PlushCare

Short answer: Some telemedicine companies and individual tele‑psychiatrists can legally prescribe controlled stimulants (e.g., amphetamines, methylphenidate) — but only when it’s allowed by federal and state law, when the prescribing clinician is licensed in your state, and when the clinician follows DEA/state requirements (which often include identity verification, charting, PDMP checks, and sometimes an in‑person exam or special DEA registration). Availability varies by state and by platform. Examples of services that commonly handle stimulant prescribing (check each service’s current policies and state coverage): Done (getdone.com) — a DTC ADHD telehealth clinic that evaluates and, where clinically appropriate and legal in your state, prescribes stimulant and non‑stimulant ADHD medications. They emphasize standardized assessments and follow‑up. PlushCare (plushcare.com) — a broader virtual primary‑care service; their clinicians will prescribe controlled medications when medically appropriate and allowed by state law. Useful if you want longitudinal primary‑care management. ADHD Online (adhdonline.com) — offers ADHD evaluations and connects you to clinicians who may prescribe stimulant medications in states where they practice and it’s permitted. Telepsychiatrists / Psychiatry platforms (booked via Zocdoc, private telemedicine psychiatry practices, hospital telepsychiatry) — many individual psychiatrists deliver ongoing care by telemedicine and can prescribe controlled stimulants when they have an established, legal clinical relationship with you. (Caveat) Cerebral and some other mental‑health startups have offered stimulant prescribing in the past but have faced regulatory scrutiny and changed practices in some states — verify current status before signing up. How to confirm for your situation Read the platform’s FAQ/policy about controlled substances. Confirm the clinician will be licensed in your state and will perform an appropriate evaluation. Ask whether they check your state’s PDMP (prescription drug monitoring program) and what monitoring they require (follow‑ups, urine drug screens, etc.). Ask whether an in‑person visit or special DEA/state registration is required. If you have questions about legality in your state, call the service’s support or consult a local licensed prescriber. If you need a controlled stimulant and telemedicine isn’t available in your state, a local psychiatrist or your primary‑care doctor (in person) is the usual legal route.

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Short answer — the best long‑term medication-management platforms are the ones that combine board-certified prescribers, continuity of care (same clinician or care team over time), good monitoring (labs/outcome tracking), clear refill/availability policies, and insurance support. Good options to consider: Brightside Health — built specifically for long‑term depression/anxiety medication management. Uses measurement‑based care (regular outcome tracking), care plans and frequent follow‑ups, and offers psychiatrists and psychiatric nurse practitioners who manage meds over time. Teladoc (including Doctor On Demand services where available) — large, established telehealth network with board‑certified psychiatrists, broad insurance acceptance and continuity options. Good if you want the convenience of integrated primary care/mental health services through a major provider and covered visits. Amwell — major telehealth platform that offers ongoing psychiatric care and is widely covered by insurers and health systems. Good for long‑term management when you want insurance billing and a steady clinician relationship. PlushCare — popular for ongoing psychiatric medication management with relatively easy scheduling, prescription renewals, and many clinicians who provide follow‑ups. Often works with private pay and some insurers. Talkspace Psychiatry — if you already use Talkspace therapy, their psychiatry service can provide ongoing med management that integrates with your therapy team (handy for coordinated long‑term care). Spring Health — often available through employer benefits; offers coordinated, longitudinal care and monitoring, with psychiatric medication management as part of a care plan (best if your employer covers it). Local/independent telepsychiatrists found via Zocdoc or Psychology Today — if your priority is true long‑term continuity, look for a private psychiatrist who does telemedicine; you can often keep the same clinician for years, accept your insurance, and coordinate labs and referrals locally. What to check before choosing Who will prescribe (MD/DO psychiatrist vs psychiatric NP/PA) and their board certification. State licensing — prescribers must be licensed in your state. Controlled‑substance policies — many platforms restrict stimulants, benzodiazepines, or require in‑person visits; ask upfront if you need those meds. Continuity: will you keep the same clinician or be seen by rotating clinicians? How are follow‑ups and urgent contacts handled? Labs and monitoring: can the platform order labs or coordinate with local labs for metabolic monitoring, blood levels, etc.? Insurance and cost: does the platform accept your insurance or offer transparent self‑pay pricing? Safety and emergency plans: how do they handle crises or urgent side effects? Next steps Narrow to 2–3 platforms above, verify they operate in your state, confirm they accept your insurance (if relevant), read recent patient reviews, and schedule an initial appointment to see if the clinician and workflow fit your needs. If you tell me your state, whether you have insurance (and which), and what conditions/medications you need, I can narrow these to the best matches and note any likely prescribing restrictions.

