Written by Klarity Editorial Team
Published: Jun 4, 2026

Last Updated: January 2026
Finding the right mental health care shouldn’t feel like navigating a maze—yet for millions of Americans seeking help for ADHD, anxiety, depression, or insomnia, the telehealth landscape has become increasingly complex. Following high-profile regulatory actions, provider shutdowns, and dramatic policy changes over the past few years, patients are left wondering: Which online mental health platforms are still operating? Which ones actually prescribe the medications I need? And who can I trust?
If you’re researching telehealth mental health services in 2026, you’ve likely encountered confusing information about providers like Cerebral, Done, Brightside, Talkiatry, and others. This comprehensive guide cuts through the confusion with up-to-date information on what each major platform offers, what medications they will (and won’t) prescribe, pricing transparency, and how to choose the right provider for your specific needs.
Whether you’re seeking ADHD treatment, anxiety management, depression care, or help with insomnia or other conditions, understanding your telehealth options has never been more important—or more complicated.
The COVID-19 pandemic accelerated telehealth adoption at an unprecedented pace. Mental health startups proliferated, offering everything from quick ADHD evaluations to on-demand therapy. By 2022, however, concerns about prescription practices—particularly around controlled substances like Adderall and Xanax—triggered regulatory scrutiny that reshaped the entire industry.
Key developments that changed everything:
These events created a ‘trust deficit’ in telehealth mental health care. Patients who once relied on these services found themselves abruptly cut off from medications, scrambling to find new providers, or navigating insurance complexities they’d hoped to avoid.
The silver lining? Responsible telehealth providers are stepping up to fill the gaps—offering legitimate, comprehensive care that balances accessibility with clinical rigor and regulatory compliance.
Before comparing providers, it’s essential to understand what you’re seeking treatment for and what medication categories might be involved. Different platforms have vastly different policies about what they will and won’t prescribe.
ADHD (Attention-Deficit/Hyperactivity Disorder)
Adult ADHD affects approximately 4-5% of the U.S. population. Treatment typically involves stimulant medications (like Adderall or Vyvanse) or non-stimulant alternatives (like Strattera or Wellbutrin), combined with behavioral strategies. ADHD medication access has become the most contentious issue in telehealth mental health care.
Anxiety Disorders
From generalized anxiety to panic disorder, anxiety conditions are commonly treated with SSRIs (selective serotonin reuptake inhibitors), SNRIs (serotonin-norepinephrine reuptake inhibitors), or therapy. Historically, benzodiazepines like Xanax were prescribed, but most telehealth platforms now avoid these controlled substances entirely.
Depression
Major depressive disorder and persistent depressive disorder are typically treated with antidepressants (SSRIs, SNRIs, or atypical antidepressants) and psychotherapy. Depression treatment is widely available across telehealth platforms since the primary medications aren’t controlled substances.
Insomnia & Sleep Disorders
While lifestyle changes and therapy are first-line treatments, some patients need medication. However, most telehealth providers won’t prescribe controlled sleep medications (like Ambien or Lunesta), instead offering alternatives like trazodone or melatonin.
PTSD, OCD, Bipolar Disorder & Other Conditions
These more complex conditions require specialized psychiatric care. Not all telehealth platforms have the clinical depth to manage these appropriately—it’s crucial to find providers with experienced psychiatrists who can handle nuanced treatment plans.
Schedule II Stimulants (ADHD medications)
Adderall, Ritalin, Vyvanse, Concerta—these are the medications that triggered the telehealth reckoning. Due to their abuse potential and regulatory scrutiny, most direct-to-consumer telehealth platforms have stopped prescribing them entirely or never offered them. Only full-service psychiatric providers with robust compliance programs continue to prescribe stimulants when medically appropriate.
Benzodiazepines (anti-anxiety medications)
Xanax, Ativan, Klonopin, Valium—nearly all telehealth platforms refuse to prescribe these Schedule IV controlled substances due to addiction risks and regulatory concerns. Patients seeking these medications typically need traditional in-person psychiatry or specialized telepsychiatry services.
‘Z-drugs’ (sleep medications)
Ambien, Lunesta, Sonata—these Schedule IV sleep aids are similarly restricted or prohibited across telehealth platforms. Providers generally offer non-controlled sleep medication alternatives instead.
