We Tested Over 65 Online Mental Health Platforms. These Are the Best for Online Psychiatry.

As a psychologist, I’ve seen the impact of the shortage of psychiatrists firsthand. According to a 2021 report, the United States has enough psychiatrists to cover only 26 percent of the existing need. There are fewer than 17 psychiatrists per 100,000 people, and provider deserts mean that even fewer options are available in rural areas.

Telepsychiatry became more common during the COVID-19 pandemic. Research conducted at that time quickly showed that telehealth is an effective, safe, and appropriate method for providing psychiatry services.

For most mental health issues, telepsychiatry has equal effectiveness as in-person interventions.

 Both children and adults can benefit from psychiatry services delivered via telehealth.

As telepsychiatry has become mainstream and increased in popularity, more online platforms have begun to offer this service. While this proliferation has increased access to care, the quality of these platforms can vary greatly. So how do you know which telehealth platform is the best fit for your psychiatric needs? Our experts tested more than 65 online therapy platforms to identify the ones that stand out for psychiatry. Read about which platforms we picked and why.

Our Top Picks for Online Psychiatry

When to Consult Your Doctor

Although many of the platforms we reviewed offer quick appointments, none are a replacement for emergency services. If you require immediate support, contact your local emergency service. Additionally, if you’re having trouble figuring out which provider or platform is the best fit for you, consult your primary care doctor to ask for recommendations. They can help you figure out what is best based on your needs and preferences.

What if I'm Having Thoughts of Harming Myself?

If you or a loved one is experiencing significant distress or having thoughts about suicide and needs support, call or text 988 to reach the 988 Suicide & Crisis Lifeline, available 24/7. If you need immediate help, call 911.
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Best for ADHD

Talkiatry

Pros

  • Diagnostic assessments for ADHD
  • Can prescribe stimulant medication in some states
  • You can be matched or choose your own provider
  • Accepts most insurance plans, including Medicare
  • Asynchronous messaging between appointments
  • 60-minute intake, which is longer than average
  • Providers are available for children as young as 5

Cons

  • Insurance required
  • Doesn’t accept Medicaid
  • Doesn’t treat eating disorders
  • Not available in all states

Talkiatry offers diagnostic evaluations for attention deficit hyperactivity disorder (ADHD) and prescribes both stimulant and nonstimulant medications. Since people with ADHD may struggle to schedule and remember appointments, telehealth can be a great option because you can sign into an appointment online quickly, which can help with issues like time management, tardiness, and forgetfulness.

Be aware that some states have laws against prescribing stimulants via telehealth, and Talkiatry complies with all state laws. If it’s illegal to prescribe stimulants online in your state, you won’t be able to get stimulants through Talkiatry. In states that allow stimulant prescriptions, you can talk to your provider about whether stimulant medication is right for you.

“Talkiatry could be a good choice if you want more time with your psychiatrist,” says Lauren Krouse, a writer in Raleigh, North Carolina, who tested Talkiatry for Everyday Health. “Adults start with an initial 60-minute appointment, with 30-minute follow-ups.” This is much longer than is typical, so your provider can get to know you, and you can get comfortable with them. “For children and adolescents, appointments are even longer — the intake is 75 minutes, and follow-ups are 45 minutes long,” says Krouse.

If you realize later that there’s something you forgot to bring up, Talkiatry allows asynchronous messaging, so you can submit a note to your provider at any time, which they can answer when they are available. This feature is especially beneficial to people with ADHD, who can be forgetful.

Psychiatry services with Talkiatry are available to children as young as 5, making it an option for children, teens, and adults. You’re required to use insurance, so Talkiatry doesn’t list specific prices, since the total cost depends on your coverage. However, the platform is in network with most plans and accepts Medicare, which can make the cost of care affordable for many.

How Much Does Talkiatry Cost?

Because Talkiatry requires insurance, it is fee for service and has no subscription plans. In addition, your out-of-pocket cost will be entirely dependent on your insurance plan and coverage. It can be helpful to reach out to your insurance company directly and ask about copays and deductibles for your specific plan.

According to its website, most Talkiatry users pay $30 or less per appointment. However, those with deductible plans typically pay more.

Best for Busy Schedules

Brightside Health

Pros

  • Appointments available within 48 hours
  • Crisis services offered
  • Available in all 50 states
  • In network with many insurers, including Medicare and Medicaid
  • Self-guided educational materials
  • Asynchronous messaging
  • Pay per service and subscriptions

Cons

  • Doesn’t prescribe controlled substances
  • Progress tracking required, which may be uncomfortable for some
  • Cognitive behavioral therapy only

Brightside Health offers therapy and psychiatry services for a variety of mental health concerns, including anxiety disorders, mood disorders, trauma disorders, insomnia, and OCD. Its flexible scheduling with many appointment times makes it ideal for those with busy schedules. Appointments are often available within 48 hours, and providers have a range of appointments, including nights and weekends. Patients can use insurance to pay per session or subscribe to a monthly plan, with options that you can tailor based on what you need.

As part of Brightside Health's Suicide Prevention Program, people who have experienced suicidal ideation in the past or have serious mental health symptoms can get appointments within 48 hours and receive evidence-based support for crisis issues from qualified providers. Although telehealth can effectively treat crisis issues, and access to care through telehealth reduces clients’ risk of experiencing a crisis, many online therapy platforms don’t provide this support. The company's commitment to offering crisis care makes it stand out.

It’s important to note that the Suicide Prevention Program is not a substitute for emergency services. If you’re in an immediate crisis, call 911 or 988 to reach the 988 Suicide & Crisis Lifeline, available 24/7, and follow your safety plan.

Brightside Health providers treat people of varying ages, and the minimum age of those who can access treatment varies by state. Services are available to people age 18 and up everywhere and to those 13 and up in some states. Providers can manage selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), and other medications that aren’t classified as controlled. This means that they can prescribe new medication or manage an existing prescription that a patient received from another provider. Providers don't prescribe controlled substances like stimulants and benzodiazepines.

I tested Brightside Health for Everyday Health, and overall, my experience was positive. My therapist was qualified, we connected well, and I found her approach helpful. While cognitive behavioral therapy (CBT) isn’t the right fit for everyone, many people can benefit from this evidence-based approach. There were also self-guided activities in between sessions that enhanced my experience.

