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Joyous vs Talkiatry: Which Is Better?

Head-to-head comparison of Joyous and Talkiatry based on our independent scoring across trust, value, experience, product range, and reputation — plus real pricing for the treatments they both offer.

Our Verdict

Talkiatry scores higher overall in our independent evaluation (65.8/100 vs 64/100), leading on trust & safety, product range, reputation. Joyous comes out ahead on value, experience.

64
Joyous
Fair

The most affordable at-home ketamine provider, offering very-low-dose (microdose) sublingual ketamine for depression, anxiety, and PTSD at $129/month.

Visit Joyous
66

Insurance-only virtual psychiatry practice with 800+ psychiatrists in 45 states, able to prescribe controlled substances including ADHD stimulants where state law allows.

Visit Talkiatry

Score Breakdown

DimensionJoyousTalkiatry
Overall Score64/10065.8/100 ✓
Trust & Safety30%60/10070/100 ✓
Value25%85/100 ✓72/100
Experience20%60/100 ✓58/100
Product Range15%55/10060/100 ✓
Reputation10%55/10062/100 ✓

At a Glance

Founded20212019
HeadquartersFoster City, CANew York, NY
Publicly tradedNoNo
Treatment categories11
Treatments listed23
Starting price$129/mo$20/mo

Pricing Where They Compete

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

CategoryJoyousTalkiatry
Mental Health$129
Commitment Plan (3-month minimum)
$20–$50
Psychiatric Evaluation & Medication Management

Joyous

+Most affordable at-home ketamine option at $129/mo — fraction of competitors' pricing
+Microdose approach: patients stay fully functional, no sitter required, compatible with SSRIs
+All-inclusive flat pricing: consultation, medication, provider access, portal, and check-ins bundled
−$400K privacy class action settlement (2025) for disclosing confidential customer data
−BBB C+ rating with 112 complaints — billing after cancellation is the top issue
−High provider turnover — patients rarely see the same clinician twice
Read the full Joyous review →

Talkiatry

+Board-certified psychiatrists (not only NPs) with 60-minute adult and 75-minute child/teen intake visits
+Can prescribe controlled medications, including ADHD stimulants, in states where telehealth law permits
+In-network with major commercial plans and Medicare; typical copays are $20-50 per visit
−No self-pay option, and Medicaid and TRICARE are not accepted
−Weak independent ratings (Trustpilot about 2.7/5, BBB about 1.1/5) concentrated on billing and customer service
−$100 fee for cancelling or rescheduling within 48 hours
Read the full Talkiatry review →

Joyous vs Talkiatry — FAQ

Is Joyous better than Talkiatry?

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Talkiatry scores higher overall in our independent evaluation (65.8/100 vs 64/100), leading on trust & safety, product range, reputation. Joyous comes out ahead on value, experience.

Is Joyous or Talkiatry cheaper?

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Talkiatry has the lower starting price (from $20/mo vs $129/mo for Joyous). Starting prices are for the cheapest treatment each offers — compare the specific treatment you need, and check what each price includes.

What do Joyous and Talkiatry both offer?

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Both platforms treat Mental Health. Joyous covers 1 treatment category total and Talkiatry covers 1.

Still deciding?

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