What IS readily available online:
SSRIs (Prozac, Zoloft, Lexapro), SNRIs (Effexor, Cymbalta), atypical antidepressants (Wellbutrin, Remeron), buspirone for anxiety, hydroxyzine, trazodone for sleep, and non-stimulant ADHD medications like Strattera.
The table below provides a detailed comparison of the major telehealth mental health platforms operating in 2026, including their current status, services, medication policies, geographic reach, pricing, and insurance acceptance.
| Provider | Current Status | Conditions Treated | ADHD Stimulants? | Benzos? | Sleep Meds? | States Served | Estimated Pricing | Insurance? |
|---|---|---|---|---|---|---|---|---|
| Cerebral | 🟡 Limited operations (post-settlement) | Depression, Anxiety, Insomnia, some ADHD support, Bipolar, PTSD | No (stopped 2022) | No | No | 50 states | $99/mo (med mgmt) $365/mo (therapy + meds) | Some plans |
| Done | 🔴 Effectively defunct | ADHD (was primary focus) | Yes (historically) | No | No | N/A (inactive) | Was $79-299/mo | No |
| Ahead | 🔴 Closed (2022) | ADHD, Therapy | Yes (until closure) | Limited | No | N/A | N/A | N/A |
| Brightside | 🟢 Active | Depression, Anxiety, PTSD, OCD, Insomnia (NO ADHD diagnosis/treatment) | No (explicitly doesn’t prescribe) | No | No | 50 states | $95/mo (med plan) $349/mo (therapy + meds) | Yes (many) |
| Talkiatry | 🟢 Active | Comprehensive psychiatry: ADHD, Anxiety, Depression, Bipolar, PTSD, etc. | Yes (when appropriate) | Yes (when appropriate) | Yes (when appropriate) | 43 states | $25-400/visit (varies by insurance) | Yes (in-network) |
| PlushCare | 🟢 Active | Primary care + mental health: general medical, mild anxiety/depression | No (policy exclusion) | No | No | 50 states | $19.99/mo + $129/visit | Yes (most) |
| MDLive | 🟢 Active | Urgent care, primary care, therapy/psychiatry (depression, anxiety) | No | No | No | 50 states | $0-82/visit (often employer-covered) | Yes (widely) |
| Teladoc | 🟢 Active | Urgent/primary care, dermatology, mental health (anxiety, depression) | No (explicit policy) | No | No | 50 states | $75-95/visit (general) $200+ (initial psych) | Yes (widely) |
| Amwell | 🟢 Active | Urgent/primary care, therapy/psychiatry, women’s health | No | No | No | 50 states | $79-99/visit (typical) | Yes (many) |
| Hims/Hers | 🟢 Active | Lifestyle wellness: anxiety, depression, hair loss, ED, weight loss | No | No | No | 50 states + | $85/mo (medication plans) | No (cash; HSA eligible) |
The ADHD Treatment Gap
Only Talkiatry among the major platforms will prescribe ADHD stimulants—and they do so within an insurance-based, highly regulated psychiatric practice model. This leaves patients who need stimulant medication with limited telehealth options, creating an opportunity for responsible providers who can offer this care safely.
The ‘Safe Medication’ Focus
Most platforms have pivoted to offering only non-controlled medications. Brightside, for example, explicitly markets its use of ‘non-addictive’ medications, which appeals to some patients but excludes anyone needing ADHD treatment or certain anxiety medications.
Price vs. Access Trade-offs
Subscription models (Cerebral, Brightside) offer predictable pricing but can be expensive over time and inflexible. Insurance-based models (Talkiatry, traditional telehealth) offer lower out-of-pocket costs but may involve wait times, network limitations, and bureaucracy. Cash-pay à la carte models offer flexibility but require upfront payment.
The Convenience vs. Legitimacy Balance
The platforms that offered the ‘easiest’ access to controlled substances (Done, old Cerebral) are now defunct or severely restricted. Meanwhile, traditional telehealth giants (Teladoc, MDLive) don’t offer specialized mental health medication management at all. There’s a clear middle ground: accessible, affordable care that’s also clinically responsible.
