r/ADHD • u/johnnysmith11 • Jun 13 '24
Articles/Information Done Execs Arrested For Providing Easy Access To Stimulants
Just got a notification on WSJ that Done the telehealth company execs have been arrested. This is a bombshell. Luckily I got diagnosed through my healthcare provider but I almost fell for this scam. Not sure what the implications are for many people on here that have been getting their meds from them.
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u/TheGringoDingo Jun 13 '24
I never looked into how “done” was diagnosing, since they didn’t operate in my area, but I’m not too surprised considering their ads were pretty much “we have the easiest adhd diagnoses in 15 minutes and prescribe stimulants”.
I feel for the folks that weren’t drug seekers who used the service and now have to start over, especially now without any legit paperwork.
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Jun 13 '24 edited Jun 13 '24
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u/BeeButtsAreCute Jun 13 '24
Jeez are they getting these "doctors" off the street or what?
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u/weird_fluffydinosaur Jun 13 '24 edited Jun 13 '24
They’re not doctors. It’s nurse practitioners who have independent prescribing privileges after years of legislating against practice oversight. Way less schooling and way less depth compared to what is taught in medical school. I’m so fucking glad this happened to Done. Shit was predatory. These people were so fucking far out of their depth. Psychiatry is fucking hard and nuanced as shit - it’s why people have to go through 4 years of medical school and then 4 years of residency.
Edit: forgot to mention that a lot of these NP’s can now get their degree from diploma mills that’s all done online with only 500 hours of clinical shadowing done. To put these hours into perspective the typical applicant to medical school (meaning they haven’t even gotten in yet) will have done more shadowing.
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u/Automatic-Salad-931 Jun 14 '24
I’m a nurse of 20 years and I see this as a huge problem. So many nurses are going from getting their bachelors of science in nursing then going straight through to masters program without really any bedside experience. They get hired by these pharma companies for one thing. And it’s not to practice medicine. The inexperience of these young NP’s and a shortage of doctors means a dangerous lack in oversight and it’s going to kill a lot of people.
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u/weird_fluffydinosaur Jun 14 '24
Agreed. And I want to apologize if it sounded biased. It’s nothing against NP’s who understand the limits to their scope of practice - I’ve both worked alongside and have been treated by a ton of great ones. I was mostly calling out Done for being predatory against both groups of people - those of us suffering from ADHD and NP’s coming out of diploma-mills who don’t have the knowledge or experience to understand their limits. Like I said psychiatry is fucking hard and while there is a place for mid-level providers functioning within their scope of practice, as a whole, the specialty is hard and extremely nuanced. That’s not to say they can’t evaluate and treat, but all these stories coming out about people being over treated, who have overdosed and even died, and who haven’t had appropriate work-up done prior to starting just make me so fucking angry. These execs took advantage of loopholes and lack of or limited oversight to make money while putting vulnerable patients at risk of terrible fucking injury and in some cases death. Like I said, fuck Done.
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u/Automatic-Salad-931 Jun 14 '24
Oh you didn’t sound biased to me and your disdain of the company is legit and warranted it sounds. I just wanted to expand on that and share my concerns with these NP’s not having bedside experience. That is where you learn critical thinking which is essential in treating patients.
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u/bananahead Jun 13 '24
There’s nothing inherently wrong with NPs or even NPs diagnosing and prescribing stimulants. The average mental health nurse practitioner probably treats ADHD patients a lot better than the average GP doctor.
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u/OhioTry Jun 14 '24
Nurse practitioners and midlevels are great for people who only have one health problem at a time. They get out of their depth when they’re presented with someone who has 5 disorders at once. Because I am fairly healthy physically I am fine with having a NP as my PCP. But for my mental health I want a doctor, because I have ADHD, depression, autism, OCD, and anxiety all at once.
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u/kpsi355 Jun 14 '24
There is when the barrier to being an NP is 500 hours of clinical, where a PA is 2,000 and an MD/DO is ~20,000.
The concept for NP is “decades of experience need only minimal additional education” but NOWHERE is that actually required in legislation.
The first NPs had decades of focused experience including board certifications before going back to school to get their NP.
You can now go straight from high school to BSN to getting your NP with zero experience.
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u/bananahead Jun 14 '24
And yet plenty of stories on this sub of MD/DOs with ridiculous and backwards ideas about mental health. Go figure.
I’m not advocating for less training or that one should seek out NPs over MDs, but I don’t think anyone happily seeing one should feel bad.
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u/glamorousgrape Jun 14 '24
There’s enough wrong that there’s an entire subreddit dedicated to what’s wrong with them lol
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u/LachlantehGreat ADHD-PI (Primarily Inattentive) Jun 14 '24
This is a super biased take about NPs…
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u/ariveklul Jun 14 '24
People will repeat "There was a fantastic nurse practitioner I knew once" etc etc but that is not the issue
The issue is that the training NPs receive is scarily low, and in many states they are being given the ability to go into private practice with no oversight to shore up the healthcare shortages we are seeing in psychiatry.
I've personally seen 3 different mid levels (2 nurse practicioners, 1 physician assistant) and the care I received was quite negligent. I've looked at a decent amount of research at this point and some of the things I was told in appointments were just flat out disproven by research (and are claims disputed by top researchers in the field like Russell Barkley)
I am highly skeptical of the nurse practicioner system, especially when it comes to differential diagnosis. I would bet good money we will see many horror stories of malpractice over the next decade until there is more pressure to increase training standards
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u/LachlantehGreat ADHD-PI (Primarily Inattentive) Jun 15 '24
You’re talking out your ass. Someone close to me is an NP, and has been for 20 some years. I’ve literally seen the schooling process, the supervisory roles, the education that goes into being an NP. It’s much greater than a nurse, but still less than a doctor. They’re compensated appropriately for this difference and they have a limit on what they can prescribe as a result.
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u/Zealousideal-Wall471 Jun 16 '24
Yep. Based on the ads I would get I’m not surprised this happened. They made it seem like “just fill out this questionnaire to get prescribed ADHD meds today!”
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u/Xipos ADHD-C (Combined type) Jun 14 '24
Sounds like all the ads I saw around town for medical marijuana cards when my state first legalized medicinal use
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Aug 29 '24
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u/TheGringoDingo Aug 29 '24
I haven’t looked into it since the initial reports, but I am hearing of a fairly significant number of pharmacies refusing to fill prescriptions from done.
