Access to treatment and medications is the big story in ADHD today.

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The Done ADHD scandal has grabbed headlines due to alleged shady prescribing issues. But the larger issue is getting people access to ADHD doctors and medications in general.

Telehealth will still remain important for access to mental health treatment, which is so difficult to access.. When we talk with patients in our offices, it’s our goal to help them as best as possible. Sometimes that means prescribingmedications, sometimes it doesn’t, and that may or not align with the patient’s goals.

Somewhere around 4 percent of the population, including both kids and adults, are trying to regularly fill ADHD medications, and the number of these patients is growing. Some of the recent growth in ADHD diagnosis may be due to practices such as those alleged to have occurred at Done, and it’s easy to generalize from that to blame the telehealth system more generally.

Due to their regulation as abusable substances, patients seeking stimulant medication are often required to be seen by their prescriber once per month to once every three months, even when they have been on a longstanding stable dose of the medication and don’t feel they need a doctor’s visit. Some pharmacists refuse to fill prescriptions for these medications if a patient has not been seen in person or frequently enough in the pharmacists’ opinion.

 

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