Most telehealth providers now operate nationwide, but licensing and state regulations can affect service availability. Here’s availability in the six largest U.S. states by population:
| State | Cerebral | Brightside | Talkiatry | PlushCare | MDLive | Teladoc | Amwell | Hims/Hers |
|---|---|---|---|---|---|---|---|---|
| California | ✅ | ✅ | ✅ | ✅ | ✅ | ✅ | ✅ | ✅ |
| Texas | ✅ | ✅ | ✅ | ✅ | ✅ | ✅ | ✅ | ✅ |
| Florida | ✅ | ✅ | ✅ | ✅ | ✅ | ✅ | ✅ | ✅ |
| New York | ✅ | ✅ | ✅ | ✅ | ✅ | ✅ | ✅ | ✅ |
| Pennsylvania | ✅ | ✅ | ✅ | ✅ | ✅ | ✅ | ✅ | ✅ |
| Illinois | ✅ | ✅ | ✅ | ✅ | ✅ | ✅ | ✅ | ✅ |
Note: Done and Ahead are excluded as they’re no longer operational. All active major providers serve these key states, though Talkiatry operates in 43 states total (excludes some smaller-population states).
Understanding each provider’s medication policy is crucial before choosing a platform. Here’s what you need to know:
Who WILL prescribe:
Who WON’T prescribe:
Why it matters: If you have ADHD and benefit from stimulant medication, your telehealth options are extremely limited. Many patients have been forced back to in-person psychiatrists or have switched to non-stimulant alternatives (which may be less effective for them). This is where specialized telehealth psychiatric services that maintain proper compliance can fill a critical need.
Who MIGHT prescribe (rarely, when clinically necessary):
Who WON’T prescribe:
What this means: If you’re currently taking Xanax, Ativan, Klonopin, or similar medications, most telehealth platforms cannot continue your prescription. Talkiatry or traditional in-person care are your primary options.
Current policies:
These medications are readily prescribed across most telehealth mental health platforms:
An interesting 2024-2025 development: some telehealth platforms now offer weight-loss medications, particularly GLP-1 agonists (Wegovy, Ozempic, Mounjaro). These aren’t controlled substances, so they’re easier to prescribe via telehealth.
Who offers weight loss medication:
Who doesn’t:
This represents an expansion of telehealth into metabolic health—and it’s worth noting if you’re dealing with both mental health concerns and weight management issues.
One of the biggest frustrations patients report about telehealth mental health care is unclear or unexpected pricing. Let’s break down the real costs:
Cerebral:
Brightside:
Hims/Hers:
Pros of subscriptions: Predictable costs, unlimited messaging with providers
Cons of subscriptions: Pay even months you don’t need a visit, can be expensive long-term, difficult cancellation processes reported by some users
Talkiatry:
Teladoc:
MDLive:
Amwell:
PlushCare:
Pros of pay-per-visit: Only pay when you need care, often insurance compatible
Cons of pay-per-visit: Costs can add up with frequent visits, less provider continuity sometimes
For patients seeking transparent, affordable pricing without long-term commitments, Klarity Health offers competitive pay-as-you-go rates:
This à la carte pricing model costs significantly less than most subscription services over time, especially for patients with stable conditions who only need occasional check-ins. Plus, Klarity accepts both insurance (for those with coverage) and cash pay (for those who prefer or need to pay directly), providing flexibility that many platforms don’t offer.
Beyond official policies and pricing, what matters most is the patient experience. Here’s what users report about major platforms:
Common complaints:
Positive feedback:
Bottom line: Cerebral’s reputation hasn’t recovered from 2022’s controversies. While still operational, many patients report inconsistent care quality.
Before its 2024 shutdown, Done received increasingly negative reviews:
What happened: Federal prosecutors alleged Done’s business model prioritized volume over appropriate care, leading to its leaders’ indictment. A stark reminder that ‘too easy’ access can signal problematic practices.
Strengths:
Limitations:
Best for: Patients with depression or anxiety comfortable with SSRI/SNRI medications who want a polished digital experience and don’t need ADHD care.
Strengths:
Challenges:
Best for: Patients who need comprehensive psychiatric care, have insurance, and are willing to navigate some administrative complexity for quality providers.
Strengths:
Limitations:
Best for: Mild anxiety or depression, prescription refills for established medications, or initial consultations before deciding on specialized care.
Strengths:
Limitations:
Best for: Younger adults comfortable with tech-forward, direct-to-consumer healthcare for straightforward conditions.
With so many options (and limitations), here’s a decision framework:
Best options:
What to avoid:
Klarity Health advantage: As a specialized psychiatric telehealth service, Klarity offers ADHD evaluation and treatment (including appropriate stimulant prescriptions when clinically indicated) with faster appointment availability than insurance-based psychiatry and more rigorous clinical standards than the discount subscription services.
