psychiatrist

psychiatric-mental health nurse practitioner

therapist

partnership manager

strategic partnerships manager

Talkiatry

My experience with this company has been largely disappointing due to ongoing operational and management concerns. Although my scheduled start time is clearly defined, I am consistently required to begin work earlier to address persistent technical issues. The system frequently malfunctions, with recurring problems related to audio, video, and connectivity—often disconnecting both providers and patients. These challenges significantly interfere with the ability to deliver consistent, quality care.

Despite maintaining punctuality, professionalism, and a strong commitment to patient engagement, management communication tends to focus almost exclusively on criticism. Feedback is often centered on issues beyond my control, particularly technical failures, rather than acknowledging effort or performance. Daily outreach from management frequently includes unreasonable demands and complaints, which creates an unnecessarily stressful work environment.

Compensation is another area of concern. The pay does not align with the workload, especially when accounting for additional hours spent completing documentation outside of scheduled patient sessions. In practice, the role requires well over 40 hours per week. Furthermore, there is a notable lack of flexibility. While the position was initially presented as offering remote work freedom, in reality, there are strict expectations and frequent inquiries regarding work location and connectivity, which contradict the advertised flexibility.

Overall, the combination of low compensation, limited flexibility, ongoing technical issues, and unsupportive management makes this a challenging workplace. Significant improvements in infrastructure, communication, and organizational culture would be necessary to enhance employee satisfaction and performance.

What is the best part of working at the company?
Leadership truly cares about the quality of care of our patients,  and cares deeply that the clinicians experience joy in the workplace. I feel valued and respected as a psychiatrist at Talkiatry.

What is the most stressful part about working at the company?
As with any outpatient mental health job, there can be no shows and late cancels that lead to some unexpected daily changes to the schedule that can cause stress, however compared to many companies that I have worked for this seems to be much less than most. I believe there is huge effort on the part of the company to reduce the no shows as much as possible by careful  screenings, many reminders ,etc. It helps that we are also still given some partial compensation for the no shows/late cancels.

What is the work environment and culture like at the company?
collaborative, respectful, and a high emphasis on clinician engagement with fun events like cheese tastings, mixology classes, even yoga!

What is a typical day like for you at the company?
I see patients most of the day and some days I attend a case conference or article discussion, and I am involved in peer support and help with recruitment doing interviews for the company as well. You are given opportunities to be involved beyond patient care which helps you to be a part of the Talkiatry community.

What is the best part of working at the company?
The people and the mission. You’re working alongside thoughtful, high-caliber teammates who genuinely care about improving access to high-quality psychiatric care. There’s a strong sense of purpose behind the work, and you can see the real impact of what you’re building.

What is the most stressful part about working at the company?
Like any high-growth healthcare organization, priorities can shift quickly and there’s a lot of cross-functional coordination required. The pace is fast, and there’s a high bar for quality given the clinical context, which can be challenging but also motivating.

What is the work environment and culture like at the company?
Collaborative, thoughtful, and mission-driven. There’s a strong emphasis on working cross-functionally with clinical, product, and operational teams, and leadership is approachable and open to feedback. It’s a place where ideas are taken seriously and people are invested in doing the right thing.

What is a typical day like for you at the company?
No two days look the same. My role involves partnering closely with teams across the business: shaping messaging, supporting go-to-market strategy, and translating clinician and patient needs into clear, actionable plans. It’s a mix of strategy, execution, and cross-functional collaboration.

Pros: The company provides all equipment, and tech support is generally helpful despite frequent bugs in the documentation system. Onboarding and training are the most extensive I’ve experienced in over 10 years in healthcare. The AI documentation tool significantly reduces charting time, easing an already emotionally demanding workload. They make genuine efforts to build community for remote staff through virtual events, local meetups, and team chats. Benefits are strong and available immediately, with low premiums, generous PTO, multiple health plan options, and limited international remote work opportunities.

Cons: While there is no micromanagement, leadership closely tracks productivity through constant metrics and reports, which can feel dehumanizing. There are limited opportunities for live therapy CEUs unless you’re on the medical side, virtually no career growth, and pay increases are minimal and unlikely to keep up with the cost of living. There has also been high clinician turnover in the short period of time I've been there.
Clinically and ethically, expecting therapists to carry 35 clients per week is unsustainable and undermines quality care. If this is the norm, compensation should reflect that reality. Ultimately, revenue and numbers take priority, but that's the current gig-style online therapy model, cogs in the machine instead of people helping people.

