Done is an telemedical company that provides online diagnosis and treatment plans for adults with ADHD. In this article, we provide an honest review of their services.
Life can be demanding. At times, it can feel as if we are being pulled in more directions than we can count. Things like work, school, and family life — and all the little details that go with them — require our attention.
But for many, these daily demands can pose quite a challenge. Some people feel like they have all the energy in the world but can’t seem to manage, harness, or focus it.
Simple tasks become a chore and the demands of daily life become daunting. This feeling is all too common for those who live their lives with ADHD.
But there is good news. Once ADHD is diagnosed there are ways to manage its symptoms.
In this review, we will look at one direct-to-consumer telehealth company that offers personalized ADHD treatment: Done.
ADHD is an acronym for Attention Deficit Hyperactivity Disorder. According to the American Psychiatric Association, ADHD is one of the most common mental disorders affecting children.
Statistics from a 2016 CDC report estimate that 6.1 million children (ages 2-17 years) have been diagnosed with ADHD. Boys are more likely to be diagnosed with the disorder. However, ADHD is not a disorder unique to childhood. Its worldwide prevalence among adults is estimated to be roughly 2.8 percent.
Of course, most of the data is self-reported and does not take into account those that are undiagnosed. ADHD is commonly identified during the school-age years among children. Issues within the classroom are usually among the first indicators (inattention, problems with school work, etc.).
Symptoms of ADHD vary in severity and present differently among adults and children. Broadly, the most common symptoms are inattentiveness, hyperactivity, and impulsiveness.
Other symptoms may include:
Currently, scientists and researchers have yet to identify a single cause for ADHD, though some believe genetics may have a factor.
ADHD is commonly treated and managed in two ways: Medication and therapy. Medications include stimulants and non-stimulants.
Of the two types of medication, stimulants are more frequently prescribed. In short, stimulants work to help to improve the chemical imbalances in the brain by interacting with neurotransmitters; dopamine and norepinephrine. These interactions have shown to help those with ADHD; improving focus and reducing impulsiveness.
Non-stimulants can be prescribed when stimulants are ineffective or in combination. These medications fall into the category of antidepressants. They also seek to interact with neurotransmitters within the brain.
Therapy can include behavioral and cognitive therapies that focus on managing symptoms. Professional therapists and behaviorists can help provide management strategies for patients; minimizing distractions, providing structure, organization skills, etc. Oftentimes, therapy is done in conjunction with medications.
In some cases, ADHD can be managed naturally, either in isolation without medications or alongside. Some natural strategies include: Nutrition, exercise, meditation and relaxation practices, and the use of organizational tools (planners, timers, etc.).
Telemedical companies like Done are one avenue that potential ADHD patients are turning to in an effort to help them manage their ADHD symptoms.
Done, with its telemedical, online platform, seeks to help ADHD patients by providing diagnosis and effective personalized treatment plans to help manage ADHD. It is offered as an alternative to private, in-person practices.
Let’s take a look at Done and review its effectiveness for online ADHD diagnosis and treatment.
Done is meant to serve those who are taking their first step in ADHD treatment as well as those who are looking to resume treatment for ADHD.
The initial process is quick and easy. Potential users begin by taking a one minute, online assessment to evaluate whether they are “fit” to begin treatment for ADHD.
The assessment features prompted questions that rely on self-reported answers. It is important to note that this assessment seeks to find out if an ADHD diagnosis is “likely.”
If so, a follow-up appointment is the next step.
Here are three examples of the assessment questions:
How often do you have trouble wrapping up the final details of a project, once the challenging parts have been done?
When you have a task that requires a lot of thought, how often do you avoid or delay getting started?
How often do you fidget or squirm with your hands or feet when you have to sit down for a long time?
These questions seek to reveal if common ADHD symptoms are present. The assessment questions must be answered truthfully as the answers will be used upon the initial assessment with Done’s health care providers.
Once the assessment is completed, and if a ADHD diagnosis is likely, potential patients will be asked to sign up (email) and book a follow-up appointment; online or in-person.
In addition, potential patients are asked to fill out a medical history questionnaire to bring to their appointment.
Here is what one user had to say about their initial experience with Done:
“With Done. I was able to quickly access an appointment time with an educated prescriber who has experience with ADD/ADHD patients. We were able to verify my diagnosis and she gave me a prescription to my first ADHD medication! So far, so good. If I have any questions I simply email them and they get back to me in no time. Highly recommend.”