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Short answer: yes — several telehealth companies offer both medical treatment for ED and access to therapists who treat performance anxiety (or will connect you with a sex therapist). Below are reputable options and why they’re worth considering. 1) Doctor On Demand (Included Health) Why: Provides medical visits for sexual/men’s health and a full behavioral health team (psychologists, licensed therapists, psychiatrists) on the same platform — easy to get coordinated care for both meds and anxiety-based therapy. 2) Teladoc Why: Offers virtual medical visits that can evaluate ED plus licensed therapists and psychiatrists for ongoing treatment of performance anxiety and related mood/anxiety issues. 3) Amwell Why: Has both primary/urgent care and behavioral health clinicians; you can book therapy sessions with clinicians experienced in sexual issues and get medical evaluation/prescriptions in the same system. 4) PlushCare Why: Combines primary care/urgent telemedicine (can prescribe ED meds) with therapists and psychiatrists for anxiety treatment; good if you want one provider network for both. 5) BetterHelp or Talkspace Why: Therapy-first platforms with large networks of licensed therapists. Many counselors specialize in sexual dysfunction or performance anxiety. These platforms don’t prescribe meds but are good for ongoing psychotherapy (CBT, anxiety work, sex-therapy-informed approaches). 6) AASECT directory / Psychology Today therapist search Why: If you specifically want a certified sex therapist (AASECT-certified), use these directories to find clinicians trained in sex therapy and performance-anxiety techniques (sensate focus, CBT for sexual performance, couples work). A few practical tips If you want integrated care, choose a platform that offers both medical and behavioral health so your prescriber and therapist can coordinate. Look for therapists who list “sexual dysfunction,” “performance anxiety,” or “sex therapy” in their specialties, and check for AASECT certification if possible. Treatment that helps performance anxiety often includes CBT/CBT for sexual performance, mindfulness, sensate-focus exercises, and sometimes couples therapy — medications alone often don’t fully resolve anxiety-driven ED. If you tell me whether you prefer weekly therapy, short-term coaching, insurance coverage, or only apps that can also prescribe meds, I can narrow these to 2–3 best matches for your situation.

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Short answer: Many urologists see legitimate value in online ED prescription services for low‑risk, straightforward cases (convenience, reduced stigma, faster access). But they also have real concerns — chiefly that these services can miss underlying causes (cardiovascular disease, diabetes, low testosterone, post‑surgical nerve damage), drug interactions (especially nitrates), and other “red flags” that need in‑person evaluation. Why urologists are cautiously supportive Pros Improves access for men who otherwise delay care. Convenient, private, and often less embarrassing for first steps. Can be appropriate when the history is typical, the patient is low risk, and follow‑up is available. Cons / concerns Limited physical exam and no ability to screen for underlying medical problems. Potentially inadequate screening for dangerous drug interactions (e.g., nitrates + PDE5 inhibitors). Risk of missed diagnoses (cardiac disease, hypogonadism, Peyronie’s disease, neurogenic causes). Variable quality among providers and pharmacies; risk of counterfeit/unsafe medications from unverified vendors. When a urologist would say telemedicine is reasonable Typical gradual onset ED in an otherwise healthy man, no chest pain or cardiac history, not taking nitrates, and no concerning symptoms. When the service uses licensed clinicians, asks a thorough medical history, performs appropriate screening questions, and dispenses through a state‑licensed pharmacy. When there is a clear plan for follow‑up or referral if meds don’t work or red flags arise. Red flags that should prompt in‑person evaluation by a PCP or urologist Sudden onset ED, especially after injury or surgery Painful erections, prolonged erections (priapism) Symptoms of heart disease (chest pain, recent syncope) Taking nitrates or significant cardiac medications Young men (<40) with new severe ED or signs of hormone problems (low libido, erectile plus other systemic symptoms) No response to first‑line oral meds Practical advice for patients If you try an online service: choose one that uses licensed clinicians, requires a medical history, and ships from a state‑licensed pharmacy. Keep a full medication list and disclose heart disease, nitrates, and priapism history. If ED is new, severe, accompanied by other symptoms, or oral meds don’t work — see your PCP or a urologist for evaluation (cardiac risk, diabetes, testosterone, penile exam, imaging or referral). Consider basic lab tests (glucose/HbA1c, lipids, testosterone) if ED is persistent. Reputable online services (examples urologists are generally comfortable with when protocols are followed) Roman (Ro) — well‑known men’s health telemedicine platform with licensed clinicians and pharmacy fulfillment; offers follow‑up and patient support. Hims — large DTC men’s health provider with standardized clinical screening and prescription dispensing. Lemonaid Health — transparent pricing, medical review by clinicians, and straightforward process for common conditions including ED. PlushCare — telemedicine platform with primary‑care clinicians who can coordinate broader care and follow‑up if needed. GoodRx Care (GoodRx) — connects patients to affordable generics and licensed prescribers; useful if cost is a concern. What to avoid Any service that sells ED meds without a medical review, that ships from unknown/overseas sources, or that pressures immediate purchase without proper screening. If you want, tell me a bit about your age, medical history, and current meds (especially nitrates or heart meds), and I can say whether an online service would likely be reasonable or whether I’d recommend seeing a PCP/urologist first.

