Online psychiatry and medication management
Online psychiatry services differ most in one thing: what they will prescribe. We compare the 57 services that offer medication management, show which will prescribe controlled substances such as ADHD stimulants, which bill insurance, and what each costs. Every figure links to its source.
Online psychiatry services differ most in what they will prescribe. Of the 57 that offer medication management, 12 will prescribe controlled substances such as ADHD stimulants when a clinician judges it appropriate, while 35 limit or exclude them. 41 bill insurance in network. Check your in-network estimate (copays as low as $15 average copay/session (most insured members pay $0) at Talkspace). To combine insurance with stimulant prescribing, 9 services do both, including Thriveworks.
offer online psychiatry
Medication management from a psychiatrist or psychiatric nurse practitioner, not talk therapy alone.
prescribe controlled substances
12 of 57 will prescribe a controlled stimulant when appropriate. The rest restrict or exclude them.
bill insurance in network
41 of 57 psychiatry services bill insurance in network, by each service's own stated policy. Confirm coverage with your plan.
The four prescribing postures
The single biggest difference between online psychiatry services is how they handle controlled substances, the class that includes ADHD stimulants. Each service below is marked with one of these postures, taken from its own stated policy.
12 services
Will prescribe controlled substances, including ADHD stimulants such as Adderall or Vyvanse, when a clinician judges it appropriate.
14 services
Offers medication management but limits controlled substances, often not starting new stimulant prescriptions by telehealth.
21 services
Prescribes non-controlled psychiatric medication such as antidepressants, but not controlled substances like stimulants.
10 services
Offers psychiatry but does not publish a controlled-substance policy. Confirm before enrolling if you need a specific medication.
Prescribing, insurance, and price
Services that offer online medication management, with insurance-accepting options first, then by the cheapest way to start. Prescribing shows each service's controlled-substance posture; every price links to the record that proves it.
Prescribing postures are each service's stated controlled-substance policy from our service attributes (last reviewed 2026-10-18); see a service's page for its source. Prices are the service's published rates, cross-checked against independent reviews and re-verified on a schedule (last verified 2026-10-18). Psychiatry pricing shown is a cash rate where published; an initial evaluation usually costs more than later follow-ups. Confirm current prescribing, pricing, and coverage with the service and your insurer.
16 of 32 ADHD services prescribe stimulants
Of the services that treat ADHD with medication management, these are the ones whose own pages say they prescribe stimulants (such as Adderall or Vyvanse) when a clinician judges it appropriate, some only with a limit they state. The rest treat ADHD but prescribe non-stimulant options only, or do not say.
Treat ADHD, but do not prescribe stimulants, or do not say
Federal telehealth rules currently allow controlled substances, including ADHD stimulants, to be prescribed without a prior in-person visit through December 31, 2026 under a temporary DEA and HHS extension; a permanent rule is still pending. A first psychiatry appointment is a diagnostic evaluation, not a guaranteed prescription, and state rules can add requirements, so confirm what a service can actually provide in your state before enrolling. What changes when the rule ends on December 31, 2026.
What to check before you start
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental condition marked by an ongoing pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning, and it often continues from childhood into adulthood.
Online therapy can help with the skills side of ADHD, coaching on organization and time management and treating the anxiety or low mood that often accompany it, and CBT adapted for ADHD has good evidence. Therapy alone does not replace a full diagnostic evaluation or medication: stimulants are first-line for many people but require a prescriber, and telehealth prescribing of controlled stimulants is subject to state and federal rules, so check what a given service can actually provide.
- Confirm whether the service can actually diagnose ADHD and whether it prescribes stimulant medication, since many telehealth services limit or exclude controlled substances.
- Check prescriber availability in your state, as telehealth stimulant rules vary by state.
- Look for therapists experienced specifically with ADHD and executive-function coaching, not general talk therapy.
- If the client is a child or teen, verify the service treats that age range and offers behavioral parent training.
How online psychiatry care works
- CBT adapted for adult ADHD
- builds concrete skills for planning, organization, and managing distractibility and procrastination
- Behavioral therapy and parent training
- first-line for children, especially under age 6, using structured behavior strategies at home and school
- Executive-function coaching
- structured skills and accountability support for habits and routines alongside medical treatment
- Medication management
- not therapy, but stimulant or non-stimulant medication from a prescriber is a core, evidence-based treatment often combined with therapy
Sources:CDC / National Center for Health Statistics (MMWR)National Institute of Mental Health (NIMH)
Online psychiatry is delivered by licensed psychiatrists or psychiatric nurse practitioners. Confirm the prescriber is licensed in the state where you are physically located during visits, and, if medication is part of your plan, that the service will manage the specific medication you need. See the full ADHD guide for the clinical detail.
Online psychiatry, answered
- Can you get ADHD medication prescribed online?
- Often, yes. Of the 32 online services that treat ADHD with medication management, 16 will prescribe a controlled stimulant such as Adderall or Vyvanse when a clinician judges it appropriate (for example Rula, Thriveworks, Grow Therapy), 12 of them only with a limit they state, such as an in-person visit or no stimulants in some states. Federal telehealth flexibilities currently allow controlled substances to be prescribed without a prior in-person visit through December 31, 2026 under a temporary DEA and HHS extension, but each service sets its own policy and some prescribe non-stimulant options only, so confirm before enrolling.
- How much does online psychiatry cost?
- It depends on the route. Cash psychiatry evaluations generally run about $199 to $425, with follow-up visits often $125 to $175, and some services sell a flat monthly membership instead (around $95 a month). With insurance you usually pay only your plan copay: the lowest we recorded is $15 average copay/session (most insured members pay $0) at Talkspace. An initial psychiatry appointment is a longer diagnostic evaluation and typically costs more than the follow-ups that come after.
- Does insurance cover online psychiatry?
- Often. Of the 57 services that offer online psychiatry, 41 bill insurance in network, going by each service's own stated insurance policy. Coverage and your copay still depend on your specific plan and whether the prescriber is in network, so confirm psychiatry (medication management) coverage with your insurer before your first visit.
- What is the difference between online therapy and online psychiatry?
- Online therapy is talk therapy delivered by a licensed therapist or counselor, who cannot prescribe medication. Online psychiatry is medical care from a psychiatrist or psychiatric nurse practitioner who can diagnose, prescribe, and manage medication. Many people use both: therapy for the skills and support, and psychiatry for medication when it is indicated. Some services offer both under one roof.
- Which online psychiatry services prescribe controlled substances?
- 12 of the 57 services we compare will prescribe controlled substances (including ADHD stimulants) when clinically appropriate, 14 restrict them, and 21 prescribe non-controlled medication only. The comparison above marks each service's posture. Because telehealth stimulant rules are set by federal and state law and are under active review, a service's policy can change, so verify current prescribing at the service itself.