Online psychiatry & medication management in Texas
Tend offers psychiatric care and medication management across Texas from licensed psychiatric providers. Same-week telehealth, most major insurance accepted, coordinated with your therapy.
Tend provides online psychiatry and medication management throughout Texas. A licensed psychiatric provider can diagnose and prescribe by secure video, often within the same week, with most major Texas insurance accepted — and you can pair it with Tend therapy.
Last reviewed: June 2026
Psychiatry, coordinated with your therapy
Some concerns respond best to talk therapy, some to medication, and many to both. Tend connects you with the right care: licensed therapists for therapy, and licensed psychiatric providers who can evaluate, diagnose, and prescribe. Because it's coordinated in one place, you don't have to manage two disconnected sets of providers, appointments, and bills.
Care is available by secure video anywhere in Texas, which matters in the many counties that have few or no in-person psychiatrists. We confirm your insurance and give you a cost estimate before your first appointment, so there are no surprises.
Therapy or psychiatry — which do you need?
Many people benefit from both, and the research shows combining them is often more effective. Not sure where to start? This can help — and Tend’s match will guide you either way.
| I need support with… | Therapy | Psychiatry |
|---|---|---|
| Talking through stress, relationships, grief, or life changes | ✓ | – |
| Mild symptoms that don't disrupt daily life | ✓ | – |
| Considering, starting, or managing medication | – | ✓ |
| A formal diagnosis or medical evaluation | – | ✓ |
| Severe symptoms that interfere with daily functioning | ✓ | ✓ |
| Little or no improvement after consistent therapy | – | ✓ |
Therapy is provided by Tend’s licensed therapists; psychiatry and medication management by Tend’s licensed psychiatric providers. Your Tend match can include either or both.
Conditions psychiatric care can help with
Depression
Persistent low mood and loss of interest that affects daily life.
Anxiety
Excessive worry or fear that interferes with everyday functioning.
ADHD
Trouble with focus, impulsivity, and follow-through.
Bipolar disorder
Mood swings between depressive and manic or hypomanic states.
OCD
Intrusive thoughts and repetitive behaviors that cause distress.
Insomnia & sleep
Ongoing trouble falling or staying asleep.
Psychiatric providers can treat the full range of mental health conditions. Not sure what you need? A quick anxiety or depression self-check can help.
Find your therapist
Answer a few quick questions and see licensed Texas therapists who take your insurance and have openings now.
Psychiatry & medication management by city
Telehealth psychiatry reaches every Texas county. Explore medication management in your area:
Psychiatry & medication management — common questions
What's the difference between therapy and psychiatry?+
Therapy is talk-based care with a licensed therapist (LPC, LCSW, LMFT) for stress, relationships, and coping. Psychiatry is medical care from a psychiatric provider who can diagnose conditions and prescribe and manage medication. Many people benefit from both, and Tend can match you to either or both.
Who provides psychiatry through Tend?+
Tend's psychiatric care and medication management are provided by licensed psychiatric providers who practice across Texas, including by telehealth. Tend coordinates your therapy and psychiatry so your care works together.
Is online psychiatry covered by insurance in Texas?+
Most major Texas plans cover psychiatric care. Coverage and copays vary by plan, so you'll get a personalized cost estimate before your first appointment.
Can I combine therapy and medication?+
Yes — research shows the combination is often more effective for conditions like depression, anxiety, and ADHD. Tend makes it easy to do both and keep your care coordinated.
How soon can I be seen?+
Telehealth psychiatry appointments are often available within the same week, anywhere in Texas — which matters in the many counties with few or no in-person psychiatrists.
Therapy is provided by Tend's licensed therapists; psychiatry and medication management by Tend's licensed psychiatric providers. In a mental health emergency, call or text 988, or call 911.