Pros and cons
Pros
- Online psychiatry that can prescribe SSRIs (sertraline, escitalopram, fluoxetine) and bupropion after a 15-30 minute assessment.
- Prescription delivered monthly with no separate pharmacy trip.
- Bundled pricing covers visit fee and medication; transparent up-front cost.
- Speed: most patients receive an initial prescription within 48 hours of assessment.
Cons
- Therapy is not included. If a depression assessment indicates therapy is needed, you will need a separate service.
- Provider matching does not surface Black-clinician filter; you get whoever is available in your state.
- Limited medication menu: SSRIs and bupropion, but no controlled substances (no benzodiazepines, no stimulants).
- No psychiatric crisis support; this is routine medication management only.
Pricing and coverage
- Pricing
- From $85/month including assessment, follow-up, and medication. No insurance accepted.
- Insurance
- No commercial insurance
- Notes
- Self-pay only. HSA / FSA eligible. The monthly subscription bundles the visit fee and the medication, which is meaningfully cheaper than billing the two separately at most retail pharmacies.
What Hims Mental Health actually is
Hims Mental Health is the mental-health vertical of Hims & Hers, a publicly-traded DTC telehealth company. The service is online psychiatry only: a 15-30 minute video or questionnaire-based assessment with a licensed psychiatric clinician, followed by an SSRI or bupropion prescription delivered to your door monthly. It does not provide therapy.
Where it wins for Black patients
The single best feature is speed-to-prescription. For patients who already know they need medication (perhaps from a prior psychiatrist who has moved, or a primary care doctor who started them on an SSRI and they need a refill pathway), Hims Mental Health typically completes assessment and prescription within 48 hours. The bundled pricing is also transparent: $85/month covers visit + medication + shipping.
Cost matters because Black patients are more likely to self-pay for mental-health care than white patients (lower rates of employer-sponsored insurance with parity coverage, and higher rates of Medicaid plans where mental-health provider supply is thin). The bundled rate beats most out-of-network psychiatrist visits + retail pharmacy prescription costs.
Where it falls short
The cultural-competency gap is the structural limitation. Black-patient SSRI dropout in the first 90 days is well-documented in the literature (Cooper-Patrick et al. 1999 and subsequent studies) and is driven in part by clinician communication, side-effect management, and the patient-provider relationship. Hims Mental Health does not surface a Black-clinician filter at intake; you are matched with whichever licensed clinician is available in your state. For routine prescription management this is acceptable; for first-time SSRI starts where the clinician relationship matters more, Talkspace with its Black-clinician filter is the better path.
How to actually use it
Best fit: you already have a therapist (online or in-person) and you need a medication track. Use Hims Mental Health for the prescription, keep your existing therapist for therapy. The two do not need to be the same person. If you do not have a therapist, start with BetterHelp or Talkspace and add Hims Mental Health as the medication track once your therapist agrees medication is appropriate.
Our methodology
Evaluated against Cerebral, Brightside, and Talkspace on speed-to-prescription, medication menu, clinician availability, and self-pay cost. October 2026 review.
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