onboarding process for psychiatrists and therapists is similar. 

Talkiatry will host a multi-day virtual orientation experience for all new clinicians designed to help introduce them to the community and their work as psychiatrists and therapists in the practice. Over the course of three full days of live classroom learning, new clinicians meet as a cohort with the Learning & Development team to learn and practice using Talkiatry’s electronic medical record to document their work with patients.

To build community with and learn from existing clinicians at Talkiatry, they meet with clinical leadership, clinical support teams, and a clinical buddy along the way. Clinicians return to orientation after two days of seeing patients to ask questions of experts and further hone their expertise.

How many therapists are on the platform

Since this number is not readily available on the website, we reached out to Talkiatry for more information. Talkiatry has over 300 full-time psychiatrists and over 75 full-time therapists. It is not an app or a matching service. Talkiatry is a national, virtual practice. All of the doctors are employed by Talkiatry directly. Each one is individually vetted, and Talkiatry does everything it can to ensure the highest possible standard of care.

Onboarding new users

Talkiatry is primarily a psychiatry practice. While there are therapists on staff to work with patients who are also seeing one of our psychiatrists, patients come in through psychiatry first. Here’s how it works:

  • Online assessment: As a new user, you must answer a few questions about your insurance, where you live, what you’re looking for and your medical history. This usually takes about 10 minutes.
  • Matching: Talkiatry will use the answers to find psychiatrists that are the best match for you.
  • Choose your psychiatrist: Review the matches, read about their qualifications and approach, and choose one you’d like to see.
  • Schedule your first appointment: Find a time that works for your schedule, 100% online.
  • Therapy: If you’re interested in seeing a Talkiatry therapist as well, let your psychiatrist know and they’ll refer you to one of the in-house therapists.

How are new users matched with a therapist?

The process is slightly different for psychiatrists and therapists. Talkiatry patients start with a psychiatrist, and if they’d like to work with one of the in-house therapists in addition to the psychiatrist, Talkiatry is happy to collaborate on care. Here’s how it connects patients with psychiatrists: 

The process starts with a short online assessment, where Talkiatry will ask questions about a patient’s medical history, insurance, location, and preferences. Based on those responses, it will match prospective patients with 1-3 providers to choose from. They choose a psychiatrist and schedule a first visit. The team at Talkiatry is also available to help patients if they don’t see a match they believe is right for them.

Here’s how Talkiatry’s assessment narrows down the list:

  • Location: Even though it’s all virtual, each patient’s psychiatrist needs to be licensed to practice medicine in their state.
  • Age range: Psychiatrists often specialize in treating a specific population (adult, child and adolescent, and geriatric patients).
  • Reason for the visit: Talkiatry will match patients with a doctor who fits their clinical needs based on their responses or past diagnoses.
  • Specialties: For patients seeking providers with specific expertise (including LGBTQIA+, or perinatal care), Talkiatry will find doctors with that experience and training.
  • Provider preferences: Talkiatry will take into account any preferences the prospective patient has noted in the assessment.
  • Availability: Care shouldn’t have to wait. Talkiatry can find psychiatrists that have availability in days, not weeks or months.

Types of treatment offered by Talkiatry

Talkiatry offers psychiatric treatment, which includes medication management with a health care provider. If you need talk therapy in addition to your psychiatric treatment, your Talkiatry psychiatrist can refer you to one of its therapists. However, Talkiatry does not offer therapy only. For therapy, you can browse our list of the best online therapy services

Does Talkiatry prescribe medication?

Since Talkiatry is an online psychiatry platform, its providers can prescribe most mental health medications, including: 

  • Antidepressants
  • Mood stabilizers
  • Anti-anxiety medications
  • Benzodiazepines
  • Beta-blockers
  • Stimulants
  • Sleep medications 

Unlike other online psychiatry platforms, Talkiatry can prescribe controlled substances like Xanax®, Adderall®, and Klonopin®, where allowed by state law. (4)

Can I receive a mental health diagnosis through Talkiatry?

Talkiatry providers are all licensed and trained to diagnose and treat mental health conditions. During your initial evaluation, you may receive a diagnosis from your provider. Although your provider can give you an initial diagnosis, you’re welcome to see an in-person provider for an initial diagnosis and then continue your care with Talkiatry for convenience.

How much does Talkiatry cost?