How Much Does Brightside Health Cost?

Because Brightside Health accepts most insurance plans, including Medicare and Medicaid, there’s a good chance that some or all of your care will be covered. If you’re uninsured or don’t want to use insurance, Brightside Health has a subscription service, offering a monthly rate to access services. Psychiatry services cost $95 per month for the subscription, plus the cost of any prescriptions. For those who want to access both psychiatry and therapy, plans are $349 per month and include four 45-minute video therapy sessions per month.

People who require crisis care in addition to psychiatry can purchase plans for $299 per month. For therapy only, there's a subscription plan for $299 a month for four 45-minute sessions. Additional sessions are $59 each.

Best for Quick Appointments

Rula

Pros

  • Many providers have availability within 24 to 48 hours
  • Accepts insurance, including Medicare and Medicaid
  • Controlled substances are available in some states
  • Messaging between appointments
  • In-person appointments available
  • Services for children as young as 5

Cons

  • Only available in 11 states
  • High self-pay prices
  • Psychiatry services are not available in all states
  • $150 no-show fee

Wait times for therapy services often range from weeks to months (and sometimes even longer), and many clients do not feel like they can wait to get help. Rula provides instant matching to a provider, connecting you to someone right away. In addition, many of its providers have appointments available within 24 to 48 hours. While Rula is not a crisis service, its expediency does mean that people who are considering getting help for their mental health care don’t have to wait to move forward. The wait time for an appointment is among the lowest of any platform we reviewed.

Rula provides online therapy and psychiatry services for a variety of mental health diagnoses. Psychiatry intakes at Rula are 60 minutes, which is much longer than average, and follow-ups are 30 minutes. It’s not typical to receive this amount of time with a provider, so you have extra time to ask questions, get to know your provider, and talk to them about your needs. Rula providers can oversee prescriptions, including some controlled substances, when regulations allow.

Rula providers treat children as young as 5, as well as teens and adults. Individual, family, couples, and other therapy services are also available for holistic care that addresses all of the needs you bring to your treatment. Rula psychiatrists treat many conditions, including ADHD, insomnia, mood disorders, trauma disorders, and OCD.

In addition to telehealth services, Rula has several in-person clinics if telehealth is not a good fit for you or if a federal or state law requires in-person appointments in order to prescribe certain medications.

How Much Does Rula Cost?

Rula doesn’t have a subscription plan, so you pay for each session individually. Prior to starting treatment, you can request a cost estimate based on your insurance, and Rula will check what your cost might be.

For those not using insurance, 60-minute psychiatry intakes are $350, and 30-minute follow-up appointments are $150. Rula's fee for missed psychiatry appointments is $150, so if you need to cancel or reschedule, make sure to let your provider know at least 24 hours in advance.

Best With Insurance

Teladoc Health

Pros

  • In network with insurance, including Medicare and Medicaid
  • Appointments are typically available within one week
  • 45-minute sessions are longer than other platforms
  • Unlimited messaging with your provider
  • Easy-to-use app and scheduling portal
  • Primary care, nutrition appointments available
  • Resource library with educational information

Cons

  • Providers can’t prescribe controlled substances such as stimulants and benzodiazepines
  • Sign-up process can be difficult

Cost is a common barrier for people looking for mental health care. Since many providers may not accept insurance due to the administrative demands and the overhead that comes with billing, it can feel impossible to find mental health support that’s in network with your insurance plan. Many online platforms have started accepting insurance plans, but Teladoc Health stands out because of the high number of plans that it accepts. Even better, Teledoc Health accepts Medicare and Medicaid, which are often excluded even from large online therapy platforms.

Although it offers therapy services for adolescents, the psychiatric services are only available to adults age 18 and older. Primary care providers at Teladoc Health can start prescriptions and maintain existing prescriptions for mental health medications for conditions such as anxiety and depression, as well as oversee other medical conditions. Providers don’t prescribe controlled substances such as stimulants (Adderall or Ritalin) and benzodiazepines (Xanax, Valium). However, clients can access other mental health medications, like antidepressants.

Teladoc Health also provides self-guided resources, including self-care tools, educational content, and a mood tracker. These resources help clients gather data that they can share with their provider or use to get more in touch with their needs. Teladoc Health advertises that its providers don’t believe in a one-size-fits-all approach to care, with doctors and therapists developing treatment plans based on a review of the individual’s needs.

I reviewed Teledoc Health for Everyday Health, and overall, my experience was positive. My therapist had specialized training in my presenting issue and was compassionate. I appreciated the flexibility of the services provided and felt empowered to express my needs and get them met.

Psychiatry intakes are 45 minutes long, and follow-up visits are 15 minutes. However, clients can request additional time if needed. Clients can also request consults in between appointments if they have a question or concern to bring to their provider.

How Much Does Teledoc Health Cost?

Teladoc Health doesn’t offer subscriptions, so you pay for each session individually. This can be great for anyone who doesn’t need or want weekly appointments or who prefers to pay per session rather than a flat rate. Because it takes most insurance plans, including Medicare and Medicaid, there's a good chance that some or all of your care can be paid for. Your cost will depend on your coverage and whether you have a copay or deductible. If you don’t have insurance, it costs $299 for a psychiatry intake and $129 for follow-up appointments.

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Best for Kids

Thriveworks

Pros

  • Child-centered TherapyLand centers
  • Works with all ages
  • In network with most insurance plans, including Medicare
  • Telehealth and in-person services
  • Free educational resources, including e-books
  • Controlled substances available in some states

Cons

  • Not available in all states
  • Expensive self-pay rates
  • Can have long wait times

Thriveworks offers mental health support, including both therapy and psychiatry services, for patients of all ages. Providers at Thriveworks are trained in conditions that can start in childhood, including OCD, anxiety, depression, and trauma. Thriveworks providers can treat ADHD with stimulant medication, depending on local laws and requirements.

Thriveworks also has TherapyLand clinics. These offices are designed to support children’s mental health through play and other developmentally appropriate treatment approaches. There are 19 TherapyLand locations in 14 states, including Florida, North Carolina, Virginia, Pennsylvania, Ohio, Indiana, Alabama, and Texas. This offering sets Thriveworks apart from similar platforms when it comes to children's care. In addition, Thriveworks has in-person options in many parts of the United States, so if your child doesn’t take to online treatment, you may have an alternative in your area.

