Feb 15, 2026
Written by:
Yash M. Patel
Co-Founder & CEO, Legion Health
TLDR:
SohoMD offers virtual psychiatry and therapy in about 20 states but has repeated complaints about billing and cancellations.
Patients describe double‑billing and frequent last‑minute appointment changes.
Legion Health provides virtual psychiatry in Texas, accepts most major insurance, and typically books visits within about a week.
Other options include LifeStance Health, Cerebral, Geode Health, and Lavender, each with different models for access and insurance.
Legion Health focuses on clear pricing, stable scheduling, and clinician‑led care for conditions like ADHD, depression, and anxiety.
When people search for SohoMD reviews and SohoMD alternatives, they are often less concerned with the treatment style and more concerned with whether appointments are on time and whether bills make sense. Reports from patients and former staff describe problems with double-charging, last‑minute cancellations, and internal instability that can interrupt care when you are trying to stay consistent. This guide explains what SohoMD offers, common billing and scheduling pain points, and which other psychiatry services may be a better fit if you want reliable virtual care.
TLDR:
SohoMD offers virtual psychiatry and therapy in about 20 states but has repeated complaints about billing and cancellations.
Patients describe double‑billing and frequent last‑minute appointment changes.
Legion Health provides virtual psychiatry in Texas, accepts most major insurance, and typically books visits within about a week.
Other options include LifeStance Health, Cerebral, Geode Health, and Lavender, each with different models for access and insurance.
Legion Health focuses on clear pricing, stable scheduling, and clinician‑led care for conditions like ADHD, depression, and anxiety.
What Is SohoMD and How Does It Work?
SohoMD is a virtual psychiatry and therapy service that connects patients with psychiatrists, therapists, and integrative care clinicians across roughly 20 states. Visits take place via video on a phone or computer.
The service treats common mental health conditions such as depression, anxiety, and ADHD. SohoMD lists many large insurance plans as in‑network, and some patients first find the practice through their insurance directory.
SohoMD promotes an integrated model that considers both mental and physical factors, including topics such as hormones and nutrition. Some patients work with more than one clinician, such as a prescriber for medication and a therapist for counseling, to support a more complete plan. After an initial psychiatric visit, follow‑ups are used to check symptoms and adjust treatment.
Why Consider SohoMD Alternatives?
SohoMD can appeal to people who like the idea of seeing several types of clinicians under one brand and want nutrition or functional medicine ideas alongside standard psychiatry. Some patients stay engaged for many visits when the match feels right.
However, public reviews show recurring problems that lead people to look for alternatives:
Billing concerns: Some patients say they were charged upfront and also billed through insurance, then had to call for refunds or accept credit for future visits.
Appointment reliability: Multiple reviews describe last‑minute cancellations without timely rescheduling, which can disrupt treatment and medication planning.
Internal stability: Employee feedback on sites like Glassdoor points to low morale and organizational problems, which can affect how smoothly the service runs over time.
If you value predictable scheduling, clear billing, and a clinic that feels steady behind the scenes, it makes sense to compare SohoMD alternatives before committing.
SohoMD works well for patients seeking an integrated approach that considers nutritional and functional medicine factors alongside traditional psychiatry. The service reports an average of 12 visits per patient, suggesting strong patient engagement when the care model fits.
Legion Health (Best Overall Alternative)
Legion Health is a Texas‑based virtual psychiatry clinic that focuses on insurance‑friendly care and stable access. Licensed psychiatric clinicians provide evaluations and medication management for ADHD, depression, anxiety, bipolar disorder, OCD, PTSD, and related conditions.
What they offer:
Virtual psychiatric visits across Texas with appointments often available within about a week.
Insurance‑based pricing with major plans accepted and typical specialist‑level copays instead of subscription fees.
ADHD evaluations that can include FDA‑cleared QbCheck testing, plus care for overlapping conditions like ADHD with anxiety or depression.
Good for: People in Texas who want reliable virtual psychiatry, clear insurance‑based pricing, and integrated ADHD and mood care from one clinician.
Limitation: Legion Health currently serves patients in Texas, so it will not be a good fit if you live in a different state.
Bottom line: If you are in Texas and want a stable alternative to SohoMD with clear billing and a broad psychiatric scope, Legion Health is often the most balanced option.