The appointment with one of Done’s licensed medical professionals will be the determining factor in whether a ADHD diagnosis is actually made. Done’s medical providers consist of licensed MDs, DOs, and Psychiatric Mental Health Nurse Practitioners (PMHNPs).
Total costs for the initial appointment is $199. At the time of booking an appointment, a $20 non-refundable deposit is required; the remaining $179 is charged two days prior to the appointment date.
Note: Done has a 48-hour cancellation policy and will not issue refunds if cancelled within 48 hours of the appointment time. Bottom line: You have to be committed before you book.
Once a medical professional renders a ADHD diagnosis, treatment with Done can begin. Treatment plans with Done consist solely of medication prescriptions.
This is an important point of emphasis for those seeking behavioral therapy options.
Done’s medical providers will prescribe medications based on individual needs; including type and dosages. Members are free to contact providers at any time if they experience symptoms or side effects.
However, due to legal regulations, ADHD medications can only be adjusted once per month.
According to their website, members can get their medications shipped to them (free if you live in Texas) or can be picked up at their local pharmacy. Shipping is typically 1-2 days.
Refills are done through their online portal and prescription refill terms apply (e.g. refills only requested 25 days after last prescription).
Patients who qualify for treatment with Done are automatically enrolled in membership. The membership fee is a monthly charge of $79.
Done membership gives patients access to their network of medical professionals. Members also receive:
The good news is, membership can be cancelled at any time.
Here are a couple testimonials from Done members on their experiences:
“I had my session last month and my NP was prompt to our appointment. It was a thorough, non-judgmental, and professional appointment. I felt welcomed and cared for the entire session. After my visit, I was prescribed a medication which was sent a day later…The Careteam was very very quick in responding and resolving my issue. I am very happy with the service provided and how fast problems were resolved.”
“Done first is a great telemedicine service for those with ADHD. I felt that my provider went over every option with me after doing a thorough analysis of my medical background. It was easy and I felt like I was really listened to. I've recommended it to friends in lieu of long visits to psychiatrists office because you can do your appointments and follow ups in the comfort of your own home. The membership portal is so easy to access!”
Ahead is another telemedical company and one of Done’s major competitors. At a glance, Ahead and Done are very similar — their websites even mirror one another.
Both require initial online assessments and follow-up appointments, and initial costs are comparable. They both also boast a vast network of professional medical providers.
The main difference lies in the on-going costs. Ahead does not require a monthly membership cost. Follow-up appointments (medication management) with Ahead are $160 per appointment.
One advantage that Ahead has over Done is that they do offer non-medical options such as psychotherapy. Their therapy appointments (plus medication management) cost $275 per appointment.
For those looking for a holistic approach to ADHD management may prefer the advantage of having a therapy option.
Bottom Line: Overall, both Done and Ahead are great alternatives to in-person psychiatric practices. Though each seems pretty pricey initially, they are still much less than most private psychiatric costs.
After review, it is obvious that Done, on the whole, is an effective telemedical option for those looking to manage and treat their ADHD. Here are a few pros that stood out to us:
Done’s Website and Initial Process
Firstly, Done’s website and overall interface is superb. The website is easy to navigate, simple, and free of distractions. This is important for those who tend to have troubling focusing and can easily get lost in loads of details.
Although Done does require a monthly membership cost of $79, this can be cancelled at any time. Members can restart services at any time, but an initial assessment and appointment may be required.
The biggest draw for Done’s services comes down to its convenience and cost. Many people enjoy the advantage of being able to manage their ADHD through an online provider, rather than private psychiatric practices, the costs of which can be much more.
No system is perfect. Done does have some areas that potential members should be aware of.
Insurance is Not Accepted
Done does not accept medical insurance for appointments or membership. That means out of pocket costs. However, insurance can be used for medications and some copays are as low as $0. Done does accept FSA and HSA payments.
ADHD can make life hard to manage. Fortunately, telemedical companies like Done are bringing a convenient, cost-effective alternative to help render a diagnosis of the condition and help set a personalized plan in motion to help manage ADHD symptoms.
Done is worthy of consideration for those looking to take the first step in taking back control over their ADHD.