Thriveworks encourages psychiatry clients to access talk therapy to ensure that all of their mental health needs are met, and doctors and therapists work together to ensure that clients get comprehensive, competent care that addresses all of their needs. This kind of multidisciplinary team can be very effective in treating a variety of mental health issues.

It’s worth noting that there wasn’t a lot of diversity in the types of therapy practiced, according to Julia Childs Heyl, LCSW, a California-based mental health writer who tested Thriveworks for Everyday Health. “Most of them practiced CBT, which focuses on how our automatic thoughts inform our actions, thus impacting our emotions,” she says.

 “This is a standard evidence-based therapy, but I was hoping to find providers with more specialized approaches, like eye movement and desensitization therapy, which is an evidence-based somatic treatment that helps folks desensitize to traumatic memories.”

How Much Does Thriveworks Cost?

Thriveworks operates on a pay-per-session model, meaning there are no monthly fees. The cost for paying out of pocket varies by location. It can be difficult to find out the rate for your area, but you can expect to pay $255 to $375 for an intake session and $175 to $300 for follow-up sessions. Thriveworks accepts more than 500 insurance plans, including from UnitedHealthcare, Humana, Blue Cross Blue Shield, Aetna, Cigna, Tufts, Tricare, and Medicare. Just keep in mind that the plans accepted vary by provider and state.

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Most Affordable

MD Live

Pros

  • In network with many insurance plans
  • Available in all 50 states
  • Spanish-speaking providers
  • Interpreters for deaf and hard of hearing clients
  • You choose your provider
  • Self-guided mental health tools

Cons

  • Doesn’t prescribe controlled substances
  • No messaging
  • Sometimes appointments are not immediately available

    Psychiatric care can be expensive, so having options to cover the cost of your care is important. In addition to accepting many insurance plans, MD Live partners with employers to offer free services to eligible employees. If your organization has benefits through MD Live, you may be able to access medical, mental health, and psychiatric care with no out-of-pocket cost.

    “MD Live could work well for professionals with conventional working hours because I noticed that providers had appointment times early in the morning and late in the evening,” says Mary Sauer, a freelance health writer in Kansas City, Missouri, who tested MD Live for Everyday Health. “I think it would be best for someone who has insurance that’s in network with MD Live because their appointment cost would be as low as their copay.”

    In addition to therapy and psychiatric services, MD Live provides urgent care, dermatology, and general medical care. You can filter providers based on your preferences or the soonest availability. It provides health services to children of all ages, starting in infancy, and therapy to those age 10 and up. Psychiatry appointments with MD Live are 15 to 30 minutes, and providers treat such mental health issues as addiction, mood disorders, anxiety disorders, OCD, life changes, trauma, and stress. However, MD Live doesn’t offer support for ADHD, and providers can’t prescribe controlled substances. In between appointments, MD Live users can access self-guided tools for mental health at no additional cost.

    MD Live has providers who are fluent in Spanish. This service isn’t offered by most online psychiatry platforms that we tried. It also provides interpretation services for deaf and hard of hearing clients. Although clients are entitled to such services under the Americans With Disabilities Act, MD Live is the only platform that openly advertises this capability, which demonstrates how it promotes and prioritizes accessible care.

    How Much Does MD LIVE Cost?

    If your insurance doesn’t cover MD Live appointments and you don’t have an employer benefit, intakes are $299 and follow-up visits are $159. If you plan to use your insurance with MD Live, you can make an account for free to check your coverage; MD Live will confirm whether you’re covered before you commit to seeing a provider.

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    Best for LGBTQ+

    Doctor on Demand

    Pros

    • LGBTQ+-friendly care
    • Available in all 50 states
    • Accepts more than 400 health insurance plans
    • Flexible session lengths
    • Weekend appointments available
    • Primary care is also available
    • You choose your provider

    Cons

    • Expensive out-of-pocket costs
    • Cannot verify therapist availability when scheduling
    • No messaging
    • Doesn’t prescribe controlled substances

    Unfortunately, many parts of the United States are hostile toward the LGBTQ+ community, including states that permit harmful so-called conversion therapy. This can make it difficult for queer clients to seek mental health support if they do not know that a given provider will be safe and affirming. But it’s not enough to simply be affirming; providers should understand queer experiences and mental health needs to truly provide support.

    Doctor on Demand provides affirming care for LGBTQ+ clients, connecting them to providers with training and specialization in understanding their needs, mental health concerns, and the discrimination that can lead to health disparities. According to its website, 20 percent of the behavioral health providers employed by Doctor on Demand are members of the LGBTQ+ community, so queer clients who want a doctor who shares their identity and lived experience can find that on the platform.

    Doctor on Demand offers flexible scheduling, including weekend appointments. Its providers specialize in a variety of conditions and diagnoses, including depression, anxiety, trauma, OCD, and sleep disorders. Although it does not offer prescribing for controlled substances, it can provide prescriptions for SSRIs like Prozac and Lexapro, SNRIs like Cymbalta and Effexor, nonstimulant ADHD medications, and many other mental health medications.

    Psychiatric intakes with Doctor on Demand are 45 minutes, and follow-up sessions are 15 minutes. For those who also want to see a therapist, clients can choose between 25-minute or 50-minute sessions. Doctor on Demand providers sees clients of all ages, including young children, making it accessible to many.

    El Wilson, a health and science journalist in Boston who tested Doctor on Demand for Everyday Health, found that scheduling regular appointments was difficult. “I wish the platform filtered out therapists who are at capacity, even if they have one random appointment slot open,” she says, “especially since this appears to be a larger issue at Doctor on Demand.” I also tested Doctor on Demand, and after each of my therapy sessions, I got a note recommending that I schedule my next session seven weeks later. This is very spaced out, especially at the beginning of therapy. Most people have therapy at least once every other week, if not every week.

    How Much Does Doctor on Demand Cost?

    Because Doctor on Demand accepts many insurance plans, there is a high possibility that some or all of your cost will be covered. Self-pay rates for psychiatry services at Doctor on Demand are $299 for a 45-minute intake and $129 for a 15-minute follow-up appointment.

