How to Cancel Talkiatry in 2026 (Safe Psychiatric Medication Transition)

Updated 2026-02-19 · 6 min read

What Talkiatry Charges

• Insurance-based: Talkiatry bills insurance directly — you pay your copay ($20-60/visit typically)
• Initial evaluation: $300-500 (billed to insurance)
• Follow-ups: $150-250 per visit (monthly or quarterly)
• Without insurance: $300-500/session — prohibitively expensive
• No-show/late cancel fee: $75-150 if you cancel <24 hours before appointment
• Annual out-of-pocket (with insurance): $240-720 in copays

How to Cancel Talkiatry

Step 1: Get Your Records

1. Request your complete medical records from Talkiatry — they're required by law to provide them
2. Ask for your current medication list with dosages
3. Request a treatment summary for your next provider
4. Do this BEFORE canceling — it's easier while you're still a patient

Step 2: Find a New Provider (If on Medications)

1. Call your insurance and ask for in-network psychiatrists
2. Use Psychology Today's directory (filter by insurance + psychiatry + medication management)
3. Your primary care doctor can manage many psychiatric medications if you can't find a psychiatrist
4. Book the new appointment BEFORE canceling Talkiatry
5. Ask your Talkiatry provider for enough refills to bridge the gap

Step 3: Cancel Appointments

1. Log into talkiatry.com → go to your appointments
2. Cancel any upcoming appointments (at least 24 hours in advance to avoid no-show fees)
3. To deactivate your account, contact support@talkiatry.com
4. You can also call their support line

Talkiatry vs. Alternatives

• In-person psychiatrist (in-network): Same copay, better continuity, can do lab work on-site
• Primary care doctor: Can prescribe SSRIs, SNRIs, buspirone, and common psych meds — $25-40 copay
• Community mental health centers: Sliding scale fees, sometimes $0-20/visit
• University clinics: Supervised residents at 50-70% lower cost
• Cerebral/Done: Telehealth alternatives but have their own issues (see our Cerebral guide)

Medication-Specific Considerations

• SSRIs (Lexapro, Zoloft, Prozac): Require gradual taper — withdrawal can last weeks
• SNRIs (Effexor, Cymbalta): Among the hardest to discontinue — brain zaps, nausea, dizziness
• Benzodiazepines (Xanax, Klonopin): NEVER stop suddenly — can cause seizures. Taper over weeks/months
• Stimulants (Adderall, Vyvanse): Can be stopped without taper but may cause fatigue/depression
• Mood stabilizers (Lamictal, Lithium): Require blood monitoring — ensure new provider continues labs