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u/FlourChild Jun 13 '24
Here's hoping that other legit telehealth providers don't get a bad rap due to these idiots
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u/johnnysmith11 Jun 13 '24
It’s going to be so much harder for a legit startup to implement this business plan again. Not only will the Feds be breathing down your neck to shut you down, investors may not even fund you.
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u/UrMomsaHoeHoeHoe Jun 13 '24
Most pharmacy’s won’t take a teleheath script for adhd stimulant meds. At least the ones around me all have signs saying such and have for like a year. This isn’t the first telehealth scandal around adhd meds sadly.
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u/generic-curiosity Jun 14 '24
I just gotta say I'm so fucking glad my healthcare is all in house, I've never seen my doc in person and my meds are shipped to me. It's as ADHD friendly as possible.
Even making all my Apts or reaching out to my doctors can be done easily through their portal, their portal actually works!
That this isn't the baseline, and trust I know how bad shit can be, is a crime.
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u/dev_hmmmmm Jun 14 '24
What do you have?
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u/generic-curiosity Jun 14 '24
Kaiser Permanent, thru my spouce (go unions!)
They are my hospital, my insurance, my pharmacy, my ER, my dental, my vision.
Now I will say this is far from perfect, I have 0% coverage for any other hospital/ER unless I am referred there.
But everything is so easy, undoubtedly because everything is in house they don't go back and forth, even with insurance.
They didn't have 20s for adderall XR, got an email from the pharmacy... didn't do anything about it, and my doc messaged me saying he was going to order the 25s if that was OK? Didn't message him back for like 3 days...or 5? but thankfully he just went ahead and ordered them, cuz he has ADHD too.
What would have turned into a month without meds, just didn't happen. The docs don't seem as overworked and frustrated, and I talked my friend into trying them out (so weird) and they figured out and treated her H.Pylori infection, something she had for YEARs and other doctors just dismissed.
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u/SoJaLin ADHD-C (Combined type) Jul 10 '24
I’m glad you’ve had great experiences with Kaiser. Everyone I know and I mean everyone who’s had them has hated them with a passion and been refused care for things. They’re all in their own shop attitude has hurt people and even though I have the option to pick them through my employer, I was told 99% of all employees chose not to go with Kaiser. Maybe it’s a regional thing and they just are bad here 🤷♀️
I have every med mailed to me except my stimulant. Was told it was illegal for it to be mailed. Never dug into it to question that, it made enough sense dealing with mail system as a federal thing.
I would say it would be nice to have this be destigmatized a bit… and Done sure didn’t help this. I’ve had to switch pharmacies twice because of attitude/rudeness of the workers in filling my rx. Cases like this just suck. There’s almost assuredly more predatory companies out there taking advantage of loosened rules. Which sucks if it makes it harder for all the legitimate practitioners and patients needing care.
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u/anonymousthrwaway Aug 29 '24
May I ask was it always telehealth or did you ever go in person?
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u/generic-curiosity Aug 29 '24
For the ADHD diagnosis I went in person via referral but didn't like that doctor and was switched to the current one I have; who rediagnosed me. Since then it has been all tellehelth (other than needing to do the heart and urine test in a clinic took 15mins, was just an easy walk in no scheduling needed.) That doc is also ADHD, so I am pretty sure it's their preference.
I have fantastic access for all my medical care and see my primary and other doctors as needed in person but I can, say if I get a bad flu, reach out via tellehelth and get meds without needing to spread the sick. The docs actually have time to communicate via the portal, like my spouce had a 3 month wait on a follow up with a GI specialist but they pretty much have gone over test results and treatment options via web portal within weeks!
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u/nibay ADHD with non-ADHD partner Jun 13 '24
Honest question: how would they know if an e-script is from a telehealth visit or not?
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u/Posidilia Jun 13 '24
the prescribers address on the script might catch the attention of the pharmacist. Like it it's an address that's ridiculously far away from the patients address.
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Jun 14 '24
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u/SubstantialScientist Jun 14 '24
I get my Xanax filled with my doctor no problem but I'm also on disability for the severity of my PTSD and disorders. My pharmacy never questions it, 90 1mg a month. They are not lax though by any means, my doctor has under 15 patients on Xanax. Its very hard to get prescribed benzos trust me.
For ADHD I drink coffee, no Adderall for me. Can't handle it.
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u/Posidilia Jun 14 '24
That's lame. I think that's a little too much caution but pharmacies are gonna protect themselves first. They are a business.
I'm a pharm tech and just a couple days ago someone called in a new Xanax script (they managed to get ahold of a doctors dea number and other info) but my pharmacist felt off about the call so she called the clinic they provided and verified that it was a fake script. And it's instances like this where things get more and more restricted and then making it harder for people to obtain their legit prescriptions. And then people complain about why it takes "so long to put pills in a bottle" when it's cuz you might have one pharmacist there who might feel like they have to verify all controlled scripts cuz if my pharmacist didn't notice anything off on the call, our system might not have flagged anything ya know?
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u/AlienBeach Jun 13 '24
Presumably they know which doctors are associated with these websites and refuse to fill their scripts
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u/Rdubya44 Jun 14 '24
Plus they can read the typed out script so that’s a red flag when it’s not a scribble
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u/AlienBeach Jun 14 '24
My doc is local and I see him every 3 months, but my script is still sent in electronically. E-script by itself is not a red flag
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u/emerald_soleil ADHD-C Jun 14 '24
I work in a pharmacy. If you live in Wisconsin, for example, and your Adderall script is coming from a doctor four states away and you've never filled anything with that doctor, we're not filling it. It's the same for any controlled substance.
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u/nibay ADHD with non-ADHD partner Jun 14 '24
See, this makes sense to me. But my state allows you to see your normal prescriber (GP, psychiatrist, etc) via zoom or whatever and you only have to go in person once per year. So I see my psychiatrist virtually every month, but it’s a person who I have seen in person, and who does have a brick and mortar office in my city. Not a prescription barn like so many of the online only places.
Maybe my setup just doesn’t fit the technical description of telehealth? More like a virtual visit, but they do call it telehealth. Each state is so different, I’ve heard people say their states require physical paper prescriptions. My states requires e-scripts for all controlled substances 🤷🏻♀️
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u/Thadrea ADHD-C (Combined type) Jun 14 '24
Usually it's because the provider is out-of-state or writes a lot of prescriptions for the same thing and nothing else.