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    Best for Anxiety

    LifeStance Health

    Pros

    • Can prescribe controlled substances and other medications for anxiety
    • Accepts most insurance, including Medicaid and Medicare
    • Online and in-person services
    • You can choose your provider
    • Messaging available
    • Child and adolescent services

    Cons

    • Not available in all states
    • In-person appointments are limited in many areas
    • Pricing is not clear during sign-up

    LifeStance Health offers medication management services in 33 states, with over 500 locations, and it has expanded significantly over the past few years. LifeStance Health's providers treat a variety of mental health concerns, including anxiety. The company stands out for anxiety treatment for multiple reasons. Many online psychiatry platforms don’t prescribe controlled substances, but some individuals with certain anxiety disorders (such as panic disorder) can benefit from fast-acting benzodiazepines on an as-needed basis to treat their symptoms. Due to the risk of dependence, these medications are highly controlled, and many telepsychiatry platforms will not prescribe them as blanket policy. LifeStance Health providers offers both controlled and noncontrolled medications for anxiety management.

    Laws around prescribing controlled substances vary by state. In some places, psychiatrists cannot prescribe controlled substances to a client they haven’t met in person. LifeStance Health's ability to offer in-person in addition to telehealth sessions gives it more flexibility in prescribing medications that require an in-person component.

    Of course, many people who experience anxiety don’t need a controlled substance to treat their symptoms. Providers can also provide other medications for anxiety, such as SSRIs.

    Like many diagnoses, anxiety is often treated by a combination of psychiatry and therapy. Since it provides therapy support, too, clients can receive whole-person care. LifeStance Health advertises that it provides mental health support for people of all ages, with no lower limit, so even young children can receive care through the platform.

    Anxiety can be secondary to many other diagnoses, including ADHD and autism. When someone has anxiety in addition to another form of neurodivergence, treatment recommendations need to be personalized. For instance, when someone with untreated ADHD is also experiencing anxiety, the anxiety might be a way to cope with forgetfulness or disorganization. When this is the case, both diagnoses must be addressed for treatment to be effective. The assessments stand out in that its providers can work from more detailed and accurate information about each client.

    Although she didn’t use the psychiatric service, Katie Mannion, a writer in St. Louis who tested LifeStance Health for Everyday Health, says that it has more services than most platforms, including therapy for individuals of all ages, couples therapy, and family therapy.

    How Much Does LifeStance Health Cost?

    LifeStance Health accepts most insurance plans, including Medicare and Medicaid. If you have any kind of insurance coverage, there is a good chance that you will be able to use it to cover part or all of the cost of psychiatric services.

    Self-pay prices aren't clearly listed on the website, however. It reports that costs vary by location, which can make it difficult to clearly list the costs because LifeStance Health providers operate in so many states. Contact the company directly to ask about psychiatry costs in your state.

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    Best for Depression

    Amwell

    Pros

    • Treatment, medication for a variety of mood disorders
    • Accepts most insurance plans
    • Clear pricing
    • You can choose your provider
    • Asynchronous messaging between sessions
    • Could be a one-stop shop for mental health and medical care

    Cons

    • Doesn’t accept Medicare or Medicaid
    • Only available to people age 18 and up
    • Doesn’t prescribe controlled substances

    In addition to generalist medical services including urgent care and primary care, Amwell offers therapy, psychiatry, medication management, and treatment for a variety of mood disorders, including major depressive disorder, persistent depressive disorder, and bipolar disorder. In its vast network, Amwell has providers from many training backgrounds who have differing specializations, so you can find the best fit for you, and its website includes free information about various diagnoses, with specific details about how medication can help you manage these symptoms.

    Amwell providers are able to prescribe medications for different mental health diagnoses, but not controlled substances, due to a federal regulation that requires patients to see their provider in-person before receiving these prescriptions. However, providers at Amwell can communicate and collaborate with your primary care doctor about your treatment and diagnosis, and that doctor may be able to prescribe medications that are appropriate for you. Amwell is our top choice for a platform for people with depression, and medication for depression usually doesn’t include controlled substances.

    Amwell providers can prescribe SSRIs, SNRIs, and other medications for anxiety. The platform also provides access to medical providers who can treat physical conditions that occur along with depression, such as heart issues, weight fluctuations, fatigue, and immunosuppression. Because its providers treat many mental health conditions, you can receive support for depression alongside any other mental health diagnoses you may have.

    Psychiatry intakes at Amwell are 45 minutes, and follow-up visits are 15 minutes. However, there’s flexibility, and you can request longer appointment times if needed. Your psychiatrist can also connect you with a therapist for talk therapy. Evening and weekend appointments are available at no additional cost, making care accessible for your schedule.

    Our tester, Morgan Bailee Boggess McCoy, a clinical social worker based in Kentucky, found Amwell to be less advanced than larger online therapy services like Talkspace or BetterHelp. “The website needs to be updated, and the customer service is lacking. There were a limited number of providers for my state, but this could be different for other parts of the country,” she says.

    How Much Does Amwell Cost?

    Amwell doesn’t have subscriptions and is fee for service. If you’re using insurance, the cost will depend on your plan and coverage, so you should call your insurance company ahead of time to ask about your out-of-pocket cost. If you’re not using insurance, Amwell lists the following prices:

    • $269 for psychiatry intake
    • $99 for psychiatry follow-ups
    • $109 for a 45-minute therapy session
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    Best for Urgent Care

    Mindful Care

    Pros

    • Same-day and next-day appointments often available
    • In-network providers for many insurance plans, including Medicare and Medicaid
    • Group therapy, MicroTherapy
    • Medication treatment for addiction
    • Medication management for children age 12 and up
    • Sunday appointments available

    Cons

    • Only available in six states (New York, New Jersey, Connecticut, Florida, Illinois, Michigan)
    • You can’t choose your provider
    • Doesn’t prescribe controlled substances

    A mental health crisis can come up without warning, but most online therapy platforms don’t have last-minute or urgent appointments. Mindful Care stands out as an online psychiatry platform because it offers urgent care for psychiatric appointments. It provides same-day appointments for established clients and what it terms “urgent mental health support, anytime.”

    Psychiatric services are available to children age 12 and up, as well as adults, and people using psychiatry services can sign up for MicroTherapy, group therapy, and substance-use counseling.

