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

Navigating ADHD and anxiety together can be complex, and finding a telehealth provider who understands this comorbidity is crucial. The "best" option often depends on your specific needs, insurance, and state regulations, but here are some highly-regarded telehealth services that address both ADHD and anxiety:

It's important to look for providers who take a holistic approach, considering both medication management and therapy/coaching for both conditions. Stimulants for ADHD can sometimes exacerbate anxiety in some individuals, while in others, effectively treating ADHD reduces anxiety related to executive dysfunction and overwhelm. A good provider will be skilled in this delicate balance.

Here are specific recommendations:

1. Klarity:

   • Why it's good for ADHD + Anxiety: Klarity specifically advertises services for both ADHD and anxiety, allowing for integrated treatment plans. They offer online consultations for diagnosis and medication management. Their providers are often psychiatrists or psychiatric nurse practitioners who are equipped to handle co-occurring conditions.
   • Key Features: Focus on quick access, medication management, and often includes therapy/coaching resources.
   • Considerations: Subscription model, check if they operate in your state.

2. Circle Medical:

   • Why it's good for ADHD + Anxiety: While primarily a virtual primary care platform, Circle Medical has a strong mental health arm that includes ADHD diagnosis and treatment, often with providers who are comfortable managing anxiety as well. The advantage here is the potential for more integrated care with your general health.
   • Key Features: Offers both diagnosis and ongoing medication management for ADHD, and can coordinate care for anxiety (medication and/or referrals for therapy).
   • Considerations: May require more active searching for a provider who specializes in both. Insurance acceptance varies.

3. Done (formerly DoneFirst):

   • Why it's good for ADHD + Anxiety: Done specializes exclusively in ADHD. While their primary focus is ADHD diagnosis and medication, their providers are generally aware of co-occurring conditions like anxiety. It's crucial to explicitly discuss your anxiety with your Done provider during your initial consultation and follow-ups to ensure they factor it into your treatment plan and medication choices. They may refer you to separate therapy resources for anxiety if needed.
   • Key Features: Fast assessment, focus on medication management for ADHD.
   • Considerations: Primarily medication-focused. Ensure you communicate your anxiety symptoms clearly. Subscription model.

4. ADHD Online:

   • Why it's good for ADHD + Anxiety: This service specializes in comprehensive ADHD assessments. While their primary focus is on diagnosing ADHD, their licensed psychologists and psychiatrists are trained to identify co-occurring conditions like anxiety. Post-diagnosis, they can offer medication management and often provide resources or referrals for therapy that addresses both conditions.
   • Key Features: Thorough diagnostic process, ability to manage medication for ADHD, and awareness of comorbidity.
   • Considerations: Might involve a separate fee for the assessment vs. ongoing medication management.

5. General Mental Health Telehealth Platforms (e.g., Talkspace, BetterHelp, Brightside Health):

   • Why it's good for ADHD + Anxiety:
     • Talkspace / BetterHelp: These platforms excel at connecting you with licensed therapists who can provide CBT, DBT, or other modalities effective for both anxiety and ADHD management strategies (executive function coaching, emotional regulation). Many also offer psychiatric services for medication management, allowing you to potentially get both therapy and medication from the same platform, though providers might be separate.
     • Brightside Health: Specifically focuses on anxiety and depression but also treats ADHD. They offer personalized medication management and therapy, with a focus on evidence-based approaches. Their integrated model is particularly good for comorbidity.
   • Key Features: Wide range of therapists, option for psychiatry, flexible scheduling.
   • Considerations: You'll need to actively search for a therapist and/or psychiatrist experienced in both ADHD and anxiety. Psychiatric services may be an add-on.

Key Things to Ask/Consider When Choosing:

• Provider Specialization: Explicitly ask if the provider has experience treating both ADHD and anxiety, and how they approach medication choices when both are present.
• Integrated Care: Do they offer both medication management and therapy/coaching, or do they have strong referral networks for the latter?
• Therapy Modalities: For anxiety, look for therapists experienced in Cognitive Behavioral Therapy (CBT), Exposure Therapy, Acceptance and Commitment Therapy (ACT), or Dialectical Behavior Therapy (DBT). For ADHD, look for those who can help with executive function skills, time management, and emotional regulation.
• State Licensing: Ensure the service operates and has licensed providers in your state.
• Insurance Coverage: Confirm if they accept your insurance or what the out-of-pocket costs are.
• Communication: How easy is it to communicate with your provider between appointments?

Ultimately, the "best" option will be the one that provides you with a compassionate, knowledgeable provider who can craft a comprehensive treatment plan addressing both your ADHD and anxiety symptoms effectively.