Sesame is the first-ever healthcare marketplace that allows patients to book directly with licensed doctors and providers at affordable, upfront cash prices — no long wait times, no hidden fees, and no insurance needed. We call it "half-price healthcare."

How? We've stripped away all of the things that mark up the price of your care, like third-party billing fees and insurance middlemen. Instead, patients can book online and in-person care across 36+ specialties, including dermatology, mental health & weight loss, within 1-2 hours at the touch of a button.

Sesame allows you to find and quickly connect with a wide range of mental health professionals, including therapists and psychiatrists – no insurance needed, no co-pays, and no long waits for care.

From therapy and relationship counseling to prescription management for depression and anxiety, we make it simple and affordable to access care for your mental health and well-being.

Simply select the type of service that best fits your needs, choose a provider at an upfront price that works for you, and speak face-to-face with a licensed provider to get the care you need. If medication is prescribed during your visit, your medication will be sent to your local pharmacy for pickup.

Yes. If deemed clinically appropriate, a licensed professional on Sesame can prescribe medication and other treatments for mental health conditions like anxiety, depression, PTSD, insomnia, and performance anxiety. Any prescriptions will be sent to a pharmacy of your choice for pickup.

Commonly prescribed mental health medications include anti-anxiety medications, antidepressants, mood stabilizers, and antipsychotics. Examples include serotonin and norepinephrine reuptake inhibitors (SNRIs), selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs).

During your online mental health consult, you’ll have a private telehealth session with a licensed primary care provider on Sesame who can help start a conversation with you about your mental health symptoms, medical history, lifestyle and other health information.

Depending on your needs, your provider may explore concerns related to:

• Trauma or PTSD
• Depression or anxiety
• Personality disorders
• Obsessive-compulsive disorder (OCD)
• Schizophrenia
• Bipolar disorder
• Eating disorders
• Phobias
• Sexual health or dysfunction
• Relationship challenges
• Sleep issues
  
  

At the end of your consultation, your Sesame provider may prescribe medication or other treatments to help you feel your best. They may also offer recommendations for follow-up care or additional services.

During your in-person mental health consult, you’ll have a private in-person appointment with a licensed Sesame clinician who will talk through your mental health symptoms, medical history, and lifestyle with you.

Depending on your needs, your provider may explore concerns related to:

• Trauma or PTSD
• Depression or anxiety
• Personality disorders
• Obsessive-compulsive disorder (OCD)
• Schizophrenia
• Bipolar disorder
• Eating disorders
• Phobias
• Sexual health or dysfunction
• Relationship challenges
• Sleep issues
  
  

At the end of your consultation, your Sesame provider may prescribe medication or other treatments to help you feel your best. They may also offer recommendations for follow-up care, additional services, or specialist care.

Sesame’s online therapy services provide a safe and confidential space for individuals to engage in talk therapy. A licensed therapist of your choice will lead these video sessions, addressing topics such as trauma, depression, anxiety, relationship challenges, and other mental health needs.

Each session focuses on emotional support, coping strategies, and personal growth. Your therapist may suggest evidence-based methods such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and other types of therapy. They may also recommend follow-up care or additional services if needed.

This service does not involve medication prescriptions, making it a helpful option for those seeking holistic, non-pharmaceutical therapeutic interventions.

During your video visit, you’ll have an in-depth discussion with a trained Sesame psychiatrist or psychiatric mental health nurse practitioner about how you’ve been feeling and your mental health symptoms. This service includes comprehensive medication management or prescriptions when appropriate.

• For new patients, your first session includes a psychiatric evaluation and a personalized treatment plan. This may include medication, if appropriate. Your provider will consider psychological, biological, and social factors to understand your needs.
• For existing patients, your consult will focus on your ongoing care. Your provider will review how you’re doing and adjust your treatment as needed.
  
  

Medications that are commonly prescribed during online psychiatric consults include:

• anti-anxiety medications (buspirone, hydroxyzine, propranolol, clonidine, etc.)
• antipsychotics (risperidone, olanzapine, aripiprazole, etc.)
• antidepressants (sertraline, fluoxetine, escitalopram, bupropion, duloxetine, etc.)
• mood stabilizers (lithium, lamotrigine, valproate, etc.)
  
  

Please note that mental health care providers on Sesame do not prescribe controlled substances, including stimulants. The decision to prescribe medication is at your provider’s clinical discretion.

During your online prescription refill visit, you’ll have a video appointment with a Sesame provider of your choice who will review your current medications and refill them if needed. You can expect a thorough review of your current prescriptions, a discussion about any possible side effects you're experiencing, and a prescription refill (if clinically appropriate).

Please note that all prescriptions are at the discretion of your provider. If prescribed, the cost of medication is separate. Providers on Sesame do not prescribe controlled substances.

Therapists (LMFT, LCSW, LMHC, PsyD) are professionals who can help individuals address challenges through various forms of therapy, such as cognitive behavioral therapy (CBT), humanistic therapy, or psychoanalysis. Therapists are generally able to diagnose and help treat mental health conditions but cannot prescribe medication.

Both psychiatrists (MDs) and psychiatric nurse practitioners (PMHNPs) can diagnose, treat and prescribe medication for mental health conditions, but there are several differences in their training and how they can treat patients:

• Psychiatrists are medical doctors who must complete a bachelor's degree, medical doctorate degree, and residency training requirements. Their license allows them to prescribe medication in any state where they are licensed.
• Psychiatric nurse practitioners are advanced practice registered nurses (APRNs) who also have specialized training in mental health. These professionals must complete a bachelor’s degree and a master’s degree in psychiatric nursing before they’re able to treat patients. PMHNPs can diagnose and treat mental health conditions. However, some states require them to work under a doctor's supervision in order to prescribe certain treatments.
• Both psychiatrists and psychiatric nurse practitioners tend to focus on medication management (like medication dosage adjustments) rather than talk therapy.