     Individual 20-minute MicroTherapy sessions are often available the same or next day. Shortened sessions and groups are often more affordable than traditional individual therapy sessions, making this resource an option for people who can’t afford other platforms.

    While Mindful Care doesn’t prescribe most controlled substances, it offers medication support for people recovering from opioid addiction, a service that many online psychiatry platforms don’t offer. Providers at Mindful Care address a variety of issues, including ADHD, anxiety disorders, trauma disorders, and mood disorders.

    How Much Does Mindful Care Cost?

    Mindful Care is in network with hundreds of insurance plans, but if you’re paying out of pocket, Mindful Care has a fee-for-service model: Initial psychiatry evaluations are $175, $75 for 20-minute follow-up appointments, and $175 for 40-minute reevaluations. MicroTherapy sessions are $50.

    Best for Alcohol Addiction

    Monument

    Pros

    • Medication options to help reduce or eliminate alcohol use
    • Does not require total sobriety
    • Therapy and support groups
    • Accepts many insurance plans, including Medicare
    • A range of affordable plans
    • You can be anonymous in the community

    Cons

    • Only treats people age 18 and up
    • Does not treat any other mental health diagnoses
    • Prescribing is not available in all states

    Monument provides support groups, therapy, and psychiatric support for people who want to change their relationship with alcohol. Unlike many recovery resources, you don’t have to be completely abstinent from alcohol to get help from Monument. For people who require medication support to cut down or stop using alcohol all together, medications can help.

    At Monument, clients can be prescribed naltrexone (ReVia, Depade) or disulfiram (Antabuse).

    Naltrexone blocks the pleasurable feelings that come from drinking alcohol, which can reduce cravings. Disulfiram prevents the body from breaking down alcohol, making it highly unpleasant to drink alcohol. It’s more appropriate for those who want to stop drinking altogether.

    In addition to medication services, Monument offers individual therapy, support groups, and a community forum. Addiction recovery requires support, and being able to connect with others who are on their own journey with alcohol can make clients feel less alone. At the same time, Monument allows users to be anonymous in these communities, which can increase comfort with sharing and engaging. This holistic approach to support means that it’s a comprehensive option for those struggling with their alcohol consumption.

    “If you choose a Monument plan that includes therapy, you’ll be matched with a licensed therapist and meet with them weekly or biweekly over audio or video,” says Savannah Bacon, a writer in Atlanta who reviewed Monument for Everyday Health. “Your therapist will develop therapy sessions around your treatment goals, whether you want to moderate your drinking or stop altogether.”

    Monument has many plans, so you can choose the one that fits your budget. It also accepts many insurance plans, including Medicare.

    How Much Does Monument Cost?

    Monument has several membership plans that offer access to different features:

    • Community Membership For $14.99 per month, you get access to the community forum, support groups moderated by a professional, a tracking tool to monitor your drinking, and daily affirmations. You can also sign up for therapy or medication management for an additional cost.
    • Total Care This plan offers regular therapy sessions and can be billed to insurance. Two sessions per month are $149; four sessions are $249.
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    Best for Seasonal Depression

    Nurx

    Pros

    • Specializes in seasonal affective disorder, insomnia, and postpartum depression
    • Accepts insurance
    • Thorough intake process
    • Other services include birth control, anti-aging, and weight management medication
    • Low out-of-pocket prices

    Cons

    • Services are only in English
    • Customer service can be slow
    • Doesn’t accept Medicaid
    • Cannot prescribe controlled medications
    While plenty of online psychiatry platforms treat anxiety and depression, seasonal affective disorder (SAD) typically doesn’t make the list of covered conditions. Yet this common disorder impacts between 1 to 10 percent of people around the world, depending on where they live.

    Contrary to popular belief, this mood disorder doesn’t only occur during the winter — people can develop it in the summer, too. SAD currently isn’t recognized as a unique diagnosis but is instead considered a variation of major depressive or bipolar disorder, making it all the more important to team up with a provider who knows their stuff. Fortunately, Nurx specializes in treating SAD.
    An important consideration when choosing an online psychiatry platform is the intake process. Nurx uses a thorough questionnaire before you can even schedule your medical evaluation. We appreciate that some questions are tailored to assess for bipolar disorder. For example, it asks if you’ve needed much less sleep for at least a week or if you’ve experienced high energy coupled with impulsive behavior. This is especially important because many antidepressants aren’t recommended for long-term use with bipolar disorder, so it is key to catch if that is a possible diagnosis before prescribing any medicine.

    Our research found that some users report varied experiences with Nurx. While many people are pleased with their experience, others complain of slow customer service.

    How Much Does Nurx Cost?

    Nurx accepts Aetna, Anthem, Blue Cross Blue Shield, Cigna, CVS Caremark, Express Scripts, OptumRx, and UnitedHealthcare insurance plans. To get started at Nurx, you’ll have to schedule a medical consultation, which costs $59. After that, you will be charged $69 per month, which includes regular check-ins with your provider as needed. It also includes free shipping on medications. You can expect a small copay for medication if you’re using your insurance. When paying out-of-pocket, expect to pay $25 a month for all medications except for nortriptyline HCl (Pamelor, Aventyl HCI), which is $15 per month.

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    Best for Postpartum Mental Health

    Grow Therapy

    Pros

    • Accepts over 90 insurance plans
    • Available nationwide
    • In-person appointments available
    • Can select a provider with specialized postpartum training
    • User-friendly platform makes it easy to find a provider
    • Offers psychotherapy

    Cons

    • Pricing varies based on provider, service, and location
    • Availability can vary by state
    • Not all major health insurance plans are accepted
    Postpartum mental health concerns can be challenging. They’re also quite common: Up to 20 percent of women experience postpartum depression (PPD) in the weeks and months following childbirth. PPD can be thought of as a cousin to major depressive disorder, with many overlapping symptoms, like deep sadness, irritability, sleeping challenges, underlying anxiety, and mood swings. While doctors warn of the baby blues — the hormone-induced low mood that lifts within a few weeks following the birth of a child — many women silently suffer from PPD, a more severe condition that can become chronic.

     PPD isn’t the only issue that can arise. Postpartum anxiety and psychosis are two other serious issues that new mothers may experience. A big part of relief can be medication prescribed by a provider well versed in postpartum mental health. We love Grow Therapy for its wide range of psychiatrists, fees, and accepted insurance plans.