Best options:
What to look for:
Klarity Health advantage: Offers both medication management and therapy referrals with transparent, competitive pricing—without locking you into expensive monthly subscriptions.
Best options:
What to avoid:
What to look for:
Klarity Health advantage: Providers experienced in managing co-occurring conditions (e.g., ADHD + anxiety, depression + insomnia) with coordinated treatment plans and medication adjustments as needed.
Best options:
Cost-effective approach:
Klarity Health advantage: No monthly subscription means you only pay for services you use. Initial evaluation ($149) and follow-ups ($59) typically cost less over time than subscription services, especially for stable patients needing quarterly or less frequent visits.
Best options:
What to watch for:
Klarity Health advantage: Offers appointments typically within days (not weeks like insurance psychiatry) while maintaining thorough evaluation standards—the sweet spot between ‘too fast to be safe’ and ‘too slow to be helpful.’
The Done and Cerebral situations taught important lessons. Watch for these warning signs:
Legitimate providers take time to evaluate you thoroughly. Be wary of services that guarantee prescriptions or push specific medications.
If you can get Adderall or Xanax after a 15-minute video chat with minimal questions, that’s not good care—it’s a prescription mill that will likely face regulatory action.
If you can sign up in minutes but canceling requires multiple phone calls or emails, that’s predatory business practice.
Some platforms route you through multiple providers without continuity. While provider changes happen, you should have a consistent prescriber who knows your history.
Your provider’s name, credentials (MD, DO, NP, PA), and license number should be easily accessible. If they’re hidden, ask why.
Promises like ‘Get your ADHD medication in 24 hours!’ or ‘We definitely treat ADHD!’ (when others won’t) can signal problematic practices.
You should be able to reach your provider or their care team with questions. Radio silence between appointments is unacceptable.
Understanding the regulatory environment helps explain why providers have different policies—and what might change:
During COVID, the DEA allowed telehealth prescribing of controlled substances without an initial in-person visit. This waiver has been extended multiple times but faces an uncertain future.
What this means:
Some states have additional restrictions:
For patients: Check whether your provider is licensed in your state of residence (they must be).
Possible scenarios:
What responsible providers are doing:
Klarity Health’s approach: Maintaining flexible care models that can adapt to regulatory changes while continuing to serve patients regardless of what rules emerge—including partnerships for in-person visits if required.
Platforms that bill insurance:
Platforms that don’t:
Insurance complications to know:
Klarity Health’s insurance approach: Accepts major insurance plans for patients who have coverage, but also offers competitive cash-pay rates for those who don’t or prefer to pay directly. This ‘both/and’ approach maximizes access regardless of insurance status.
Mental health information is sensitive. Key questions to ask:
HIPAA compliance: All legitimate healthcare providers must follow HIPAA. Wellness apps may not.
Data sharing: Read the privacy policy. Some platforms share anonymized data with third parties.
Advertising tracking: Some services use your mental health information to target ads (check policies carefully).
Prescription records: Controlled substance prescriptions go into state monitoring databases (unavoidable by law).
Best practices:
Pharmacy partnerships:
Insurance and pharmacy benefits:
Controlled substance complications:
Klarity Health’s pharmacy approach: Works with your preferred pharmacy and helps navigate any insurance or filling complications, including backup options if your first-choice pharmacy has concerns.
Despite recent turbulence, telehealth mental health care is here to stay. Here’s what’s likely to evolve:
Expect more mergers and acquisitions as smaller startups struggle and larger healthcare entities buy up successful platforms. Insurance companies and health systems will increasingly offer their own telehealth mental health services.
What this means for patients: More choices through insurers, but potentially less innovative care as corporate medicine dominates.
The future probably isn’t ‘all telehealth’ or ‘all in-person’—it’s both. Expect models where initial evaluations are in-person but follow-ups are virtual, or where prescribers coordinate with local therapists.
What this means for patients: More flexibility but potentially more coordination needed between providers.
As general telehealth platforms avoid controlled substances, specialized services will fill niches:
What this means for patients: Better condition-specific care but need to research provider quality carefully.
AI and automation will increasingly assist (but not replace) providers:
What this means for patients: Potentially better care
Find the right provider for your needs — select your state to find expert care near you.