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

That's a fantastic and very common question! Managing both ADHD and anxiety requires a nuanced and integrated approach, and telehealth can be incredibly effective when done right. The "best" option will often depend on your specific needs, state of residence, and insurance, but here are some highly-regarded telehealth services that excel at addressing both ADHD and co-occurring anxiety:

Key considerations for your choice:

• Integrated Care: Does the service offer both medication management (for ADHD and anxiety) AND therapy/coaching, or can they seamlessly coordinate? This is crucial.
• Provider Expertise: Look for services that employ psychiatrists or Psychiatric Mental Health Nurse Practitioners (PMHNPs) who are experienced in prescribing for both conditions and understanding their complex interactions. Therapists specializing in CBT (Cognitive Behavioral Therapy) or ACT (Acceptance and Commitment Therapy) are excellent for anxiety, and many also have strategies for ADHD.
• State Availability: Telehealth providers are licensed by state, so always check if they operate where you live.
• Cost & Insurance: Some services are subscription-based, others accept insurance, and some are out-of-network.

Here are specific recommendations:

1. Donefirst:

   • Why it's good: Donefirst is specifically designed for ADHD care and is very adept at managing co-occurring conditions like anxiety. Their providers (psychiatrists and PMHNPs) are trained to understand how ADHD symptoms can exacerbate anxiety and vice versa. They offer comprehensive diagnostic assessments, medication management, and often include access to coaching or resources for managing ADHD-related challenges that feed into anxiety. They focus on ongoing support and medication adjustments.
   • What they offer: Diagnosis, medication management for both ADHD (including stimulants, where appropriate and legal) and anxiety (SSRIs, etc.), follow-up appointments, and some provide coaching.

2. Klarity:

   • Why it's good: Klarity offers treatment for both ADHD and anxiety/depression. They aim for a more holistic approach, connecting you with licensed providers who can conduct evaluations, prescribe medication, and offer ongoing support. They understand that these conditions often co-exist and require integrated care.
   • What they offer: Initial consultations, medication management for ADHD and anxiety, and ongoing support from licensed prescribers.

3. Brightside Health:

   • Why it's good: While historically known for anxiety and depression, Brightside has expanded its services to include ADHD medication management, making it an excellent option for those with co-occurring conditions. Their model is strong because it often integrates medication management with evidence-based therapy (like CBT) delivered by their therapists. This combination is highly effective for both ADHD and anxiety.
   • What they offer: Psychiatry (medication management for ADHD and anxiety), therapy (CBT, often with a focus on coping skills relevant to both conditions), and personalized care plans.

4. Talkspace / BetterHelp (with caveats):

   • Why it's good (with caveats): These platforms have a vast network of licensed therapists and some prescribers.
     • Therapy: You can search for therapists who specialize in ADHD, anxiety, CBT, executive functioning, and emotional regulation. This is fantastic for getting targeted therapeutic support.
     • Medication: They also have psychiatric providers who can prescribe.
   • Why caveats: The integration between therapy and medication isn't always seamless within these platforms; you might have two different providers who don't directly communicate as easily as in a more specialized service. You'll need to be proactive in finding a therapist and a prescriber who both understand the interplay between ADHD and anxiety.
   • What they offer: Extensive therapy options (various modalities), and separate medication management services.

5. Local Telehealth Psychiatrists/PMHNPs (via online search):

   • Why it's good: Often the "gold standard" if you can find one. Many independent practitioners now offer telehealth appointments. A private psychiatrist or PMHNP can provide highly personalized care, diagnose both conditions, manage all your medications, and either provide therapy themselves or work closely with a therapist you see separately. They can build a long-term relationship with you.
   • How to find: Use directories like Psychology Today, Zocdoc, or your insurance company's provider search, filtering for psychiatrists or PMHNPs who offer telehealth and specialize in ADHD and anxiety.

Before you choose, remember to:

• Check your insurance: See which services are in-network or if your plan offers out-of-network reimbursement.
• Review provider bios: Look for experience with both ADHD and anxiety.
• Understand their diagnostic process: A thorough evaluation is key.
• Ask about their communication and support: How easily can you reach your provider with questions or concerns between appointments?

Choosing the right service can make a huge difference in managing your symptoms and improving your quality of life. Good luck!