    Grow Therapy is very easy to use, another reason why we love this option. You simply add the information requested, like your location, the service and specialty you need, and your insurance. You’ll then be presented with a list of providers to choose from. You can find both a psychiatrist and a therapist to work with at Grow Therapy.

    There isn’t a subscription plan, so you can’t bundle services or receive any discounts, but Grow emphasizes using and accepting insurance plans to help keep costs low. Plus, some providers offer fees on a sliding scale, so you and the provider work out a rate based on what you can afford to pay.

    As much as we appreciate and recommend Grow Therapy for postpartum psychiatry, there are a few caveats. Provider availability varies by state. So some large states, like California, may have a ton of providers to choose from, while in other states, the options are sparse. The same goes for insurance — every provider accepts different plans. Fortunately, Grow’s filters can help keep your search as easy as possible.

    How Much Does Grow Therapy Cost?

    Prices for Grow Therapy vary widely, as it is based on location, provider, and service, since it functions as a directory, rather than a subscription-based service. Out-of-pocket fees for psychiatry typically range from $100 to $375 per session. Grow Therapy accepts a wide range of insurance plans, including from Aetna, Anthem, Blue Cross Blue Shield, Cigna, and UnitedHealthcare. Some Medicaid plans are also available. While the range of health plans accepted is impressive, the plans accepted vary by provider.

    Comparison Table

    Best For
    Cost
    Highlights
    Can Prescribe Controlled Substances*
    ADHD
    Varies; insurance required
    Accepts most insurance plans; longer session times than average; ADHD diagnostic assessments available
    In some states
    Busy Schedules
    $95 subscription
    Crisis services; available in all states; accepts Medicare, Medicaid, and other insurance plans
    No
    Quick Appointments
    $350 intake, $150 follow-ups
    Accepts Medicare, Medicaid, and other insurance plans; in-person available; sees children as young as 5
    In some states
    Insurance
    $299 intake; $129 follow-ups
    Accepts Medicare, Medicaid, and many insurance plans; 45-minute psychiatry sessions
    No
    Kids
    $175 to $300 per session
    TherapyLand centers for play therapy; telehealth and in-person available
    In some states
    Affordability
    $299 intake, $159 follow-ups
    Accepts many insurance plans; available in all states; Spanish-speaking providers; ASL interpreting available
    No
    LGBTQ+
    $299 intake, $129 follow-ups
    Available in all states; flexible session lengths; weekend appointments available
    No
    Anxiety
    Not clearly listed
    Accepts Medicare, Medicaid, and other insurance plans; diagnostic evaluations; in-person appointments
    In some states
    Depression
    $269 intake, $99 follow-ups
    Accepts most insurance plans; flexible session lengths; weekend and evening appointments available
    No
    Urgent Care
    $175 intakes, $75 follow-ups
    Same-day appointments available; in-network with many insurance plans; weekend appointments available
    No
    Alcohol Addiction
    $14.99 monthly subscription; $149 for 2 sessions, $149 for 4 sessions
    Accepts many insurance plans; doesn’t require total sobriety; self-guided resources
    No
    Seasonal Depression
    $69 per month
    Specializes in seasonal affective disorder, insomnia, and postpartum depression; accepts insurance
    No
    Postpartum Mental Health
    $100 to $375 per session
    Accepts over 90 insurance plans; available nationwide; in-person appointments available
    No

    *Controlled substances include benzodiazepines for anxiety, such as alprazolam (Xanax) and clonazepam (Klonopin), as well as stimulants for ADHD, such as methylphenidate hydrochloride (Ritalin) and dextroamphetamine-amphetamine (Adderall), among others, according to the U.S. Drug Enforcement Agency (DEA).

    Other Noteworthy Online Psychiatry Services We Tried

    While these were our top choices for online psychiatry services, many other platforms have great services as well. For example, Oar Health prescribes medication for people who want to reduce or stop their alcohol consumption, providing nonjudgmental and compassionate care. However, it doesn’t accept insurance, making it less accessible for people who can’t pay out of pocket. Visit Oar Health.

    Sesame offers quality psychiatric services for a variety of mental health diagnoses. It has affordable out-of-pocket options, though the prices are slightly higher than our choice for the most affordable platform. Read our full review or visit Sesame.

    Grow Therapy provides online psychiatry services that are appropriate for both children and adults. However, its age range is narrower than our pick for the best platform for kids. Read our full review or visit Grow Therapy.

    How We Tested Online Psychiatry Services

    At Everyday Health, we are committed to providing accurate, balanced, and useful information about telehealth platforms so that you can make the best choice for your mental health needs. We take testing online therapy services very seriously. We’re testing over 65 companies and evaluating them based on quality of care, price, flexibility, business practices, and reputation. We are personally using the platforms and surveying users of each platform.

    Our experts tried each of these platforms by signing up as clients and they provided extensive and detailed notes about their experiences. We also assessed each platform’s reported services to determine which has the best offerings on each topic. These reviews were vetted by a licensed psychologist, who then identified the top choices for each category.

    What to Look for When Choosing Online Psychiatry Services

    How do you know which telepsychiatry platform is right for you? The answer will vary, since everyone has unique needs and preferences. There are many factors to consider when determining which online psychiatry platform is right for you:

    • Privacy Policy Some online mental health platforms have misused confidential client information. Check the privacy policy to ensure that your information is protected.
    • Insurance Coverage If you want or need to use your insurance to offset the cost of care, check which platforms take your plan.
    • Specialization Some platforms specialize in specific diagnoses or symptoms, or have providers who do. You might prefer someone who has training related to your concerns.
    • Qualifications Many medical professionals are qualified to treat mental health issues, including psychiatrists, psychiatric nurse practitioners, social workers, and primary care physicians. Consider the qualifications you want or need in a provider.
    • Medication Some platforms only prescribe certain medications. Look into the kinds of medication that will meet your needs and choose a platform that has those options.
    • Scheduling If you have an unpredictable or busy schedule, look for a platform that offers evening or weekend appointments.

    What’s the Difference Between Psychiatry and Therapy?