Understanding the cost of Talkiatry isn’t very straightforward because you must go through your insurance, which can make things complicated. On its website, Talkiatry states that most users pay a co-pay of $30 per session, making Talkiatry an affordable mental health care option. It’s important to note that if you cancel your appointment less than 48 hours before it, you will be charged a $100 cancellation fee. For alternatives, check out our list of other online psychiatry platforms that take insurance.

Some insurance plans require you to meet a deductible before they cover the cost of mental health services. (5) When you speak with your insurance company, determine if you have a deductible that needs to be met and what you will pay before your insurance helps cover the cost. 

Talkiatry recommends that you reach out to your insurance company directly before you schedule an appointment so that you are aware of the cost upfront. You can find your insurance plan’s contact information on your insurance card or through your account on your insurance plan’s website. 

We know that adding this step can make it more difficult and frustrating to access mental health care, so we’ve created a list of some of the insurance plans that cover Talkiatry, along with a way to contact them. If you can’t find your health insurance card, we hope the following list reduces some of the hassle of finding out how to contact your insurance provider.

  • Aetna®:
    • Login to your Aetna account through its website, and you will be able to email, chat, or call customer service.
  • Blue Cross Blue Shield®:
    • Find your insurance provider by using this link and entering your ZIP code, your employer’s ZIP code, or your member ID (if you know it), which will lead you to the correct contact information for your specific plan.
  • Cigna:
    • For behavioral health benefits, call 800-433-5768, available Monday to Friday, 9:30 a.m. to 9 p.m. ET.
  • Humana®:
    • Call 800-457-4708, available 8 a.m. to 8 p.m. ET.
    • Live chat with a representative through your MyHumana account.
  • Oscar: 
    • Call 855-672-2788, available Monday to Friday, 8 a.m. to 8 p.m. ET.
    • Chat with your Care Team through your Oscar Health account on the website or mobile app available on the App Store or Google Play.
  • United HealthCare®
  • Medicare:
    • Call 800-MEDICARE or 800-633-4227.

Does Talkiatry take Medicare?

Talkiatry accepts Medicare, but it doesn’t accept Medicaid. (6) To determine if it accepts your insurance plan, use the insurance checker on the Talkiatry website.

Does Talkiatry offer financial aid?

Talkiatry does not offer financial aid. However, it offers payment plans if you’re having trouble paying your bill, which may cause psychological distress. (7) If you have a balance over $250, you have the option to pay it off over time on a set schedule with either monthly or biweekly payments. You have to pay off the balance within six months, though, and make a minimum payment of $50 every time. There are several affordable online therapy options if you want to learn more.

We’ve Featured Talkiatry in:

Specs

CostIf paying with insurance: Insurance co-pay
If paying out of pocket: $95 + pharmacy co-pay (psychiatry) or $299 (therapy) or $349 (psychiatry + therapy)
Type of therapyPsychiatry
Financial aidNo
Accepts insuranceYes
Prescribes medicationYes

Talkiatry vs. other online psychiatry platforms

Talkiatry Brightside Talkspace Sesame LiveHealth Online
Talkiatry Brightside Talkspace Sesame LiveHealth Online
Rating
Coming Soon
Coming Soon
Coming Soon
Coming Soon
Coming Soon
Cost $30 copay on average $95/month $299 evaluation, $175/follow-up session $43+ $185 initial evaluation, $80/follow-up session
Care option Psychiatry Psychiatry and therapy Psychiatry Psychiatry and therapy Psychiatry and therapy
Insurance accepted Yes Yes Yes No Yes
Financial aid No No No No, but low costs available No, but low costs available
Prescriptions available Yes Yes Yes Yes Yes
Prescribes controlled substance Yes No No No No

FAQs

Is Talkiatry legit?

Talkiatry is a legitimate online psychiatry platform that has licensed providers who are trained to provide psychiatric treatment, including diagnoses for mental health conditions and medication management. However, it only offers psychiatry, not therapy. (8) Therefore, it isn’t a good option for those who aren’t interested in mental health medication.

 Its psychiatrists cannot treat people with schizophrenia or eating disorders. (9) According to Johnson, individuals with schizophrenia or eating disorders are best treated with a treatment team that consists of medical staff, psychiatric providers, and behavioral therapy specific to those conditions. “The needs of folks with schizophrenia or eating disorders is outside the scope of virtual psychiatric care,” Johnson says.

