Lavender Reviews, Pricing, and Alternatives (January 2026)
Lavender Reviews & Alternatives (January 2026)
Written by:

Arthur MacWaters
Founder, Legion Health
If you've been reading Lavender reviews and trying to decide whether it's the right service for you, you're not alone. Lavender combines prescribing and supportive therapy in one appointment, but there are real limitations: like availability, diagnostic methods, and administrative reliability that matter depending on your situation. This guide reviews how Lavender operates, compares it to other mental health providers, and helps you determine which option might fit your needs best.
TLDR:
Lavender combines therapy and medication in one visit but lacks objective ADHD testing and is not available in Texas.
Common concerns with Lavender include administrative delays and unexpected provider changes.
Legion Health offers objective ADHD testing, accepts all primary Texas insurance, and focuses on reliability.
Other alternatives, like Televero, Talkspace, and Talkiatry, may work better depending on your location and needs.
What Is Lavender and How Does It Work?
Lavender is a telehealth practice that combines medication management and supportive therapy into a single appointment. Founded in 2020, the company focuses on reducing the logistical steps required to receive mental health support. The service uses a nurse-led care model, with psychiatric nurse practitioners (PMHNPs) to deliver treatment online.
How it works:
Unified appointments: Visits include both medication adjustments and therapy elements in one session.
Multi-state availability: Services available across multiple states (not Texas).
Scope of care: Clinicians treat adults experiencing anxiety, depression, insomnia, and ADHD.
Providers manage both prescriptions and counseling during the same visit. Instead of visiting a therapist and a prescriber separately, patients work with one clinician. Payment options include various insurance plans and cash-pay rates for those without coverage.
Why Consider Lavender Alternatives?
Lavender works for patients who want therapy and medication management combined in one visit. However, specific clinical and structural limitations may not suit everyone.
No objective ADHD testing: Lavender relies on clinical interviews for diagnosis and does not use objective ADHD testing tools to support decision-making.
Limited geographic availability: The service is not currently available in Texas, leaving patients in that region without access.
Administrative concerns: Trustpilot feedback shows frustrations, including unexpected provider departures, delays in medication refills, and high documentation fees.
Single clinician model: While convenient, relying on a single provider for both therapy and medication can lead to care disruptions if that clinician leaves.
Patients who need rigorous diagnostic processes, consistent provider relationships, or coverage in Texas often find that alternative clinics offer a more predictable path forward.
Best Lavender Alternatives in January 2025
Finding the right provider depends on your location, budget, and clinical needs. Below are the top alternatives to consider.
Legion Health (Best Overall Alternative)

