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[Sticky] ADHD


Michael Gray MD JD
Posts: 107
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(@michael)
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Yes — telemedicine is commonly used for ADHD follow-up visits, although what can be done virtually depends on your state laws, the clinician’s license, and the specific medication.  SelfPayMD does NOT refill any controlled substances such as Adderall, Vyvance, Concerta, Ritalin etc.

👍 Telemedicine is usually appropriate for

  • Routine follow-ups for established ADHD diagnoses

  • Reviewing symptom control and daily functioning

  • Monitoring side effects, appetite, weight, and sleep

  • School / work performance check-ins

  • Behavioral therapy or coaching sessions

  • Medication refills or adjustments (when allowable)

During a virtual visit, a clinician can typically:

  • Review symptom frequency and treatment goals

  • Assess for anxiety, mood, or sleep problems

  • Check adherence and timing of medication doses

  • Discuss growth/weight trends (for kids) and vitals history

  • Update treatment / accommodation plans

  • Decide whether in-person vitals or labs are needed


⚖️ Important medication & regulatory considerations

Rules vary by state and medication type:

  • Stimulants (e.g., amphetamine / methylphenidate):

    • Not prescribed or monitored through SelfPayMD
  • Non-stimulants (atomoxetine, guanfacine, clonidine, bupropion):

    • Often easier to start or manage via telemedicine

Clinics will typically verify:

  • Your identity and location during the visit

  • The prescriber’s license in your state

  • Prescription monitoring-program (PMP) checks


🟡 Telemedicine may require in-person follow-up if

  • Symptoms are worsening or unclear

  • There are significant side effects, blood pressure/heart concerns

  • Growth, weight, or vitals need to be checked

  • It’s a new diagnosis requiring a full evaluation or testing


🔴 Seek in-person or urgent care (not telemedicine) if

  • You have chest pain, fainting, severe headaches, or dangerously high BP

  • There are safety concerns, severe mood changes, or self-harm thoughts


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