How much is the cancellation fee for Talkiatry?

If you cancel your appointment less than 48 hours before it, you will be charged a $100 cancellation fee. You won’t be charged any fee if you cancel at least 48 hours before your appointment

What medications does Talkiatry prescribe?

Talkiatry can prescribe medications like antidepressants, anticonvulsants, antipsychotics, mood stabilizers, anti-anxiety medications, beta-blockers, stimulants, and sleep medications. (10)

Our Experts

Rychel Johnson

Rychel Johnson, M.S., LCPC, is a licensed clinical professional counselor in Kansas. She owns a private practice specializing in anxiety treatment and social skills development. Rychel also enjoys extensive road trips and spending time with her husband, daughter, and two cats.

Krista Manning

Krista Manning is an accomplished medical copy editor and fact-checker who stands out in the pharmaceutical, health, and wellness domains. With a meticulous eye for detail and a command of medical language, Krista ensures the accuracy and clarity of content. Beyond her professional expertise, Krista is an advocate for mental health awareness. Recognizing the crucial intersection of psychological and physical well-being, she actively contributes to projects that promote mental health awareness within the healthcare narrative. Krista’s commitment extends beyond the pages she edits, emphasizing the holistic nature of health communication.

Mikayla Morell

Mikayla Morell

Fortune Recommends Writer

About Author

Mikayla Morell is a health and wellness writer who is passionate about spreading reliable, accessible, and informative health information to people of all backgrounds and identities.

Mikayla has an extensive background in healthcare as a home health aide, medical scribe, and phlebotomist. In these roles, she recognized that her patients were eager to learn more about their health but they didn’t always have the information, education, or resources to do so.

References
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    2. Dr Mehr and Dr Daniel Afloarei Blood Tests in Psychiatric Patients-Evaluation and Improving the Process Published online 2023 Jul 7. doi: 10.1192/bjo.2023.328 PMCID: PMC10345319 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10345319/
    3. Sara S. McMillan, Victoria Stewart, Amanda J. Wheeler, Fiona Kelly, and Helen Stapleton Medication management in the context of mental illness Published online 2020 Jul 30. doi: 10.1186/s12889-020-09237-9 PMID: 32731858 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7392659/
    4. Charles V. Preuss; Arun Kalava; Kevin C. King Prescription of Controlled Substances: Benefits and Risks Last Update: April 29, 2023. https://www.ncbi.nlm.nih.gov/books/NBK537318/
    5. Sarah A. Friedman, Ph.D., Susan L. Ettner, Ph.D., Emmeline Chuang, Ph.D., Francisca Azocar, Ph.D., Jessica M. Harwood, M.S., Haiyong Xu, Ph.D., and Michael K. Ong, M.D., Ph.D. The Effects of Three Kinds of Insurance Benefit Design Features on Specialty Mental Health Care Use in Managed Care J Ment Health Policy Econ. 2019 Jun 1; 22(2): 43–59. PMID: 31319375 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10027396/
    6. Vimbainashe Dihwa, MBA, Hannah Shadowen, MPH, and Andrew J. Barnes, MPH, PhD Medicaid can and should play an active role in advancing health equity Published online 2022 Sep 29. doi: 10.1111/1475-6773.14069 PMID: 36125126 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9660413/
    7. Soomin Ryu and Lu Fan The Relationship Between Financial Worries and Psychological Distress Among U.S. Adults Published online 2022 Feb 1. doi: 10.1007/s10834-022-09820-9 PMID: 35125855 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8806009/
    8. Gary Chaimowitz, MB, ChB, FRCPC, Priyanthy Weerasekera, MD, MEd, FRCPC, and Paula Ravitz, MD, FRCPC Psychotherapy in Psychiatry Published online 2021 Dec 6. doi: 10.1177/07067437211040958 PMID: 34871512 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8652312/
    9. Gina I. Costandache, Oana Munteanu, Andra Salaru, Bianca Oroian, and Mihai Cozmin An overview of the treatment of eating disorders in adults and adolescents: pharmacology and psychotherapy Published online 2023 May 8. doi: 10.5114/ppn.2023.127237 PMID: 37287736 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10243293/
    10. National Institute of Mental Health Mental Health Medications Last Reviewed: December 2023 https://www.nimh.nih.gov/health/topics/mental-health-medications