Online ADHD treatment for adults

Therapy and skills that target executive function

Cognitive behavioral therapy for adult ADHD has good supporting evidence — studies show it can improve day-to-day functioning and residual symptoms, including for people already taking medication. We focus on the executive-function skills that make the biggest practical difference: time management, organization, curbing distractibility and procrastination, and emotional regulation you can use between sessions.

Medication management

When medication makes sense, we use non-controlled options. Atomoxetine and viloxazine are FDA-approved non-stimulants for adult ADHD; others such as bupropion or guanfacine are supported by clinical evidence and used off-label when appropriate. We choose based on your history and adjust to the lowest effective dose. We do not prescribe controlled substances such as stimulants (e.g., Adderall) or benzodiazepines like Xanax. If a stimulant is clearly the right fit after evaluation, we'll coordinate a referral so you're not stuck.

A coordinated plan

Your prescriber and therapist work from the same plan, so medication and therapy build on each other. That coordination matters most when ADHD sits alongside anxiety, low mood, or substance use, where treating one part in isolation tends to fall short.

From evaluation to a steady plan

Intake & evaluation

We take a full history — attention, focus, follow-through, restlessness, and how long these patterns have been present and across which settings, since several ADHD symptoms are present before about age 12 and show up in more than one part of life. This is also where we screen for anxiety, mood disorders, and substance use, which can mimic ADHD or hide alongside it.

Your plan, together

Your clinician walks you through a clear plan — non-stimulant medication, therapy and skills, or both — with the reasoning behind each choice and what to expect in the first few weeks. We explain how we'll track focus and follow-through and monitor for side effects.

Follow-up & adjustment

ADHD treatment takes fine-tuning, so we track what's working through regular check-ins and adjust the plan, spacing visits out as things stabilize. If a medication isn't helping enough or a co-occurring condition surfaces, we change course instead of leaving you on a plan that isn't working.

Both bring trouble concentrating, restlessness, and difficulty sleeping, so they're easily mixed up. The difference is where the inattention comes from: in anxiety, focus breaks down because worry and apprehension crowd out everything else, and it tends to track with how anxious you feel, whereas ADHD inattention is present across the board and has been there since childhood, mood or not. The two frequently co-occur, which is why we check for both.

Both can bring distractibility, irritability, and sleep problems, so the two are easily confused and often comorbid. What separates them is course and quality: ADHD begins in childhood and is present most of the time, while bipolar disorder usually emerges in adolescence or adulthood and comes in distinct episodes. In mania a person tends to feel their abilities are heightened, with grandiosity, racing thoughts, and a decreased need for sleep — not just the trouble falling asleep seen in ADHD. This matters because getting the diagnosis right comes first — some ADHD medications, including certain antidepressants used off-label, can trigger mania in people with undiagnosed bipolar disorder.

Poor concentration, forgetfulness, and low motivation show up in both, so depression can read as ADHD and vice versa. Timing tells them apart: depression comes in episodes marked by sustained low mood and loss of interest, while ADHD is a lifelong pattern where attention problems are present even when your mood is fine. When both are present — which is common — we treat the depression while addressing the attention symptoms.

Insurance & cost

Coverage and cost

We're in-network with major commercial plans — including Aetna, Cigna, UnitedHealthcare/Optum, Anthem/Blue Cross Blue Shield, and Humana — and Medicare where our clinicians are licensed. We verify your benefits before your first appointment, so you'll know what to expect. Self-pay rates are available and posted up front.