Legion Health is an insurance-covered psychiatry clinic for adults in Texas. The team focuses on rigorous evaluation, diagnosis, and medication management under the supervision of board-certified providers.
What they offer:
Objective ADHD testing: Uses FDA-cleared QbCheck testing at no additional cost to support diagnostic confidence and track outcomes.
Insurance-first model: Accepts all major commercial insurance plans in Texas, keeping costs predictable with standard specialist copays.
Clinical team depth: Delivers care through both psychiatrists and psychiatric nurse practitioners, allowing appropriate clinical matching based on complexity.
Care coordination: Coordinates with primary care physicians for health data, labs, and health history to support safety and medical integration.
Best for: Texas adults seeking medication management with objective diagnostic support and insurance coverage.
Limitation: Currently available only in Texas.
Bottom line: Legion Health solves what Lavender cannot: objective ADHD testing, insurance coverage in Texas, and reliability focused on preventing administrative delays.
Televero Health
Televero Health serves patients across Texas and Florida, focusing on flexible scheduling. The practice offers appointments seven days a week, with same-day availability.
What they offer:
Extended availability: Appointments available seven days a week, including same-day to same-week slots.
Age range: Services for patients aged 5 to 95, supporting families seeking pediatric psychiatry.
Multi-state coverage: Available in Texas and Florida with most major insurance plans.
Collaborative care: Provides both medication management and therapy services.
Best for: Patients who need weekend appointments or want pediatric mental health services.
Limitation: Does not focus on objective ADHD testing tools like computerized assessments.
Bottom line: Televero Health offers convenience through extended scheduling, while Legion Health provides objective diagnostic tools for ADHD evaluation.
Talkspace
Talkspace is known for asynchronous text-based therapy but also offers medication management services across all 50 states.
What they offer:
Text-based messaging: Unlimited asynchronous communication with providers.
National reach: Available nationwide with most major insurance plans.
Medication management: Provides psychiatric medication services alongside therapy.
Flexible communication: Patients can message providers anytime with response windows of 24-48 hours.
Best for: Patients who prefer messaging-based communication over live video appointments.
Limitation: Clinicians cannot prescribe controlled substances, such as stimulants for ADHD.
Bottom line: Talkspace works well for general therapy and non-stimulant medication, but cannot support patients who need controlled substance prescribing for ADHD treatment.
Talkiatry
Talkiatry is a national practice offering medication management and therapy across most states with insurance acceptance.
What they offer:
National network: Serves most states with broad insurance acceptance.
Combined services: Provides both medication management and therapy.
Insurance-based pricing: Accepts most major insurance plans.
Clinician network: Works with psychiatrists and psychiatric nurse practitioners.
Best for: Patients living outside Texas who want insurance-covered psychiatric care with national availability.
Limitation: High demand in certain markets can lead to longer wait times for initial appointments.
Bottom line: Talkiatry offers solid national coverage, while Legion Health provides faster access and objective ADHD testing for Texas residents.
Skypiatrist
Skypiatrist operates primarily in New York and staffs psychiatrists only, offering a doctor-led approach without therapy services.
What they offer:
Psychiatrist-led care: All appointments led by board-certified psychiatrists (not nurse practitioners).
Medication-focused: Provides medication management without integrated therapy.
Limited service area: Operates in New York with a limited national footprint.
Insurance options: Accepts select plans, including Aetna, Cigna, Oscar, Oxford, and United.
Best for: Patients in New York who want psychiatrist-only care and already have a separate therapist.
Limitation: Limited geographic availability (New York only) and does not offer therapy services.
Bottom line: Skypiatrist serves a narrow geographic region, while Legion Health provides broader access across Texas with integrated care coordination.
Mindpath Health
Mindpath Health operates a hybrid model with both physical office locations and telehealth options.
What they offer:
Hybrid care options: Combination of virtual visits and in-person appointments at clinic locations.
Integrated services: Psychiatry, therapy, and interventional treatments like TMS are available.
Insurance coverage: Accepts most major insurance carriers.
In-person availability: Physical locations for patients who prefer face-to-face care.
Best for: Patients who want flexibility to switch between virtual and in-person appointments.
Limitation: Appointment availability varies by location due to physical clinic capacity.
Bottom line: Mindpath offers in-person options, while Legion Health focuses on faster virtual access with objective diagnostic tools.
Feature Comparison: Lavender vs Top Alternatives
Comparing mental health providers requires considering specific factors such as testing methods, clinician types, and insurance coverage. The table below outlines how Lavender compares to Legion Health and other alternatives.
Feature | Lavender | Legion Health | Televero Health | Talkspace | Talkiatry | Skypiatrist |
|---|---|---|---|---|---|---|
Objective ADHD Testing | ✗ | ✓ (QbCheck, FDA-cleared) | ✗ | ✗ | ✗ | ✗ |
Stimulant Prescribing | ✓ | ✓ (when clinically appropriate) | ✓ | ✗ | ✓ | ✓ |
Clinician Type | Psychiatric NPs only | Psychiatrists + Psychiatric NPs | Psychiatrists + Psychiatric NPs | Psychiatrists + Psychiatric NPs | Psychiatrists + Psychiatric NPs | Psychiatrists only |
Texas Availability | ✗ | ✓ (all commercial insurance) | ✓ | ✓ | ✓ | ✗ (NY only) |
Combined Therapy + Medication | ✓ | ✗ (medication management focus) | ✓ | ✓ | ✓ | ✗ (medication only) |
Insurance Acceptance | Select plans, multiple states | All commercial plans (TX) | Most major plans (TX, FL) | Most major plans (nationwide) | Most major plans (multiple states) | Aetna, Cigna, Oscar, Oxford, United (NY) |
Why Legion Health Is the Best Lavender Alternative
Lavender serves patients who want combined therapy and medication in one visit. However, if you need objective diagnostic support or insurance coverage in Texas, a psychiatry-first practice offers different capabilities.
Diagnostic rigor differs between the models. Lavender relies on clinical interviews alone for ADHD diagnosis. Legion Health includes FDA-cleared QbCheck testing at no additional cost as an objective diagnostic tool, strengthening diagnostic confidence with measurable data.

Insurance access is a key difference. Lavender is available in select states but not in Texas. Legion Health accepts all major Texas insurance plans, keeping costs predictable with standard specialist copays instead of out-of-pocket or cash-pay rates.
Common Lavender frustrations include unexpected provider departures and delayed refills. Legion Health's systems aim to prevent administrative delays and support reliable follow-up, so your treatment plan moves forward without unnecessary hurdles.
Final Thoughts on Comparing Telehealth Psychiatry Options
Reading Lavender reviews can help you understand what works and what doesn't for other patients seeking virtual psychiatry services. If objective diagnostic tools or Texas-based insurance coverage are important to you, considering alternatives makes sense. Legion Health focuses on diagnostic precision and stability for adults in Texas seeking virtual psychiatric care.
As the American Psychiatric Association projects a shortage of 14,000 to 31,000 psychiatrists by 2033, accessible virtual care platforms like Legion Health become increasingly critical. If you want a provider that uses objective testing tools and accepts all major insurance plans, you can schedule a visit to see if we're the right fit.
FAQs
Why do people look for alternatives to Lavender?
People often seek alternatives when they need objective ADHD testing (Lavender relies on clinical interviews alone), require care in Texas (where Lavender doesn't operate), or experience administrative issues like delayed refills or unexpected provider changes that disrupt ongoing treatment.
When should you consider switching from your current telehealth provider?
Consider switching if your provider doesn't offer objective diagnostic tools when you need clarity on ADHD, if administrative delays are affecting your medication access, or if you're moving to a state where your current provider can't continue care.
What features should you focus on when comparing mental health providers?
Look for providers who use objective testing tools for ADHD when appropriate, accept your insurance to keep costs predictable, maintain consistent provider relationships to avoid care disruptions, and maintain reliable operations for prescription management and follow-up scheduling.
Can you get ADHD treatment without stimulant medications?
Yes. Treatment plans are individualized based on clinical evaluation, and many people benefit from non-stimulant medications, behavioral strategies, or therapy, depending on their specific situation and what's safest for them.
How does insurance coverage affect your choice of telehealth psychiatry?
Insurance acceptance determines your out-of-pocket costs and whether you can afford ongoing care. Most patients with in-network coverage pay only their copay per visit, while out-of-network or cash-pay options can cost more over time. Note that Medicare telehealth flexibilities for mental health services are extended only through January 30, 2026, after which in-person visit requirements will resume.
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