1. Federal Realities & The Ryan Haight Act

The prescription of controlled substances (including, but not limited to, stimulant medications for ADHD such as Adderall, Ritalin, and Vyvanse, or benzodiazepines for severe anxiety such as Xanax, Klonopin, and Ativan) via telemedicine is strictly governed by the federal Ryan Haight Online Pharmacy Consumer Protection Act and prevailing Drug Enforcement Administration (DEA) regulations.

2. In-Person Evaluation Requirements

In accordance with current federal mandates, any prescription for a controlled substance requires a thorough clinical justification. The practice strictly adheres to federal law regarding the necessity of an in-person medical evaluation prior to or during the course of treatment with controlled substances, subject to temporary or permanent federal public health exemptions.

We do not guarantee the prescription of controlled substances at any visit. Controlled medications are only prescribed when clinically indicated after a comprehensive psychiatric evaluation.

3. Mandatory State Registry Checks (PDMP)

To ensure patient safety and maintain compliance with state medical and nursing boards, your provider is legally required to check the respective state prescription registries prior to issuing any controlled substance prescription:

• Washington: The Washington State Prescription Monitoring Program (PMP).

These databases are reviewed to monitor for dangerous drug interactions, duplicate therapies, or clinical safety indicators.

4. Practice Boundaries

This practice focuses on holistic, long-term psychiatric wellness. We heavily restrict the use of long-term benzodiazepines or sedative-hypnotics due to the risks of dependence, tolerance, and cognitive impacts. If you are seeking immediate or high-dose controlled substances without a comprehensive, multi-modal treatment plan, this practice may not be the appropriate clinical fit for your care.