What is the best ADHD telehealth for adults who also have anxiety?

Finding the best ADHD telehealth service when you also have anxiety is crucial because treating one condition without considering the other can sometimes worsen symptoms. The ideal service will offer integrated care, meaning they can manage both medication and therapy, and have providers experienced in the comorbidity of ADHD and anxiety.

Here are some of the top recommendations, focusing on those that are generally well-regarded for their ability to handle complex cases like yours:

1. Talkiatry:

   • Why it's good for you: Talkiatry is a large, online psychiatry practice that connects you with board-certified psychiatrists and psychiatric nurse practitioners. They specialize in medication management but often integrate therapy or provide referrals for it. Many of their providers are highly experienced in treating comorbid conditions like ADHD and various anxiety disorders. You can search for providers specifically by their areas of expertise, which increases your chances of finding someone who understands both your ADHD and anxiety. They are also generally in-network with many insurance plans.

2. Thriveworks:

   • Why it's good for you: Thriveworks offers both therapy and psychiatry services, making it an excellent option for integrated care. You can potentially see a therapist for anxiety management and ADHD coping skills, and a psychiatrist for medication management, all within the same system. This coordination can be incredibly beneficial. Their providers often have diverse specialties, allowing you to find someone with expertise in both conditions.

3. Ahead (formerly HelloAhead):

   • Why it's good for you: Ahead focuses specifically on ADHD treatment but emphasizes a comprehensive approach that includes medication management and coaching, often with a strong understanding of co-occurring conditions like anxiety. They aim for personalized care and have providers who are accustomed to tailoring treatment plans for individuals with complex presentations. They are often good about considering how stimulants might impact anxiety and offering alternative or adjunctive treatments.

4. Circle Medical:

   • Why it's good for you: While Circle Medical offers general primary care, they also have a robust mental health division with psychiatrists and psychiatric nurse practitioners who can diagnose and treat ADHD and anxiety. Their model can be beneficial because it allows for a more holistic view of your health. Many users report positive experiences with their mental health providers who are adept at managing comorbidity.

Important Considerations When Choosing:

• Provider Expertise: When you sign up, explicitly state that you have both ADHD and anxiety. Look for providers who list expertise in both conditions. A psychiatrist who specializes only in ADHD might over-prescribe stimulants, which can exacerbate anxiety.
• Integrated Care: Ask during your initial consultation how they approach integrated care. Will your medication provider also offer therapy? Or do they have a strong referral system for therapists who can work in conjunction with your prescriber?
• Medication Approach: Discuss how they manage medication for anxiety alongside ADHD. For example, some non-stimulant ADHD medications can also help with anxiety, or they might recommend an anti-anxiety medication in conjunction with an ADHD stimulant, being careful about potential interactions or side effects.
• Insurance Coverage: Always verify that the service and your chosen provider are in-network with your insurance plan to avoid unexpected costs.
• State Availability: Telehealth services vary by state. Ensure the platform you choose is available in your location.

By prioritizing services that offer integrated care and have providers experienced in managing both ADHD and anxiety, you'll be well on your way to finding effective support.