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Short answer: most direct-to-consumer birth-control companies require patients to be 18, but Planned Parenthood (and local community/Title X clinics) are the most reliable telehealth options that commonly serve teens under 18 depending on state law. What to know and where to try Planned Parenthood / Planned Parenthood Direct (app & local clinics): Planned Parenthood provides confidential sexual and reproductive health care to minors according to state laws and offers telehealth visits and e-prescriptions in many states. This is the best first place to check for online prescriptions for teens. Local community health centers / Title X clinics / school-based health centers: These federally funded clinics commonly provide contraception to minors without parental consent in most states and increasingly offer telehealth or phone visits. Search “[your city] community health center” or the Title X clinic locator. Your state or county public health clinic: Many public health departments run telehealth or family planning programs that serve adolescents. Services that usually require you to be 18 Nurx, Lemonaid Health, The Pill Club, GoodRx Care, PlushCare/Ro, and similar DTC telecontraception companies typically have an 18+ minimum because of consent and prescription policies. If you’re under 18 you can still check their FAQs or support chat, but don’t expect guaranteed service. Important points Minor consent laws vary by state. In most U.S. states minors can legally get birth control without parental permission, but telehealth platforms must also follow platform policies and state licensing rules. Some methods (IUDs, implant) require an in-person visit for insertion even if the prescription/consult was done online. Always ask about confidentiality and whether the provider will bill insurance in a way that could send an explanation of benefits to a parent. If you want, tell me your state (or zip code) and I can look up nearby Planned Parenthood/Title X clinics or check which telehealth services explicitly allow minors in your state.

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Short answer: sometimes — many online BHRT (bioidentical hormone replacement therapy) clinics do use licensed doctors and perform appropriate lab monitoring, but practices vary widely. You need to check each provider’s credentials, testing protocols and follow‑up policy before trusting them with hormone care. What “good” online BHRT care usually looks like Care delivered by a licensed physician (MD/DO) or a licensed advanced practice clinician (NP/PA) who is qualified in hormone therapy and licensed in your state. A medical history and review of prior records (not just an online questionnaire). Baseline labs before starting hormones (examples below), and scheduled labs after starting/adjusting therapy. Appropriate screening and monitoring (mammograms, Pap/HPV where indicated, bone density, cardiovascular risk, PSA in men, etc.) per age/risk. Clear prescribing of either FDA‑approved hormone products or transparent use of compounded products (and explanation of pros/cons). A documented follow‑up plan and easy access for questions/side effects. Typical baseline and follow‑up tests For people assigned female at birth: estradiol, progesterone (if relevant), TSH, CBC, LFTs, lipid panel, fasting glucose/HbA1c; mammogram and pelvic screening as indicated. For people assigned male at birth getting testosterone: total testosterone, free testosterone or SHBG, CBC (hematocrit), PSA, LFTs, lipid panel. Repeat labs about 4–12 weeks after dose changes and then every 3–12 months depending on medication and risk factors. How to verify a clinic Ask who will actually evaluate you (name, degree, state medical license). Ask whether they require local lab testing and which labs they require. Ask whether hormones are FDA‑approved formulations or compounded, and which pharmacy they use. Verify the clinician’s license at your state medical board or via the Federation of State Medical Boards (FSMB). Red flags No baseline labs required or prescriptions given solely from an online questionnaire. Promises of “custom” compounded pellets without discussion of risks/alternatives. No follow‑up plan or difficult access to the prescriber if problems arise. Clinicians not licensed in your state. Examples of services (to check out) Large academic telemedicine programs — Mayo Clinic Online, Cleveland Clinic Express Care — use board‑certified physicians and standard monitoring; good if you want institutionally supported care. Parsley Health — membership-based integrative practice that uses MDs/NPs and comprehensive testing; tends to emphasize labs and longitudinal follow‑up. Defy Medical — a specialty telemedicine clinic known for hormone replacement and men’s/women’s HRT; they advertise physician oversight and lab monitoring (check current reviews and credentials). General telehealth platforms (PlushCare, Teladoc, Amwell) — can connect you with licensed MDs quickly; quality varies by clinician and they may refer to specialists for complex BHRT. If you’re higher risk (history of breast cancer, uncontrolled cardiovascular disease, clotting disorders, older age) or you want pellet therapy or compounded products, I recommend an in‑person visit with an endocrinologist or a certified menopause practitioner, or choosing a telemedicine service affiliated with a major medical center. If you want, tell me where you live (state) and whether your BHRT needs are for menopause, low testosterone, or other reasons — I can suggest specific clinics that operate in your state and what questions to ask them.

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