Primary goal is hiring psychiatrists, booking their schedules, and making sure its billed either through insurance or through collections; not quality of care or patient satisfaction. You can look at their google reviews. Management seems to only care about their salaries, their Stock units, and their image. Most of the Psychiatrists are good, but non-clinical Management impedes their performance with heavy personal politics from proven nepotism, encouraged infighting, and questionable business practices. They do hire some great people, but feel sorry for them as they are tricked into a false front where management doesn't understand their own environment nor can execute any strategic plan other than hiring psychiatrists. Ethics are questionable. Salaries are very top heavy. Work-life is unbalanced. "Too many Chiefs" make for a very toxic, egotistical, and narcissistic working environment.  Working remotely is great, but many take advantage of it and aren't 'available' when they should be.  They do have a decent business model, but need better leadership to make it profitable.

Let’s start with the pay, the base is insultingly low, but most sign up because of the promised performance incentive, putting the ball in your court that “you can ramp up as slow or fast as you want.” Truth is they do not have the patients to provide you enough to exceed the small “bonus” they will offer for not exceeding the minimum threshold…and of course won’t share what that threshold specifically is. So expect to make as little as $205,000/yr as a staff psychiatrist. Some go weeks with only seeing single digit patients. The support is hit or miss. Some people have a few good coordinators, some have horrible ones that take hours to days to respond back. Expect to do your own prior auths, scheduling etc. They promise you can specify what types of patients you see, but will still throw people outside of these parameters on your schedule, many who are not appropriate for the practice. If you are at the tail end of your career trending toward retirement or not concerned with maximizing your salary then maybe you will do fine here.

Cons 
Compensation isn't adequate for amount of clinical and admin work (120-150k base salary) due to widely fluctuating incentive pay based on RVUs that scales exponentially with amount of patients seen. Good luck if you want to take any PTO as it'll tank your incentive pay.

Was promised PA support and crises services for patients while interviewing and onboarding. PA support (and FMLA) admin support came a year later. 

Glacial billing department resulting in patients not getting billed or having to get their balances corrected until months later.  I've gotten a lot of patients who were lost to follow up due to this.

Outsourced call center staff variable in competence

Severe global 1 year telehealth non compete if you dare leave 

Pros
Very efficient credentialing support for out of state licenses

Wonderful physician coworkers with incredible knowledge base and compassion for their patients. Unfortunate  however given high turnover rate. During my year at the company, I've had over 6 fellow psychiatrists leave and their panel rolling over to me.

Good benefits

I have been with Talkiatry since 2021, and I hope to be here for a very long time. I have worked in healthcare for 13 years and it has been an incredibly refreshing experience to work for a company who's culture is constant improvement. Of course, this is a business and nothing is perfect- but leadership truly cares about the patients and the people that work here and that is all I can ask for. It is a young company, change is inevitable, I feel for the better.
What I love- I have a ton of flexibility here and get to work on a collaborative team. My benefits are amazing- insanely affordable healthcare, paid for STD, LTD, Life, Paternal leave, great PTO. I love working remotely. If I have an issue it is addressed immediately.  Mostly, I love feeling like I am part of something that exists to serve the greater good. The mission is admirable and drives the company

What is the best part of working at the company?
Excellent work/life balance and professional environment with amazing back office support allowing me to focus on seeing patients. They emphasize excellence in clinical care and are continually improving processes based upon feedback from patient facing staff.  

What is the most stressful part about working at the company?
The most stressful part is largely self imposed though self-care is emphasized with opportunities for engagement and comradery among peers.  

What is the work environment and culture like at the company?
The culture reflects a commitment to evidenced-based care while working toward a progressive and inclusive environment for employees and patients alike. Feedback is requested at regular intervals with respect and value for diverse opinions. They are dedicated to preserving the integrity of our profession while honoring and encouraging work/life balance as well.

Like many people have already mentioned, this company had a large push to expand psychiatrists without the ability to supply patients. The "guaranteed" salary is remarkably low and they lack transparency in terms of how the productivity driven compensation is calculated. During my time there, there was significant downsizing of support staff with continual increase in physician admin work. Presently, I'm still listed on their website as an active employee despite leaving several months ago and having reached out to HR to be removed on multiple occasions without response. 
It seems like this company started with a good working model and then leadership became too removed from the day to day clinical experience. While there, I didn't really feel like a doctor, I felt like a cog in a corporate grindhouse. Additionally, I just felt bad for the repeated surprise bills that patients were receiving and the ongoing pressure to charge for "supportive therapy" on short medication check appointments. 

Top Job Titles	Average Salary
Psychiatrist 1815 salaries reported	$328,234 per year
Psychiatric-mental health nurse practitioner 570 salaries reported	$197,500 per year
Therapist 439 salaries reported	$80,524 per year
Partnership manager 91 salaries reported	$92,143 per year
Strategic partnerships manager 13 salaries reported	$80,000 per year

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