Talkspace
Talkspace offers therapy and psychiatry on one platform and takes most major insurance, plus Medicare for therapy. It says most insured members have a $0 copay. It doesn't take Medicaid, and it doesn't match you by a therapist's race.
Best for Black adults with commercial insurance or Medicare who want therapy, and medication if they need it, on one platform.
Brightside Health
Brightside offers psychiatry, therapy, or both, plus a Suicide Prevention Program for adults with elevated suicide risk. It takes most major insurance and some Medicare and Medicaid plans.
Best for Black adults with anxiety or depression, mild to severe, who want medication, therapy, or both, with weekly progress check-ins.
BetterHelp
BetterHelp lets you check "Black therapist" as a preference when you sign up, but that is a request, not a guarantee. You can message your therapist anytime and switch with a click. It takes some insurance. Its therapists don't prescribe medication.
Best for Black adults who want to request a Black therapist, message between sessions, and switch easily if the first match isn't right.
Cerebral
Cerebral offers therapy and medication management on one platform and takes some insurance. In 2024 it agreed to pay more than $7 million to settle FTC charges over health-data sharing and cancellations, and it settled a federal investigation into its controlled-substance prescribing.
Best for Black adults who want therapy and medication management from one platform and have checked that their insurance is in network.
How we ranked
Each service scored on a 0-5 scale across cost (entry price, what insurance brings it down to), clinician fit (whether and how you can ask for a Black clinician), coverage (commercial insurance, Medicaid, EAP), and clinical scope (therapy, psychiatry, crisis care). The service descriptions on this page were checked against each company's own site on September 28, 2026.
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