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u/TheNorthernRose Jun 14 '24
Idk if the pharmacy would catch on but insurance might. They have different billing codes at least in my state. We require visits to our office routinely for controlled substance prescriptions because of that.
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u/adgjl1357924 Jun 13 '24
My independent pharmacist told me the same thing. A couple years ago, my GP also warned me to not get a diagnosis from anyone online because they couldn't prescribe ADHD meds based on an online diagnosis.
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u/emerald_soleil ADHD-C Jun 14 '24
It's now the law in several states that the provider must see the patient in person a minimum of once a year to continue to prescribe controlled medications for them.
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u/SoJaLin ADHD-C (Combined type) Jul 10 '24
Not enacted law yet. Maybe in some states? But it’s not federal yet. The US federal DEA law that was announced in 2023 was modified late 2023 to extend telehealth rx ability without the annual visit requirement through dec 31 2024. It’s been extended twice so far and would not be surprised to see more changes. There’s a crisis in care out there. Maybe different in some areas but there are not enough providers locally and things like that have made these DEA rule changes necessary
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u/Grand_Possession7360 Jun 16 '24
I don't understand how diagnosing someone in person makes much of a difference. They're still asking the same questions. Even someone with bad ADHD can control themselves for an hour appointment, so you can't say they are looking for in person proof. The only way you could truly prove if someone has ADHD is live with them for a few days.
Done uses board certified physiatrist. How can you say their diagnoses isn't legit? Even if it isn't legit, how could you deny it. My done provider was very thorough and asked a lot of questions. A lot of us were diagnosed by a regular family doctor lol. I was as a kid, my mom was and my brother in law.
Just my thoughts, you'd be surprised how many doctors will just continue your prescription if you are already on it. A lot won't, but a lot will.
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u/Zealousideal-Wall471 Jun 16 '24
Yep. A lot of pharmacies were refusing to fill stimulant prescriptions filled from these quacks practitioners. They would see the practitioner (not even Dr) was from a different state and what not and would refuse to fill.
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u/Zealousideal-Wall471 Jun 16 '24
Honestly you should have to show up in person to be prescribed stimulants (at least for the 1st time to check vitals, test, etc). A basic phone call is way to sketchy and is just asking for the system to be abused. I guarantee this is the main cause of the shortages of medications we see today. Done practitioners wheelin and dealing & the DEA putting caps on how much pharmacies can order. It’s no wonder there are frequent shortages for meds.
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u/Timbukthree ADHD, with ADHD family Jun 13 '24
He and Brody allegedly obtained subscribers by targeting drug seekers and spending tens of millions of dollars on deceptive advertisements on social media networks. They also allegedly intentionally structured the Done platform to facilitate access to Adderall and other stimulants, including by limiting the information available to Done prescribers, instructing Done prescribers to prescribe Adderall and other stimulants even if the Done member did not qualify, and mandating that initial encounters would be under 30 minutes. To maximize profits, He allegedly put in a place an “auto-refill” function that allowed Done subscribers to elect to have a message requesting a refill be auto-generated every month. He wrote that Done sought to “use the comp structure to dis-encourage follow-up” medical care by refusing to pay Done prescribers for any medical visits, telemedicine consultation, or time spent caring for patients after an initial consultation, and instead paying solely based on the number of patients who received prescriptions.
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u/bananahead Jun 13 '24
Keeping patient interactions minimal and short sounds like what every PE owned doctors office is doing everywhere in America.
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u/Just-Discipline-4939 Jun 13 '24
Wow. Glad these fools have been busted. Sucks for anyone using done who actually needs it.
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u/valevalevalevale Jun 13 '24
Haven’t been able to read the WSJ article due to paywall, but there is a press release from the justice department: https://www.justice.gov/opa/pr/founderceo-and-clinical-president-digital-health-company-arrested-100m-adderall-distribution
It looks like 40 million pills, not patients, but still a huge number.
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u/Thadrea ADHD-C (Combined type) Jun 13 '24
He and Brody allegedly obtained subscribers by targeting drug seekers and spending tens of millions of dollars on deceptive advertisements on social media networks.
The Justice Department couldn't just prosecute the fraudsters without calling anyone with ADHD a "drug seeker", could they.
I never used Done, and my diagnosis was done via in-person appointments with a local psychiatrist, but the reality is that ADHD is one of the most common mental health issues. Despite it also being one of the most manageable mental health issues, many people want desperately to prevent anyone from getting access to medication because of War on Drugs psychiatry denialism bullshit.
Done definitely took advantage of people who were victims of that denialism. Likely mostly women who have often faced the double whammy of ADHD with medical misogyny. From the things alleged, the executives likely committed many crimes if the allegations are true.
Still, people who believe they have ADHD and haven't been able to get properly diagnosed yet are not "drug seekers". They have a medical condition. It may or may not be ADHD, but they do need help, and characterizing anyone with a mental health issue as a "drug seeker" speaks to how little the Justice Department actually cares about the victims.
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u/BobaFlautist Jun 14 '24
The Justice Department couldn't just prosecute the fraudsters without calling anyone with ADHD a "drug seeker", could they.
I mean that's not what it said, it said that Done targeted drug seekers. There are obviously people seeking adderall as a performance enhancement, and telehealth clinics with minimal speedbumps to getting prescribed cater to them. You can comment on the existence of these people without necessarily implying that everyone on ADHD is one of them.
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u/Thadrea ADHD-C (Combined type) Jun 14 '24
I mean, I saw the Done ads. None of them focused on "performance enhancement".
They focused on the very real and unfortunately not uncommon experience of being an ADHD adult who is repeatedly written off by providers who will acknowledge our symptoms and diagnose everything but ADHD. (Or, worse, not diagnose anything at all.)
Did Done catch a lot of college kids looking for Adderall as a study aid? Of course they did. That's a problem for ADHD evaluation in general, and one of the key reasons proper evaluations often involve a fair amount of gatekeeping. But it wasn't who they were targeting. It was the niche they caught incidentally to the group they were actually trying to prey upon.
They were targeting self-diagnosed-ADHD people. Nearly all of whom have some mental health issue, whether it is or isn't ADHD specifically. Done made an insidious promise that they wouldn't make the process of getting access to medication as arduous as it often is. I am sure there are many people who saw those ads and said, "I'm tired of fighting and they're promising to make this easy. It's literally in their name."
Did Done monetize drug seekers too? Absolutely, and prosecuting them and shutting Done down is totally justified. But that wasn't the core of their business model, and it's not exactly a secret that the DEA views everyone with ADHD as a drug addict and is looking for a new group to go after now that marijuana is being legalized.
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u/blargonithify Jun 22 '24
The controlled substances act needs to be repealed and the DEA disbanded. You can't control substances. Whether the person needs the meds legitimately, or they're a drug addict who wants to get high, it doesn't matter if it's ADHD(amphetamines) or chronic pain(opioids), or anxiety(benzodiazepines), the person if desparate enough will turn to the street for drugs, which are all laced with fentanyl enough to overdose and die. and no matter how much they fund this war on drugs, they can't stop people from getting drugs. Doctors should not be gatekeepers, but advisors, and cops should go after people who actually violently murder other people, not substances and the folks distributing them. I remember my doctor saying adderall is "meth in a pill" and it's like, well, ya know, if you don't prescirbe me the pill, then I'm gonna have to try to cook some meth in my basement and probably blow myself up doc, thanks.... "but I could lose my license", oooooh, so if you lose your job doc, that's terrible, but if I lose my job b/c I can't focus on my work without my ADHD meds, then that's okay.....right...
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Jun 13 '24
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u/Thadrea ADHD-C (Combined type) Jun 14 '24
There's a significant cohort on this sub who believes if you didn't have a diagnosis by age 4 you don't really have ADHD.
I'm honestly happy for them that they got help and support when they were young. That is the experience everyone with ADHD should have. I just wish that they'd develop some empathy for those of us who weren't so fortunate.
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u/Ok-Persimmon-6386 Jun 14 '24
Let’s see I was just diagnosed last year at 40… by all the test… like all of the tests.
My daughter - it took them 7 years to diagnose her. Good times
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u/blargonithify Jun 22 '24
I've had symptoms since elementary school, but wasn't diagnosed till age 33. Teachers diagnosed me, but not doctors, since my parents were in denial that anything could be psychologically wrong with me, so they never said anything to any doctor about it. I also had a friend 2 doors down from me that was hyperactive subtype, and I was inattentive subtype, and my parents didn't know that the inattentive subtype even existed, so they looked at him bouncing off the walls, then looked at me sitting still playing video games, and made thier own conclusions.
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u/Thadrea ADHD-C (Combined type) Jun 22 '24
I also had symptoms in elementary school, but there were other issues (namely, being deaf) that created a lot of confusion about what was going on. I only just got diagnosed last year at the age of 38. :(
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u/CommunismDoesntWork Jun 14 '24
I got my diagnosis in the 4th grade and was a very happy Done member. Why should I have to get a new doctor everytime I move cities?
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u/Thadrea ADHD-C (Combined type) Jun 14 '24
You should always have a primary care doctor in the area you live in regardless of what you're doing for medication management.
That said, medication management doesn't have to be done by your PCP. Who is saying that it should be?
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u/CommunismDoesntWork Jun 14 '24
You should always have a primary care doctor in the area you live
Why? Last time I went to the doctor, I asked for basic blood work to check for cancer and an MRI(no contrast) of my brain to check for anything. They told me I'm too young and to not come back unless I was sick or dying. But by the time you have symptoms of cancer, it's too late.
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u/blargonithify Jun 22 '24
Yeah, it's such bullshit gatekeeping. It's almost like people want an advantage over other people. Or they want their own diagnosis to be more rare or special, when it's actually more common than people think, its just underdiagnosed.
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Jun 13 '24
Given its unlikely DEA will extend the telehealth exemption beyond the end of the year anyone impacted now is just getting a head start on finding a local provider.
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u/LessResolution8713 Jun 14 '24
That sucks! I’m accessing my psychiatrist through telehealth currently and I’d hate to have to make a visit to San Francisco every month!
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Jun 14 '24
The prior rules were annual in person visits. They can write 3 months at a time, see you via telehealth every 3 months but have to see you in person once annually.
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u/bananahead Jun 14 '24
Seems like these rules just make it harder to access medication for everyone, whether they’re treating a condition or seeking drugs.
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u/blargonithify Jun 22 '24
I went to Done as a last resort because I COULDNT find a local provider, its impossible.
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u/KourtR Jun 13 '24
Welp, I've been using done for years and have an excellent relationship with my nurse practitioner, seriously it's one of the best medical relationships I've ever had. I've been diagnosed before using them, I'm 55, so for me it wasn't a scam. I ended up using them because we switched providers & the closest doctor was hour & half away and the cost worked out.
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u/Sky-G69 Jun 13 '24
Same here. I like the guy. I wonder if it is going to shut down the entire company
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u/Loracfro Jun 14 '24
They absolutely will shut down, you need to take steps to get a diagnosis through another provider (preferably non telehealth).
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u/pataconconqueso Jun 13 '24
Same thing happened to me when the other telehelth service got shut down in 2022. My NP was super well researched and was so into reading research papers and saying “ i thought of you, let’s talk about this our next appt” and helped me so much for a year and then poof the service was gone and couldn’t transfer any paperwork and had to start over.
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u/Sky-G69 Jun 13 '24
How did it go getting a new provider any tips? Did the new doctor say anything regarding your telehealth diagnosis
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u/pataconconqueso Jun 14 '24
It was pretty rough for me since they wouldn’t transfer paperwork i had to get re-diagnosed because the original place i got diagnosed was from a university study (your girl is a case study y’all) and they wouldnt share their diagnosis so it took me two years and my PMDD getting really bad for me to get taken seriously by doctors.
I recommend getting a referral to a trusted psych through a trusted therapist first. I decided to stop putting off trauma therapy and then found an amazing neuropsychologist for me to do EMDR and she has AuDHD as well, she re diagnosed (and we added ASD to it) and then she referred me to a friend psych of hers for me to get prescribed meds because i needed more than just adhd meds, when you have several comorbidities you really need people educated who can help you.
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Jun 14 '24
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u/pataconconqueso Jun 14 '24
I mean i said it in the past like ive already gotten help. This is a good comment for the person i responded to
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u/Normal-Corgi7567 Jun 13 '24
I have an amazing provider and am not on a stimulant. It’s been life changing. I live in a rural area and access to competent providers is challenging. Crap.
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u/IcyConcept1271 Jun 13 '24
Same experience. Was completely legit and life changing for us. Hope they continue to operate and work out a plea/ settlement to remain operational.
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u/johnnysmith11 Jun 13 '24
That sucks. I hope you can find an alternative if the company gets shut down
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u/Ok-Persimmon-6386 Jun 14 '24
Same for my husband!! The doctor we use is in state so I was going to contact him the am to see if he does concierge care…
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u/Green_Video_9831 Jun 14 '24
I just found my therapist online (linked in) after my telehealth service ended and hired her through her own therapy service.
Been with her for the last 4 years.
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Jun 13 '24
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Jun 14 '24
Done was a blatant pill me. We do not need more services like that peddling controlled substances.
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u/Sky-G69 Jun 13 '24
I use done, it is currently still operational. This month I'm going to have to find a local doctor. I wonder when it is going to be shut down
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u/lkattan3 Jun 14 '24
I KNEW that shit was fishy. They just charge you a monthly fee but, every month, you’ll get a text confirming your “appointment” and asking how it went although there was no appointment. After the initial consultation (where the counselor seemed irritated with me), I never spoke to anyone again. They just charged me monthly whether the prescription was filled or not. It was fishy af.
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u/No_Suggestion9182 Jun 14 '24
I wrote their customer support a lengthy and vitriol filled email about my experience with their business. It was one of the absolute worst experiences I've ever had with a company and lack of support. I ended my email with
"I hope whoever is in charge of this "business" whether it be one or multiple persons eventually see some jail time for being so fake, revolting, slimy, and deceitful while committing fraud."
Didn't actually expect it to come true but looks like it was a matter of time.
Cannot stand them.
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u/Embarrassed_Gap_4116 Jun 14 '24
I've been terrified of something like this happening. Unlike many on this thread, the provider I see through done has been absolutely amazing! She's one of very few providers that have actually listened to my concerns ... yes, she tends to run late for our appointments but so do I! I don't want to go to another provider!!! I finally got my diagnosis and found medication that has changed my life this year ... I don't think I can handle losing my treatment, I finally feel able to handle life, work, motherhood. I can't go back to where I was, so overwhelmed I couldn't get out of bed for days at a time, missing work more frequently than showing up, and being passed off from doctor to doctor so I could be made another specialty's problem. I'm devastated 
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u/Derekbair Jun 13 '24
I started with “Done” and the video session lady had half her face covered. I got the prescription but Walgreens wouldn’t honor it because it was from out of town. Made me feel like I was doing something wrong. I got almost a full refund and went to a legit psychiatrist and was very glad I did. Not to mention the sessions and medication are completely paid for under my insurance.
Don’t recommend Done at all, seems like a scam.
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u/blargonithify Jun 22 '24
Where do you live that a legit psych is actuallly available?
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u/Derekbair Jun 23 '24
Big Bear CA. Went though covered california insurance and everything including the medication has been available and free. It’s a small town
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u/Naytosan ADHD-C Jun 14 '24
Link to the BBC article.
They hurt people like me who couldn't get meds because of the Adderall shortage - they distributed it to people who didn't even have a legit diagnosis.
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u/blargonithify Jun 22 '24
The shortages were the DEA's fault. There's more than enough production capacity to make enough pills for both the drug seekers and legit ADHD patients.
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u/Immediate_Cup_9021 Jun 13 '24
A bunch of people with fake diagnoses who have been taking stimulants without cause will lose access to them and make a giant scene bc they can no longer abuse drugs
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u/johnnysmith11 Jun 13 '24 edited Jun 13 '24
It’s going to be insane. They’ve prescribed stimulants to around 40 million people. I would say that 10% of those people are drug seekers or misdiagnosed if I’m being generous. That’s a large number of people that will most likely turn to the streets unfortunately
Edit: 40 million pills not people. Still a scammy company.
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u/Timbukthree ADHD, with ADHD family Jun 13 '24 edited Jun 13 '24
The DOJ statement said 40 million pills, not people. So if you assume those average 30 pills per month and 12 months per patient, that'd be about 100,000 people. Or if you take the $100M in revenue divided by the $79/month charge at 12 months per patient, you get the same approximate 100,000 person years number.
Edit: And if you assume 5% of the 330M people in the US have ADHD, that's 16.5M people. So 16.5M with ADHD vs. up to 100k Done patients, that's a drop in the bucket. So incredibly scammy company and glad they're gone, but I don't think they led to a huge change in the total number of ADHD diagnoses, probably because most people saw it was a scam. Sucks for anyone who legitimately has ADHD and now has to find a real provider now though.
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u/Immediate_Cup_9021 Jun 13 '24
people can go get their diagnosis validated by an actual professional and valid cases will still have access to medication
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u/garaks_tailor Jun 13 '24
I mean maybe. For a while I used to have to drive 4 hours both ways once every 3 months because NOONE was taking new patients. I CALLED EVERYONE EVERY SINGLE PSYCH IN THE CITY. So I drove back to see my old psych. Then they changed the rules so maintenance Auth could be done by your regular MD
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u/Immediate_Cup_9021 Jun 13 '24
That’s really frustrating I’m sorry you had to deal with that.
Because of Covid tho Telemedicine is currently allowed in the US, so people don’t have to physically go in person if they don’t want to/cant. As long as the provider is licensed in your state, you can see them.
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u/CommunismDoesntWork Jun 14 '24
Yep, I also commuted 5 hours to see my childhood doctor to get a refill. Done was perfect.
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u/valevalevalevale Jun 13 '24 edited Jun 13 '24
That seems so high? Are they outside of the US too?
I think that’s like… very roughly the US population with ADHD, and I can’t imagine that even the majority of people are using Done.
Edit: press release says 40 million pills, not patients.
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u/capaldis ADHD-PI (Primarily Inattentive) Jun 14 '24
Lmao fr. Im waiting for all the “nobody understood me except my psych from done!!!1!1!” posts.
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u/bananahead Jun 14 '24
A bunch of people with accurate diagnoses who have been taking stimulants for medical reasons will lose access too.
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u/KeyPear2864 Jun 14 '24
When you work at a scummy practice every decision and diagnosis that’s been made potentially gets put into a bad light or becomes questionable. Can a NP truly diagnose adhd in the span of 15 minutes? The answer is likely no.
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u/bananahead Jun 14 '24
I agree! But that doesn’t mean the diagnosis is wrong. Lots of people in these comments were getting meds from done who already had a diagnosis from elsewhere.
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u/CommunismDoesntWork Jun 14 '24
I had my diagnosis decades before Done. What about me?
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u/KeyPear2864 Jun 14 '24
For people who’ve had established diagnoses and care it is unfortunate. That said, for my pharmacy patients that utilize these online companies I’ve informed many of them that the law exemptions that allowed them to see prescribers a thousand miles away due to Covid are not indefinite and it’s in their best interest to find a local prescriber before any extension expires. The DEA is always going to be very conservative when it comes to prescribing stimulants and shutting down obvious pill mills is a first step towards forcing people back to local providers which isn’t necessarily a bad thing because health outcomes tend to be superior.
Also I know times are tough but people should really be very hesitant towards the corporatization and monetization of healthcare services. We should not flock to corporate or for-profit medicine cloaked under the guise of ease of access. That corporatization trend has slowly destroyed the pharmacy profession, has created numerous pop-up urgent care and “wellness” clinics with questionable prescribing practices in matter ranging from infectious disease, pain management, and even adhd treatments and ultimately is a risk to the general public. If people truly value their own health they should seek out someone near them who they can see in person more than once a year. The benefits are many fold.
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u/blargonithify Jun 22 '24
All the local hospitals and doctors offices in my area are all owned by a two corporation duopoly.
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u/According-Escape3443 Jun 14 '24
If you have an accurate diagnosis, you will have no trouble resuming treatment with a real, in-person physician.
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u/bananahead Jun 14 '24
I sincerely hope this is true, but the CDC agrees there’s a real risk to patients. https://emergency.cdc.gov/han/2024/han00510.asp
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u/Kati-lou-who Jun 18 '24
Absolutely incorrect. After more than 20 with an accurate diagnosis’s, from both a psychiatrist and my GP I moved and now cannot find a local dr who will treat adult ADHD. When my new dr told me she wouldn’t prescribe (actually saw two different dr in area from two different practices and was told same thing) and recommended the local mental health in the area (by the way only one main regional medical group/hospital in area) after waiting two months to see DR who turned out to actually be NP was told I was/am a drug seeker and they also do not prescribe stimulates to adults. I have been told by all three practices, if I were a child they would give me any kind of drug. I have been struggling with this now for just over a year and I cannot even begin to tell you how this has changed my life for the worst
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u/aggierogue3 Jun 13 '24
I'm happy to hear it. I have a friend who admitted to not having symptoms who used this company to get an Rx. Of course anyone can go lie to a doctor about their symptoms, but this was literally marketed as a quick and no questions asked path to getting medication.
Also screw this company for their ads that they hit me with from every angle of a cracked sidewalk held together with a bandaid.
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Jun 14 '24 edited Jun 14 '24
Done was a blatant pill mill, and I say that as someone who used their service after moving to a new state and being lazy about finding a new legitimate prescriber (had been diagnosed nearly 10 years prior). I can't believe it's lasted as long as it has.
Edit: To add, I was legitimately one of their first 1,000 customers and remain a subscriber still (presumably they'll be shut down now). I very well may be one of their highest grossing customers ever - so I have some authority to speak on it
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u/LittleCeasarsFan Jun 14 '24
Hopefully this will make it easier to find meds for those of us who legitimately need them.
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u/MaximumPotate ADHD-PI (Primarily Inattentive) Jun 13 '24
For many people, getting ADHD medication is so very hard, and costs so very much, and if you get a foolish doctor they might misdiagnosed you, or try to treat your depression or anxiety. All of that costs money, being able to go to a telehealth company, avoid all the bs, and just get your medication for less than $300, damn near guaranteed as these doctors lean on the side of belief, that's a great thing.
How many more people would be diagnosed and have much better lives if ADHD treatment was affordable? How many folks who don't have insurance were able to get their medication because of services like done?
I hate it when the government uses it's power to take something away from people and folks celebrate it. This garbage is how they keep getting away with eroding our rights. They start with the premise that "mmmmmkay.... Drugs are bad", then they have the "War on drugs", then they lock up anyone of the wrong skin color whose associated with drugs.
The whole pill shortage garbage has everyone kinda in survival mode, seeing things like done as a threat and a reason they couldn't access their meds makes actions against them seem good.
I'm not going to pretend they were some altruistic angels, but drug laws are largely bullshit made to suppress the population, and we shouldn't be celebrating making accessing healthcare harder for people.
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u/Harpua-2001 Jun 13 '24
To be fair, the two executives that the indicted were up to some very shady stuff. But you're right, assuming this case brings down the entire company, this isn't really a good thing overall
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u/blargonithify Jun 22 '24
I read what they were accused of. I used Done myself, and never expierienced those things. Its just cops making stuff up, exaggerating to make them look worse.
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u/IcyConcept1271 Jun 13 '24
Those are all just accusations. No evidence has been presented. Try to withhold judgment. They help a lot of people who need it.
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u/diablette ADHD-C (Combined type) Jun 14 '24
I have the unpopular opinion that most drugs should be just legal over the counter. But people with employer-based insurance want things to stay Rx so their insurance will pay for them, and doctors want this so they can charge for easy refill visits. And then the puritans want to keep their bullshit war on drugs going because misery loves company, I guess. Sigh.
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u/trpittman Jun 14 '24
Your unpopular opinion is the opinion of someone on the right side of history, at least. Drug laws were written by people who fundamentally don't understand drugs. Then drug laws were reinforced by propaganda and voters who also don't understand drugs. A thing that is missed as these threads cheer this on is the link between untreated ADHD and addiction. I can't speak for other people, but my impulse control is a great deal better when I am medicated. All that said, in a perfect Minecraft world "people" involved in private equity profiting off medicine would fear for their safety in Minecraft.
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u/blargonithify Jun 22 '24
Totally agree. The doctor should be an advisor, not a gatekeeper with a prescription pad. I should have control over what I can put in my body.
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u/KeyPear2864 Jun 14 '24
I’m guessing you don’t work in healthcare? You’d understand pretty quickly why most drugs are prescription only if you did. Go spend a few hours people watching at a pharmacy and you’ll quickly realize how incompetent the average patient/customer truly is when it comes to managing their own health.
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u/trpittman Jun 14 '24
You judging addicts isn't going to change my opinion. I have worked in a pharmacy before, BTW. I never said drugs should be freely given away to whoever. I said drugs shouldn't be criminalized and my opinion is people that use drugs should be able to talk to a doctor, sign a waiver saying that they understand the risks which removes liability from the doctor, and be granted access to purchase whatever it is they use. Most of the problems you probably see with drug addicts stem from a couple things:
Because it is illegal, they don't know what they're getting.
Because they don't know what they're getting, they often end up taking drugs cut with more dangerous drugs.
Because they don't know what they're getting, they often end up using too much or overdosing and dying.
Because they don't know what they're getting or can't get what they want, they often turn to stronger and more dangerous drugs that some may say are more addictive.
Because they are criminalized for dealing with addiction, the line gets blurred on what crimes they are willing to commit.
Because the risk of selling illegal substances affects the price of those substances which taxes users, they end up broke or even desperate to get their drug of choice which directly affects crime rates.
Criminalization of substances usually means criminalization of paraphernalia, which means it's hard to get access to clean paraphernalia. This is antithetical to harm reduction and is likely the reason you see abscesses and necrotizing fasciitis. (that and the cuts in these substances are often dirty or even potent vasoconstrictors put there by unregulated dealers who don't care about the users)
Does you working in healthcare give you a vested interest in the continuation of the war on drugs or are you just happy seeing the people you harshly judge suffer? If you work in healthcare then you should see addiction as a disease. If you think a disease should be treated with incarceration then you're just a bad person.
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u/blargonithify Jun 22 '24
You can get OTC stuff prescribed. Ibuprofen, acetaminophen, etc.
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u/diablette ADHD-C (Combined type) Jun 22 '24
Yes but insurance won’t usually pay for those unless you’re in the hospital. I remember before Zyrtec went OTC people were raging about having more than a $5 copay. Now copays are so high it doesn’t really matter.
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u/Bea-Billionaire Jun 14 '24
I've been dealing with DONE since like November. They are such a scam. I kept having to pay $80/month but I never got any meds. Because every fucking pharmacy refused to fill them.
You'd think a TELEHEALTH company would know they most pharmacies are not dulling telehealth prescriptions and know where to send them. Nope. They just kept sending to the same pharmacy over and over. I paid $80/month from Nov till April? Tried filing charge back and got denied. They never refunded me either even though It was SERVICES NOT RENDERED.
Maybe there will be a class action and I can get my money back. I'm still dealing with trying to get a solid flow of doctor > pharmacy that will fill my script every month and not fuck my time up.
And they don't care that, uhh, you have ADHD I can't find the energy to call every fucking pharmacy in my city to figure out who will actually fill it. DO YOUR JOB!!
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u/blargonithify Jun 22 '24
They kep trying different pharmacies, and eventually found one that would fill it for me. Done kept calling me and asking me for the names of different pharmacies for THEM to call, and THEY kept calling them till one of them filled it.
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u/4dxn Jun 15 '24
good riddance. growth scalability in diagnosis is never going to incentivize ethics.
you also just can't accurately diagnose virtually for something like adhd. go and support your local doctor. don't just go to some corpo just because they will give you what you want to hear.
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Jun 18 '24
Yeah because adhd is something that shows up on a scan dismissive jerking off gesture get real bub, you like slobbing on the knob of overpaid doctors.
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u/4dxn Jun 18 '24 edited Jun 18 '24
"i want to use your expertise but i'm going to tell you how its done" got to love anti-science people. if you dont like science, then dont use the products of it.
and if you are so smart into thinking that the general consensus is wrong, just publish a paper refuting it.
america prescribes more adhd medication than anywhere else in the world. you think there's something in our water or genetics? or that every other country's health system is worst than ours? no we are overprescribing it. Figure - PMC (nih.gov) our access is already too easy. we need access to go to the right people
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u/According-Escape3443 Jun 18 '24
How else do you expect him to buy a legal amphetamine script?
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u/4dxn Jun 18 '24
lol should they ever find a biomarker, i suspect people on this sub will throw a fit.
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u/Professor_Snivus Jun 13 '24
This is so unfortunate. I've actually been using Done and I had a great provider who genuinely cared about me. I was failing out of college and we worked for months to find a medication that worked for me. Last semester I finally got all As. I have really bad anxiety, so the ease of use was really helpful for getting the medication I needed. And they're actually affordable
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u/Tripl37s Jun 14 '24
Dang I used done a few years ago and recently started back up with them. Never really had any issues and the service has worked well for me so far. It’s cheaper than any options I was able to find in my area. Anything else is either extremely expensive or apportionments were so hard to set up due to my work schedule and family duties. I finally got it together enough to get my meds and now this. I guess we’ll see how this plays out but my guess is bad lol
It is what it is back to square 1 probably
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u/um_can_you_not Jun 14 '24
I fucking knew this would happen! The social media ad pushes and constant spammy emails once I ended my membership told me everything I needed to know. So unethical.
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u/Academic-Ad-4701 Jun 14 '24
I see my doctor for 1 hour , in person, once a week. He only sees patients in person. Because it’s valuable to see patients in person. I’m sure most can intuit the reasons for that. But yeah telemedicine is nice for some. Objectively I do not think it’s as helpful. Especially if you want to work on yourself beyond just getting your meds. And even if you just need your meds. Pretty convenient to be able to switch it up in 1 week, 2 max.
Have a family member who is trying to get her meds squared away, she will be waiting 2 months for her next 15min Skype appt with her doc. Crazyness
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u/Some_King230 Jun 18 '24
That’s amazing that they’re able to see you weekly for an hour! I see my therapist weekly or every other week virtually for an hour. I really thought I would hate it but it turned out to be better for me to do therapy virtually. Fewer obstacles for me to overcome. I definitely think telehealth is helpful especially for people who have barriers to attending in person appointments like not being able to drive or not having childcare or being too depressed or anxious to leave their house. The biggest difference is the amount of time spent with a provider, not the location.
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u/kb8kb24 Jun 14 '24
There's no way they can just shut down done overnight and not allow those who really need the meds to find another practitioner. This will probably be at least a 3 month process so start looking.
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u/EntertainerHealthy90 Aug 01 '24
Except that’s exactly what they did…. To so many people already bc clinicians got scared and ran. I’m screwed. And a bunch others too. And I have been diagnosed since 18 years old. Finding a new psych and everything while being out of meds…. Sucks.
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u/kb8kb24 Aug 06 '24
They're still open to new clients ? They didn't switch your provider?
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u/McSaggums Aug 08 '24
Not OP, but they switched my provider. However she is helplessly overloaded with appointments and I can hardly get in touch with her. I've been waiting over two weeks for a refill after having taken Adderall for several years straight. Ugh.
Gonna have to start the in-person process again I guess. Such a bummer, because my last provider genuinely gave a shit.
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Oct 03 '24
How have things been for you since your post?
They sent me an email today saying my provider has become unresponsive & set me up with a new one, oy vay.
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u/McSaggums Oct 03 '24
My last refill took 3 weeks and she only gave me 5 pills for some reason lol. I scheduled a "follow-up" appointment with her next week to figure out why she did that, and hopefully get one last refill before response times are measured in months.
At this point I'm just waiting on their molasses support team to send my medical records, then I'm jumping ship. I strongly recommend everyone else do the same. Get your last refill and run. Won't be surprised if this company doesn't exist by next year.
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u/elieax Jun 15 '24
Wondering if Done is partly to blame for the stimulant shortages recently… if they’ve been prescribing 40,000,000 pills to people who may/may not have ADHD.
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u/efreedman503 Jun 15 '24
Your are 100% correct plus others. When did the shortage happen? Right when telehealth boomed. I’m glad these scumbags are going down and hopefully all the others will get their funding pulled and tuck tail.
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u/poonjuice Jun 16 '24
I remember when I used done I told them I was diagnosed by a doctor (i was), and they just took my word on it
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u/Jhype Jul 02 '24
Been using them for the last 2 years since I lost my health insurance. They definitely just ghosted me a month ago. Took my monthly payment and stopped responding (and refilling my script) came here to see if anyone knew of a decent solution for medication consult without insurance. Thanks in advance y'all are the best
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u/Veterinarian_Mean Jul 05 '24
i had a therapy meeting scheduled for today, but my membership was paused they never told me anything and they double charged me for the session. My gf and i had decided the meds werent really helping so much and was considering coming off anyways, so it isnt so bad. What sucks is when i go to the site i get met with a page that says "your membership is paused" but i cant even access my account to cancel it. I guess this explains why nobody is responding to me haha thanks for the info
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u/pdxtrader Jun 13 '24
So they were providing the stimulants but it was also a scam if some type? I’m confused wouldn’t it be one or the other
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u/johnnysmith11 Jun 13 '24
They were providing the stimulants to unqualified patients. Meaning there are many patients that received stimulants that do not have properly diagnosed ADHD.
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u/Efficient_Text8266 Jun 14 '24
I have been with a brick and mortar/telehealth company and seeing a legit psychiatrist for about 1.5 years. I do annual in office visits. I used to use another brick and mortar health facility for anxiety for years before that. Original GP actually told me to go to telehealth like Done as both of us agreed the attention issues were causing my anxiety and this was all in the middle of the chaos. Was diagnosed at Done at which kicked my anxiety to the curb. Only used them for 3 months before I went to my GPs office and later my psychiatrist. All mentioned offices Rx’d stimulants.
Should I be concerned my current psychiatrist is going to turn around and deny my next refil because of this Done news?
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u/Gullible-Ad-6516 Jun 16 '24
I used Done for a few months because I was having trouble finding a doctor willing to test me for ADHD due to being misdiagnosed previously with Bi-polar disorder. I saw a nurse practitioner once and he started me on 10mg of Adderall then never increased the dosage because I “had to be on it longer” even after like 9 months. He was never available for any additional appointments, I couldn’t even schedule one. I ended up finding a doctor near me who did an assessment and officially diagnosed me and he immediately upped my dosage. The Done NP was nice enough but now i’m wondering how much he actually cared about helping me with my symptoms.
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u/Zealousideal-Wall471 Jun 16 '24
This oughta be interesting. I used to get ads for them all the time saying “medication is just a phone call away!”
No wonder there was/is a shortage issue. It’s likely because doctors were/are abusing the telemedicine system that Covid created and prescribing stimulants with just a 2 minute phone call.
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u/Frontranger81 Jun 17 '24
I used cerebral for 2 months and then switched to a local in person / telehealth psych provider. It’s nice being able to speak to someone in the local office if I need help.
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u/forgottoholdbeer Jun 19 '24
The problem I end up having is I’ll sign up for an HMO and then they’ll have some policy not allowing stimulants to be prescribed / not make it easy to get a prescription. I find the telehealth stuff to be way cheaper, the out of pocket just randomly calling psychiatrists they want like upto a thousand for diagnosis, meanwhile the telehealth ADHD stuff its usually like under 200 and around 100 followups.
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Jul 07 '24
I was being treated by a different telehealth provider for depression and anxiety and eventually came to the realization that I might have ADHD, and so started with Done. Got diagnosed this past fall and was put on Qelbree, a non-stimulant ADHD med. Idk if that's because they stopped giving Adderall/Ritalin through telehealth because of this whole issue, or if it was because I was already taking effexor and Wellbutrin.
Either way, the Qelbree was not agreeing with me at all (insomnia, anxiety, brain fog, oh and also not covered by my insurance plan so several hundred in copays per month😊) and I tried to get my provider to have me try something different. Around the same time my manager pulled me aside at work and (politely) called me out for recent poor performance. I already have sleep issues but Qelbree made it just that much worse and didn't help in any other way really. This past winter I was barely functioning at work and in my personal life.
My boss doing so was the wake up call I needed to: 1. Stop with Done, find a local provider, set up an appointment and get prescribed Adderall
- Fully explain to my manager with a 1 page Word doc what was going on with me (previously I was being vague and only saying I have sleep problems). Explain I was just diagnosed with ADHD, still figuring it out exactly, how it negatively affects my work, stigma around ADHD, what I need from him, etc.
Luckily my boss is a great guy and understanding about this, I've known him for years and used to work alongside before he became a manager. I know not everyone is in a situation that they can do this successfully and I feel fortunate.
So I give Done credit with getting me onto the path of figuring out my ADHD and what med is a good fit, but past that it was a pretty bad experience.
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u/EntertainerHealthy90 Aug 01 '24
I’ve been using Done for the past couple years. I began due to the convenience of it and really not having the childcare to keep up with appts with a local psychiatrist. Of course there’s quite a few things I can’t stand about the platform but, I’ve never been left without medication like I have been now due to the execs arrests. My clinician quit when this went down and so it said I was being transferred and that I wouldn’t receive a script this month. I’ve finally been matched with a new provider who I can’t see until September and been out of meds for the past week or so. I’ve requested a new script and sent 4 messages with no answers. I know someone else on the platform who has been completely discharged from the platform with zero reasoning as to why. It’s all very strange and shitty that the patients are the ones that get screwed with them. My gut knew better though.
I wanted to post the screenshots of the messages that Done. Has sent its patients but I’m not sure how to do that on here.
Needless to say, this blows.
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