    Psychiatry and therapy are two options for treating mental health issues. Although both relate to mental health, they have different approaches. Psychiatrists are medical doctors who diagnose and treat mental, emotional, and behavioral health issues. They can prescribe medication and offer therapy and other treatments. Therapists are trained mental health providers who practice one or more types of therapy, such as CBT or dialectical behavioral therapy. They may have different degrees in mental health, including a doctorate in psychology or a master's degree in social work, counseling, psychology, or marriage and family therapy. Unlike psychiatrists, therapists can’t prescribe medication.

    Depending on your diagnosis, different interventions or types of therapy might be most appropriate.

    How Do I Know if I Need Psychiatry, Therapy, or Other Treatment?

    Some people benefit from medication for their mental health symptoms, some benefit from therapy, and many are treated with a combination of both approaches. For instance, depression often responds best to a combination of psychiatric and therapy services.

     The same is true for ADHD: A combination of therapy and medication is often more effective than one or the other.

     You can also consider your personal preferences. Some people do not feel comfortable taking medication, and that is valid. There’s no one right way to get mental health support.

    Am I a Good Candidate for Online Psychiatry?

    Research around online psychiatry conclusively shows that this method of service delivery has comparable effectiveness to in-person treatment.

    Research shows that people with a variety of backgrounds, diagnoses, symptoms, and needs can benefit greatly from online treatment for their mental health.

    At the same time, no one resource is the right fit for every single person. If you’re uncomfortable seeing a provider online or if you don’t have a safe, private place from which to join your sessions, online psychiatry might not be right for you. On the other hand, it’s a great resource for people living in areas with few providers, those who prefer the privacy of being seen from home, those with inconsistent transportation or childcare access, and many others.

    FAQs

    Is online psychiatry effective?

    Yes, research shows that online psychiatry has comparable efficacy to in-person services. Appropriately trained providers can assess, prescribe, and oversee treatment effectively and safely.

    Many online psychiatry platforms are in network with insurance, but coverage depends on your individual plan. Many online platforms disclose which insurance plans they accept. You can also call the phone number on your insurance card and ask the company directly whether a platform or specific provider is in network.
    Laws around telepsychiatry vary by state, and many states restrict the medications that providers can prescribe via telehealth. In particular, many states regulate controlled substances and prohibit prescribing benzodiazepines and stimulant medication via telehealth. If this is the case in your state, then your telehealth provider can’t prescribe these medications. Check your local laws to see what the regulations are where you live.

    Online psychiatry is highly effective in treating a number of mental health issues, including with children. This method of service can increase access to care and provide quality support for a variety of diagnoses.

    Why Trust Everyday Health

    We independently investigate and recommend products and services we believe will enrich the lives of our readers and meet their specific needs. You can trust our reviews because we do the legwork for you. Read more about why you can trust us.

    Amy Marschall, PsyD

    Author

    Amy Marschall, PsyD, is a freelance mental health writer and a licensed clinical psychologist.

    She received her doctoral degree in clinical psychology from the University of Hartford in West Hartford, Connecticut, in 2015. She completed her pre-doctoral internship through the National Psychology Training Consortium (Central Region) and her post-doctoral residency at Family Psychological Center P.A. in Harrison, Arkansas.

    Dr. Marschall has been a licensed psychologist since 2016 and currently owns a private practice, RMH-Therapy, where she provides therapy primarily to children and adolescents and does psychological evaluations. Her clinical specializations include trauma-informed care, neurodiversity-affirming care, rural mental health, and tele–mental health. She is licensed to practice psychology in Florida, Montana, New York, North Dakota, South Carolina, South Dakota, and Wisconsin, and is in the process of registering with PsyPact. She is also a registered psychologist in New Zealand and provides ADHD assessments through ADHD Online and therapy services through Spring HealthLyra Health, and Modern Health.

    She is also the clinical director of A Change for Better, an organization promoting affordable and accessible mental health care and resources, and the chair of the clinical committee at the ACFB Fund, a charitable organization that funds mental health services. She is also the resident neurodiversity expert with Grayce.

    As a mental health writer, she has contributed to Parents, Health, and Spring Health, among other outlets.

    In her spare time, Marschall enjoys reading, making jewelry, and spending time with her cats.

    Leslie-Becker-Phelps-bio

    Leslie Becker-Phelps, PhD

    Medical Reviewer
    Leslie Becker-Phelps, PhD, is a licensed psychologist based in New Jersey who practices via telehealth in many other states. She has been on the medical staff at Robert Wood Johnson University Hospital Somerset since 1997 and previously served as its clinical director of women’s psychological services and chief of psychology.

    Dr. Becker-Phelps is dedicated to helping people understand themselves and what they need to do to become emotionally and psychologically healthy. She especially encourages people to develop compassionate self-awareness, which enables them to improve their relationships with themselves and others.

    Becker-Phelps offers guidance on nurturing a sense of well-being on her YouTube channel and in her writing. She authored the books The Insecure in Love Workbook, Insecure in Love, and Bouncing Back From Rejection, and was the consultant psychologist for Love: The Psychology of Attraction, which was a finalist for the National Multiple Sclerosis Society’s 2017 Books for Better Living. Becker-Phelps currently writes a blog for her website and a blog called Making Change for Psychology Today. Previously, she wrote a weekly relationships blog for WebMD for over 10 years and was a staff editor for the New Jersey Psychological Association e-newsletter.

    Becker-Phelps has presented nationally on a variety of mental health topics. She trains physicians and other mental health providers, as well as facilitates workshops to help lay audiences nurture emotional well-being and achieve their personal goals.

    Julia Childs Heyl, MSW

    Tester

    Julia Childs Heyl, MSW, is a California-based clinical social worker and mental health writer. Her writing often focuses on mental health disparities and uses critical race theory as her preferred theoretical framework. She has been published by Verywell Mind, Health, Parents, Shape, Yahoo, and more.

    In her clinical work, Julia specializes in treating people of color experiencing anxiety, depression, and trauma through depth therapy and EMDR (eye movement desensitization and reprocessing) trauma therapy. Identifying as a holistic-minded clinician, Julia views mental health as a relationship between the soul, self, and systemic structures in our lives. Her formative training includes developing mental health programming specifically for Black survivors of domestic violence and sexual assault and conducting research on generational trauma within the Black community.

