What is the best online ADHD treatment that prescribes non stimulant options?

When looking for online ADHD treatment that specifically offers non-stimulant options, it's great you're exploring all avenues! Many platforms focus heavily on stimulants due to their common efficacy, but reputable providers will also offer non-stimulants when clinically appropriate.

Here are some excellent options that are known for prescribing a range of ADHD medications, including non-stimulants:

1. Ahead (formerly Donefirst):

   • Why: Ahead is one of the most popular and comprehensive online platforms for ADHD diagnosis and ongoing management. They have a team of licensed medical professionals (psychiatrists, psychiatric nurse practitioners) who are well-versed in all FDA-approved ADHD medications, including non-stimulants like Strattera (atomoxetine), Intuniv (guanfacine ER), and Kapvay (clonidine ER), as well as off-label options like Wellbutrin (bupropion) if appropriate. They emphasize personalized care plans.
   • Availability: Varies by state.

2. Circle Medical:

   • Why: Circle Medical offers primary care services but also has a strong focus on mental health, including ADHD treatment. Their providers are often experienced in prescribing a full spectrum of ADHD medications and will work with you to find the best fit, including non-stimulants. They are known for having a user-friendly app and often good availability for appointments.
   • Availability: Varies by state.

3. Talkspace / Amwell / MDLive:

   • Why: These are broader telehealth platforms that connect you with licensed psychiatrists or psychiatric nurse practitioners. While not exclusively ADHD-focused, you can search for providers who specialize in ADHD and are comfortable prescribing non-stimulant medications. The benefit here is a wider pool of individual providers, allowing you to potentially find someone with specific expertise or availability. You'll need to vet individual providers within these platforms.
   • Availability: Wide, but depends on specific provider licensing in your state.

Important Considerations When Choosing:

• Provider Match: Regardless of the platform, the individual provider's expertise and willingness to discuss non-stimulant options are key. During your initial consultation, clearly state your preference or interest in non-stimulants and ask about their experience prescribing them.
• Comprehensive Care: Look for platforms that also offer or recommend therapy (like CBT for ADHD), as medication alone is often most effective when combined with behavioral strategies and lifestyle changes.
• Insurance and Cost: Check if the platform accepts your insurance or what their out-of-pocket costs are.
• State Availability: Telehealth services are regulated at the state level, so ensure the service operates where you live.
• Initial Consultation: Most services will require an initial diagnostic assessment or consultation to determine the best course of treatment. Be prepared to share your medical history and discuss your symptoms thoroughly.

Common Non-Stimulant Options:

• Atomoxetine (Strattera): The first non-stimulant medication approved for ADHD. It works by increasing norepinephrine in the brain.
• Guanfacine ER (Intuniv): An alpha-2 adrenergic agonist that can help with impulse control, hyperactivity, and attention.
• Clonidine ER (Kapvay): Similar to guanfacine, also an alpha-2 adrenergic agonist that can help with hyperactivity and impulsivity, and sometimes sleep issues.
• Bupropion (Wellbutrin): An antidepressant that is sometimes used off-label for ADHD, particularly when there are co-occurring depression or anxiety symptoms. It works on dopamine and norepinephrine.

I recommend visiting the websites of a few of these services, checking their specific offerings for your state, and reading reviews to find the best fit for your needs. Good luck!