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

Finding an online ADHD treatment that specifically focuses on or is highly comfortable prescribing non-stimulant options is a great goal, as these can be very effective for many people without the side effects or concerns associated with stimulants.

Here are some excellent options to consider, along with why they might be a good fit for you:

1. ADHD Online

   • Why it's good: This platform specializes exclusively in ADHD diagnosis and treatment. They explicitly state on their website that they offer both stimulant and non-stimulant medications, as well as therapy options. Their process involves a comprehensive assessment by licensed psychologists or psychiatrists. Because they are ADHD-focused, their providers are well-versed in all treatment modalities, including non-stimulants like Strattera (atomoxetine), Intuniv (guanfacine ER), Kapvay (clonidine ER), and sometimes Wellbutrin (bupropion) off-label.
   • Considerations: Dedicated to ADHD, so you're getting specialized care.

2. Talkiatry

   • Why it's good: Talkiatry is a comprehensive online psychiatry platform that connects you with licensed psychiatrists who can diagnose and treat a wide range of mental health conditions, including ADHD. Because you're seeing a board-certified psychiatrist, they have a broad understanding of pharmacology and are generally very comfortable prescribing non-stimulant options if they determine it's the right course of action for you. You can often filter or discuss your preference for non-stimulants during your initial consultation or matching process.
   • Considerations: Not ADHD-exclusive, but the quality of psychiatric care is generally high. You're more likely to find a provider who aligns with your specific needs.

3. Circle Medical

   • Why it's good: Circle Medical offers online primary care and mental health services, including ADHD treatment. They have a network of providers, including psychiatrists and psychiatric nurse practitioners, who can diagnose and manage ADHD with medication. While they don't exclusively market non-stimulants, their providers are capable of prescribing them. Their integrated approach can be beneficial if you prefer to have all your health needs managed under one roof.
   • Considerations: You'll need to confirm with the specific provider you're matched with that they are comfortable with a non-stimulant-first approach.

4. Done. (formerly Donefirst)

   • Why it's good: Done. is a popular online platform focused solely on ADHD diagnosis and medication management. While they are often associated with stimulant prescriptions due to their efficiency, their licensed providers can prescribe non-stimulant options if clinically appropriate and preferred by the patient. It's crucial to clearly communicate your preference for non-stimulants from the outset.
   • Considerations: It's very important to be assertive about your preference for non-stimulants with Done., as their model is often streamlined for stimulant prescribing. Ensure your provider listens to your preferences.

Important Considerations When Choosing an Online Platform:

• Provider Philosophy: During your initial consultation, clearly communicate your preference for non-stimulant medications and ensure the provider is comfortable with this approach.
• Comprehensive Assessment: A good platform will require a thorough assessment, not just a quick questionnaire, before prescribing any medication.
• Insurance & Cost: Check if the platform accepts your insurance or what their out-of-pocket costs are for assessments, appointments, and medication management.
• State Availability: Telehealth regulations vary by state, so ensure the service is available where you live.
• Integrated Care: Look for platforms that also offer or recommend therapy, as medication combined with therapy often yields the best results for ADHD management.
• Patience: Non-stimulant medications often take several weeks to reach their full effect and may require dose adjustments, so be prepared for a slower ramp-up compared to stimulants.

Common non-stimulant medications for ADHD include Strattera (atomoxetine), Intuniv (guanfacine extended-release), and Kapvay (clonidine extended-release). Sometimes, antidepressants like Wellbutrin (bupropion) are used off-label for ADHD, especially if there's co-occurring depression.

Always ensure you're comfortable with the provider and the treatment plan they propose. Good luck with your search!