LifeStance Health
LifeStance Health is a large mental health group that offers psychiatry and therapy through hundreds of local clinics and telehealth in many states. Patients can choose in‑person, virtual, or a mix of both visits, depending on the location.
What they offer:
A wide network of psychiatrists, psychiatric nurse practitioners, and therapists across more than 30 states.
In‑person and virtual appointments, plus services like psychological testing and some groups.
Insurance participation with many commercial plans, though exact coverage and costs vary by clinician and office.
Good for: People who want the option of in‑person care plus telehealth, and who live near a LifeStance office.
Limitation: Pricing and availability are hard to predict because they vary by state, clinic, and clinician, and some clinics may have longer wait times.
Bottom line: LifeStance is a strong choice if you want local clinics and a large network. If you care more about a simple virtual model and consistent pricing through Texas insurance, Legion Health may feel easier to manage.
Cerebral
Cerebral is a national tele‑mental health tool that offers virtual psychiatry and therapy via an app. It treats conditions such as depression, anxiety, and ADHD and uses membership‑style plans that combine visits and messaging. Cerebral doesn't accept insurance, making it costlier than insurance-based options. The service faced regulatory scrutiny in 2022-2023 regarding controlled substance prescribing practices and doesn't provide objective ADHD testing.
What they offer:
App‑based psychiatric care and therapy across many states.
Subscription options that may include visits, continuous messaging, and care coordination.
Growing insurance participation alongside self‑pay membership tiers.
Good for: People who want a large national tool and are comfortable with app‑first care and subscription pricing.
Limitation: Cerebral has gone through high‑profile regulatory scrutiny around controlled substances, which may make some patients cautious about using it as a long‑term home for care.
Bottom line: Cerebral can be useful if you are outside Texas or want an app‑heavy experience. If you are in Texas and want a more traditional insurance‑billed clinic with tighter stimulant safety standards and no subscription fees, Legion Health is often a better fit.
Geode Health
Geode Health is a regional outpatient psychiatry group that combines physical clinics with telehealth. Patients can see clinicians in the office or by video, and some locations also provide advanced treatments for complex depression.
What they offer:
Local psychiatry and therapy clinics with telehealth options in multiple states.
Treatment for mood, anxiety, ADHD, and other conditions, sometimes including TMS or Spravato, where available.
An insurance‑based model similar to many brick‑and‑mortar psychiatry practices.
Good for: People who live near a Geode Health clinic may want both in‑person services and advanced options like TMS.
Limitation: Access is tied to specific clinic locations, and telehealth may still depend on which office you are assigned to, which is less flexible than a fully virtual statewide clinic.
Bottom line: Geode Health is a good fit if you want local clinics and advanced depression treatments. If you prefer all‑virtual care and statewide access in Texas without clinic boundaries, Legion Health is usually more convenient.
Lavender
Lavender is a nurse‑led virtual practice that offers both medication management and therapy in one place. Psychiatric nurse practitioners provide care for adults with anxiety, depression, ADHD, and related conditions in several U.S. states.
What they offer:
Virtual visits that combine medication management and supportive therapy.
Coverage in multiple states with in‑network relationships with several large insurers.
A strong focus on kind, human‑centered psychiatric care delivered online.
Good for: Adults who live in a state where Lavender is active and want therapy and medication from the same clinician in a virtual setting.
Limitation: Lavender is not available everywhere, and its model does not include extra tools like QbCheck for ADHD; availability, pricing, and insurance contracts vary by state.
Bottom line: Lavender works well if you want combined therapy and medication in a supported state. If you are in Texas and want ADHD‑specific tools plus a clinic built around Texas insurance networks, Legion Health is often a better fit.
