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[Sticky] Medication Management For Someone In Therapy


Michael Gray MD JD
Posts: 107
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Yes — telemedicine is widely used for medication management and therapy visits, especially for ongoing care and follow-up of stable conditions.

👍 Telemedicine is usually appropriate for

  • Reviewing how well a medication is working

  • Discussing side effects or dosage timing

  • Refilling or adjusting existing prescriptions (when safe/allowed)

  • Follow-up for chronic conditions (mental health, ADHD, anxiety, depression, sleep, etc.)

  • Referral to Individual or couples therapy / counseling sessions

  • Coordination between therapy and prescribing clinicians

During a virtual visit, a clinician or therapist can:

  • Review symptoms and treatment goals

  • Check adherence and response to medications

  • Screen for new or related conditions

  • Refer to a therapist (CBT, supportive therapy, etc.)

  • Adjust or continue medications when appropriate

  • Create a follow-up and monitoring plan


🟡 Telemedicine may be appropriate but could require in-person follow-up if you have

  • New or worsening symptoms that are hard to evaluate virtually

  • Possible medical side effects that need vitals, labs, or an exam

  • Complex medication interactions or frequent dose changes

  • Controlled-substance prescriptions are NOT supported via SelfPayMD

The clinician may recommend:

  • Periodic in-person visits or labs

  • Referral to a specialist

  • Closer follow-up during medication changes


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

  • Severe allergic reactions, chest pain, fainting, or severe shortness of breath

  • Dangerous side effects or rapidly worsening symptoms

  • Thoughts of self-harm or suicide

  • If you develop suicidal thoughts or need help please call or text the National Suicide Prevention Lifeline on 988, chat on 988lifeline.org, or text HOME to 741741 to connect with a crisis counselor.

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