10 Best Online Therapy & Psychiatry Services of October 2026
Quick answer
As of October 2026, our top-rated online mental health service is Winona (8.3/10, from $119/mo), followed by Hims & Hers (from $49/mo) and Teladoc Health (from $119/mo). Across the 22 providers we compared, starting prices run $5.83–$500/mo (median $95).
- Our #1 pick1Winona
- From $119/mo for Deep Sleep (ramelteon, magnesium glycinate, DHHB)
- Offer: $119 for one month or $269 for three. Compounded by a state-licensed pharmacy; the active ingredients are…
- Price includes provider visits and shipping
8.3Very Good - 2Hims & HersNames Its Pharmacy
- From $49/mo for Anxiety / Depression Treatment
- Offer: $49/mo billed quarterly
- Price includes provider visits and shipping
7.9Very Good - 3Teladoc HealthTop Trust & Safety Score
- From $119/mo for Mental Health Visit
- Largest and most-reviewed telehealth brand in the US, with a 4.7-star Trustpilot average across 47,000+…
- Transparent flat self-pay pricing for 24/7 care, mental health, dermatology, and nutrition visits
7.7Very Good - 4Talkspace
- From $175/mo for Psychiatry Follow-Up (Medication Management)
- Does not prescribe controlled substances, eliminating DEA telemedicine-flexibility exposure that affects…
- Broad condition coverage (150+ conditions) through combined therapy and psychiatry
7.5Very Good - 5Sesame Care
- From $79/mo for Mental Health Rx Subscription
- Offer: Same-day video visits, unlimited messaging and refills included
- No subscription required — pay-per-visit model
7.4Good - 6GoodRx
- From $59/mo for Anxiety and Depression Visit (one-off, priced per visit)
- Offer: $59 per visit, or $19 with a Companion membership at $14.99/mo
- Per-visit care from $39–70 with no membership, or $19 a visit with the $14.99/mo Companion membership
7.3Good - 7Kick HealthNames Its Pharmacy
- From $59/mo for Performance Beta-Blocker Program
- Offer: $99 initial consult
- Price includes provider visits and shipping
7.3Good - 8Oar Health
- From $99/mo for Naltrexone for Alcohol (generic)
- Offer: $50 initial consultation; billed $297 per 3 months
- Price includes provider visits and shipping
7.1Good - 9Nurx
- From $69/mo for Mental Health (Medication Management)
- Offer: $59 one-off initial consultation, then $69/mo care fee; medication is separate at about $25/mo cash. No…
- Price includes provider visits and shipping
7.0Good - 10Better U
- From $500/mo for Introduction Package (5 sessions)
- Offer: 5 sessions for $500 ($100/session)
- Price includes provider visits and shipping
7.0Good
Side-by-side comparison
| # | Provider | Score | From | Intro offer | Labs |
|---|---|---|---|---|---|
| 1 | Winona | 8.3 | $119/mo | Yes | — |
| 2 | Hims & Hers | 7.9 | $49/mo | Yes | — |
| 3 | Teladoc Health | 7.7 | $119/mo | — | — |
| 4 | Talkspace | 7.5 | $175/mo | — | — |
| 5 | Sesame Care | 7.4 | $79/mo | Yes | — |
| 6 | GoodRx | 7.3 | $59/mo | Yes | — |
| 7 | Kick Health | 7.3 | $59/mo | Yes | — |
| 8 | Oar Health | 7.1 | $99/mo | Yes | — |
| 9 | Nurx | 7.0 | $69/mo | Yes | — |
| 10 | Better U | 7.0 | $500/mo | Yes | — |
Starting prices as listed on each provider's site, checked Oct 9, 2026. Prices can change with dose, plan length and promotions.
Key numbers
- 22 providers compared
- Lowest starting price: $5.83/mo
- Median starting price: $95/mo
- 0 of 22 include lab work in at least one plan
- 14 of 22 have an intro offer or first-month discount
How we ranked these
Ranked by our category score: trust and safety (30%), value (25%), patient experience (20%), product range in this category (15%) and reputation (10%). Scores come from our own research into each provider's website, regulatory records, patient reviews and pricing. Read the full methodology
What to look for
Therapy vs. medication management — know which you need
Medication-only plans are much cheaper than therapy bundles. If you mainly need an SSRI refill managed, don't pay for weekly therapy sessions you won't use — and vice versa.
Prescriber standards for controlled substances
Reputable platforms are conservative about stimulants and benzodiazepines via telehealth. A platform that seems eager to prescribe controlled medication quickly is a red flag, not a convenience.
Therapist matching and switching
The evidence is clear that therapist fit drives outcomes. Check how easy it is to switch therapists and whether you choose from profiles or get assigned.
Session format honesty
'Messaging therapy' plans vary from genuine asynchronous care to templated check-ins. If you want live sessions, confirm how many video sessions per month the price actually includes.
Frequently asked questions
What is the best online mental health service?
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Winona ranks #1 on this list with a score of 8.3/10 and plans from $119/mo. Scores weigh trust and safety, value, patient experience, product range and reputation.
What is the cheapest online mental health service?
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Of the providers on this list, Hims & Hers has the lowest starting price at $49/mo (Anxiety / Depression Treatment). Starting prices often rise with dose or after an intro period, so compare the ongoing price too.
How much does an online mental health service cost?
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Across the 22 providers we compared, starting prices range from $5.83 to $500 per month, with a median of $95. 14 of them run an intro offer or first-month discount.
How are these providers ranked?
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By our category score: trust and safety (30%), value (25%), patient experience (20%), product range in this category (15%) and reputation (10%), with a small bonus for specialists. The full methodology is published on our methodology page.
Can online psychiatrists prescribe antidepressants?
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Yes. SSRIs, SNRIs, and most other non-controlled psychiatric medications can be prescribed via telehealth after an evaluation with a licensed prescriber. Controlled substances like Adderall and Xanax face much stricter federal and platform-level rules, and many reputable platforms don't prescribe them remotely at all.
Is online therapy as effective as in-person?
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For common conditions like anxiety and depression, research consistently finds video-based therapy roughly comparable to in-person care. The bigger variable is therapist quality and fit — which is why we weight platforms on matching flexibility and clinician credentials rather than the video format itself.
Why is there such a price range across mental health platforms?
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The main drivers are what's bundled (medication management only vs. therapy plus medication), session frequency, and whether sessions are live video or messaging-based. Comparing 'price per live session hour plus medication management' is the cleanest way to compare plans.
What happened with telehealth ADHD prescribing?
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During the pandemic, some platforms prescribed stimulants aggressively under relaxed rules, drawing DOJ and DEA scrutiny — and at least one major platform overhauled its leadership and protocols as a result. The industry has since tightened significantly. We factor regulatory history directly into our trust scores.