Feature Comparison: SohoMD vs Top Alternatives
Feature | SohoMD | Legion Health | LifeStance Health | Cerebral | Geode Health | Lavender |
|---|---|---|---|---|---|---|
Appointment availability | Variable, with some reports of last‑minute cancellations | Often within about a week | Varies by office and clinician | Varies by state and plan | Varies by clinic | Often within about a week in active states |
Insurance acceptance | Many major plans | Most major Texas plans | Hundreds of plans, clinician‑dependent | Growing list of plans plus memberships | Multiple commercial plans | Several large insurers in supported states |
Service model | Virtual psychiatry and therapy | Virtual psychiatry | Hybrid in‑person and virtual | Virtual app‑based care | Hybrid clinics and telehealth | Virtual psychiatry and therapy |
Geographic coverage | Roughly 20 states | Texas | More than 30 states | Many states, national presence | Multi‑state regional | Multi‑state |
Integrated care | Psychiatry plus integrative services | Psychiatry focus, coordinates with PCP when helpful | Psychiatry, therapy, and testing | Psychiatry and therapy | Psychiatry and therapy, some advanced treatments | Psychiatry and therapy |
Billing clarity | Mixed reviews with reports of double‑billing | Clear copay model through insurance | Pricing varies by clinician and site | Subscription plus insurance in some cases | Insurance‑based | Insurance‑based and self‑pay options |
Appointment availability | Variable, with some reports of last‑minute cancellations | Often within about a week | Varies by office and clinician | Varies by state and plan | Varies by clinic | Often within about a week in active states |
Why Legion Health Is the Best SohoMD Alternative
For many people reading SohoMD reviews and SohoMD alternatives, the main worry is simple: “Will my appointments and bills be predictable?” SohoMD can offer helpful clinical care, but public feedback suggests recurring billing issues and last‑minute changes that make it harder to stay on track.
Legion Health is built to reduce those stressors. You see licensed psychiatric clinicians via video, use your Texas insurance for most visits, and know your copay in advance. Scheduling is designed around visits within about a week, and technology supports the process so you are less likely to face repeated cancellations or confusing charges.
Clinicians at Legion Health treat ADHD, depression, anxiety, bipolar disorder, OCD, and PTSD, and can manage overlapping conditions in one plan. For ADHD, they can provide FDA‑cleared QbCheck testing to support diagnosis and follow‑up, while following careful standards for medications, especially stimulants.
If you want stable, insurance‑friendly virtual psychiatry, without worrying about billing errors or last‑minute appointment changes, Legion Health is often the most dependable alternative to SohoMD in Texas.
Final Thoughts on SohoMD Reviews and Alternatives
Looking at SohoMD reviews and alternatives to SohoMD shows that the details of how care is delivered matter to you, along with the diagnosis and prescription. SohoMD offers virtual psychiatry in many states, but reports of billing confusion and sudden cancellations make some people hesitant to stay long‑term.
Legion Health offers a different path for Texans: clinician‑led virtual psychiatry, insurance‑based pricing, clearer copays, and appointments that are built to be consistent. If reliability, transparent billing, and integrated ADHD and mood care are high on your list, you can check whether Legion Health is a fit and schedule a psychiatric evaluation.
FAQs
Why should I consider alternatives to SohoMD?
People often look for SohoMD alternatives after dealing with billing confusion, being charged twice, or canceled appointments at the last minute with no easy rescheduling. These issues can make it hard to stay on a steady treatment plan when you need consistent care.
What should I look for when comparing telepsychiatry services?
Focus on how reliable appointments are, how clearly costs are explained before each visit, whether the clinic takes your insurance, and how stable the organization seems over time. These details directly affect how easy it is to keep seeing your clinician regularly.
When does it make sense to switch from my current telepsychiatry provider?
A change may be worth considering if you are experiencing repeated cancellations, confusing or surprise charges that require multiple follow‑up calls, or long delays in reaching your care team when you have side effects, prescription questions, or new symptoms.
How quickly can I usually start care with a telepsychiatry alternative?
Many larger telepsychiatry groups can offer an initial psychiatric evaluation within about one to two weeks, although exact timing still depends on the clinic’s size, your location, and your insurance plan.
How legion health Can Help You
If you’re in perimenopause or menopause and want guidance from clinicians who specialize in women’s midlife health, book a virtual visit with Legion Health today.
Hormonal changes are at the root of many symptoms women experience in the years before and after their periods stop.
Our trained menopause specialists help you connect the dots and guide you toward safe, effective solutions.
Whether you need personalized care or a prescription-based treatment plan to manage symptoms—including brain fog, hot flashes, sleep issues, mood swings, and weight gain—we’ve got you covered. Learn more here.
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