ADHD Online provides virtual diagnosis and treatment, earning 4 out of 5 stars in our review. While diagnoses, including for co-occurring conditions, are based on a detailed questionnaire (the Mentavi assessment) rather than a live session, results are reviewed by licensed psychologists and widely accepted by doctors. Treatment options include therapy and medication in most US states, and coaching nationwide.
ADHD Online at a Glance
Cost: $99 – $220 per session; $189 for evaluation/diagnosis
Insurance Accepted: No
Location: Assessments & coaching nationwide; medication & therapy in 40+ states
Can providers prescribe stimulants? