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Looking for a Done alternative?
A factual look at how shrinkMD compares to Done, and an honest note on who each one suits.
Medically reviewed by Shariq Refai, MD, MBA, FAPA, board certified psychiatrist · Last reviewed July 17, 2026 · Editorial policy
Done is an ADHD focused service that prescribes stimulant and non stimulant ADHD medication by subscription. shrinkMD is a general adult psychiatry practice that doesn't prescribe controlled substances. These serve different needs, so here's a clear, factual comparison.
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Done and shrinkMD, side by side
| Done | shrinkMD | |
|---|---|---|
| Focus | ADHD focused care. | General adult psychiatry. ADHD stimulant treatment isn't offered. |
| Controlled substances | Prescribes stimulant ADHD medication, plus non stimulant options. | Never. No stimulants, benzodiazepines, or other controlled substances. |
| Insurance | Limited insurance; subscription around $199 per month. | Cash pay only. We don't bill insurance; a superbill is available on request for possible out-of-network reimbursement. |
| Who you see | ADHD focused clinicians. | Board certified psychiatrist or psychiatric nurse practitioner. |
| Model | Subscription ADHD medication management. | Full initial evaluation, then the same clinician for follow-ups. |
Is shrinkMD a fit?
Who shrinkMD is, and isn't, for
A good fit if: you want a non stimulant approach, or care for anxiety, depression, or mood symptoms that can occur alongside attention problems, from a physician led practice.
Not the right fit if: you specifically want stimulant ADHD medication like Adderall or Vyvanse. shrinkMD doesn't prescribe stimulants or other controlled substances, so Done or a similar service would fit that need better.
Making the switch
When shrinkMD is the right fit versus Done, and when it isn't
Done is an ADHD focused subscription service that prescribes stimulant and non-stimulant ADHD medication by video visit. If you specifically want stimulant treatment for ADHD, Done or a similar controlled substance prescribing service is the fit, and we'd rather say that clearly than pretend otherwise. shrinkMD doesn't prescribe stimulants or any other controlled substances, on purpose.
Where shrinkMD becomes the right choice is when the picture around attention symptoms is broader, or when you specifically want a non-stimulant approach. Adult attention problems often travel with anxiety, depression, sleep disorders, or trauma history, and treating those layers can meaningfully improve focus without ever needing a stimulant. That evaluation belongs with a general adult psychiatrist rather than an ADHD only service.
It's also worth being direct about the market context: Done specifically has been the subject of federal scrutiny around telehealth stimulant prescribing, and the regulatory environment for online stimulant prescription remains uncertain. That doesn't mean the service is inappropriate, it means the model itself carries real risk of prescribing disruption you may want to consider.
How shrinkMD differs
What non-stimulant ADHD care looks like at shrinkMD
For adults with attention symptoms, shrinkMD's evaluation looks at the whole picture: attention and executive function symptoms, sleep quality and timing, mood and anxiety, medical conditions that affect focus, medications and substances, and lifestyle context like shift work or caregiving. If the diagnosis is ADHD alone with no other contributors, we can prescribe non-stimulant options like atomoxetine (Strattera), guanfacine, viloxazine (Qelbree), or bupropion, paired with behavioral strategies and often therapy.
If the attention symptoms are driven or amplified by an underlying anxiety, mood, or sleep condition, treating that layer often improves focus substantially, sometimes to the point where separate ADHD medication isn't needed. That's the value of a general adult psychiatrist evaluating the whole picture, rather than starting from an ADHD label.
“Dr. Refai is the best psychiatrist I have ever had in my 30 plus years of working with psychiatrists. He actually talks with me and listens to what I am saying.”
Individual experiences. Outcomes vary. Care is personalized to each patient.
Frequently asked questions
Good questions, clear answers
Can shrinkMD prescribe Adderall or Vyvanse like Done?
No. shrinkMD doesn't prescribe stimulants or any other controlled substances. If stimulant medication is specifically what you need, Done or a similar service would be the right fit.
What non-stimulant ADHD medications can shrinkMD prescribe?
Atomoxetine (Strattera), viloxazine (Qelbree), guanfacine, clonidine, and off-label options like bupropion (Wellbutrin) when appropriate. Choice depends on your history, medical context, and what has or hasn't worked before.
Do non-stimulants work for adult ADHD?
They can work well for many adults, especially when anxiety, mood, or sleep are also part of the picture. Non-stimulants tend to work more gradually than stimulants and don't produce the same acute effect, but they're often better tolerated long term and don't carry controlled substance regulatory concerns.
Can shrinkMD treat ADHD alongside my anxiety or depression?
Yes, and it's a common reason patients choose shrinkMD. Adult attention symptoms rarely occur in isolation, and treating the co-occurring conditions is often the first meaningful step. That comprehensive evaluation is what a general adult psychiatry practice is built for.
Ready to start with shrinkMD?
shrinkMD is physician led, cash pay online psychiatry for adults, with no controlled substances and the same clinician over time. See if it's the right fit, then join the waitlist for your state.
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