    Mary Sauer

    Tester

    Mary Sauer is a freelance health and parenting writer whose work often covers mental health (especially maternal mental health), grief, and caregiving. Her work has been published by the Washington Post, Verywell Mind, Parents, Vice's Tonic, and ARC Poetry Magazine. She's also the managing editor of the upcoming Salt Tooth Press and an MFA student at University of Missouri, Kansas City.

    Sauer is a mom of four and lives in Kansas City, Missouri. She enjoys hiking, trying new coffee shops, and shopping at used bookstores. At home, she spends her precious free time reading, rewatching Fleabag, and gardening.

    El Wilson

    Tester

    When they were 12, El Wilson decided they wanted to be a writer when they grew up — and they never changed their mind, even though what they write about has changed a bit (though they do still find themselves writing the occasional love poem).

    As a health and science writer, El has written about mental health, medicine, food, and nutrition for Eating Well, Shape, and AOL, among other outlets. You can also find their work in the second edition of Trans Bodies, Trans Selves: A Resource by and for Transgender Communities.

    El is also a producer at the public radio show Living on Earth and works as the social media and communications manager for the STEM-education nonprofit Math4Science.

    They live in Boston, where they enjoy playing sled hockey, drinking diet pop, and annoying their cat.

    Katie Mannion

    Tester

    Katie Mannion is a St. Louis–based writer and occupational therapy assistant with clinical experience across multiple healthcare and education settings.

    As a writer, Katie covers an array of topics, but is particularly focused on health, mental well-being, and skincare. Her work has been featured in publications such as People, SheKnows, and Yahoo, among other outlets.

    In her free time, she enjoys kickboxing, watching reality TV shows, and spending time with her son.

    Morgan Bailee Boggess McCoy, MSW, CSW

    Tester

    Bailee Boggess McCoy, MSW, CSW, is a Kentucky-based writer, consultant, and mental health therapist. She specializes in health and wellness content and has clinical expertise in women's mental health, adoption, complex trauma, and identity development. Her work has been featured in Parade magazine and the quarterly issues of Fostering Families Today, as well as Live Science, Career Cloud, and other outlets.

    She also has a background in clinical research, geriatrics, and neuropsychology-neurolinguistics. Her scientific research has been presented at the Alzheimer’s Association International Conference and published in the Journal of Alzheimer’s Disease and Associated Disorders.

    Across her clinical and content-creating work, she finds joy in helping people find their voices and tell their stories. When she’s not writing or researching, she enjoys playing with her dog, reading, and traveling with her husband. She’s also a true crime enthusiast and a passionate creative.

    Lauren-Krouse-bio

    Lauren Krouse

    Tester
    Lauren Krouse is a writer, survivor-advocate, and caregiver in Raleigh, North Carolina, who covers topics including mental health, women’s health, domestic violence, technology, and LGBTQ+ issues. Her work has been published in publications including Health, Women’s Health, Men’s Health, the Washington Post, Parents, USA Today, Self, and HuffPost, among others. She also writes for nonprofit organizations like the JED Foundation, which is dedicated to preventing suicide and protecting mental health in teens and young adults.

    Lauren is passionate about meeting readers where they are and brings an intersectional lens to her work. She’s committed to spotlighting inequity, researching solutions to address systemic barriers that prevent many from leading healthy and safe lives, and building a more compassionate and supportive community for all. When she’s not writing or reading, you can find her trying to meditate more often, weightlifting, trying out new recipes, or walking in the woods with her partner and friends.

    Jen Sinclair

    Tester

    Jen Sinclair Is a freelance health and wellness writer who has spent the last two years writing feature articles and reviews of mental health and medical services and products. Her work has been published by Verywell Mind, Verywell Health, Health, and Parents. Prior to this, she worked for six years as a copywriter and blog writer for several legal and healthcare businesses, and as a paralegal for 15 years.

    Jen currently lives with her husband and children in St. Augustine, Florida, where she enjoys spending time outdoors paddling waterways, driving around with the top off her Jeep, or trekking around with her writer hiker pals.

    EDITORIAL SOURCES
    Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
    Resources
    1. White C. Investing in a Diverse Mental Health Workforce Is Critical in This Moment. Boston Medical Center. August 10, 2021.
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    3. Hagi K et al. Telepsychiatry Versus Face-to-Face Treatment: Systematic Review and Meta-Analysis of Randomised Controlled Trials. The British Journal of Psychiatry. September 1, 2023.
    4. Kline CL et al. A Review of Telepsychiatry for Pediatric Patients in the Emergency Setting. Current Psychiatry Reports. August 1, 2023.
    5. Hao X et al. Effectiveness of Telehealth Interventions on Psychological Outcomes and Quality of Life in Community Adults During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis. International Journal of Mental Health Nursing. February 20, 2023.
    6. Nakao M et al. Cognitive–Behavioral Therapy for Management of Mental Health and Stress-Related Disorders: Recent Advances in Techniques and Technologies. BioPsychoSocial Medicine. October 3, 2021.
    7. Shapiro F. The Role of Eye Movement Desensitization and Reprocessing (EMDR) Therapy in Medicine: Addressing the Psychological and Physical Symptoms Stemming from Adverse Life Experiences. The Permanente Journal. 2014.
    8. The Rise of Micro-Therapy for Accessible Mental Health Support. Resources to Recover. January 22, 2024.
    9. Naltrexone tablets. Cleveland Clinic.
    10. Disulfiram tablets. Cleveland Clinic.
    11. Munir S et al. Seasonal Affective Disorder. StatPearls. April 20, 2024.
    12. Vázquez GH et al. Antidepressants in the treatment of bipolar depression: commentary. The International Journal of Neuropsychopharmacology. March 20, 2025.
    13. Suryawanshi O et al. A Comprehensive Review on Postpartum Depression. Cureus. December 20, 2022.
    14. Karrouri R et al. Major depressive Disorder: Validated treatments and Future challenges. World Journal of Clinical Cases. November 6, 2021.
    15. Nazarova VA et al. Treatment of ADHD: Drugs, Psychological Therapies, Devices, Complementary and Alternative Methods as Well as the Trends in Clinical Trials. Frontiers in Pharmacology. November 16, 2022.
    16. Snoswell CL et al. The Clinical Effectiveness of Telehealth: A Systematic Review of Meta-Analyses From 2010 to 2019. Journal of Telemedicine and Telecare. June 29, 2021.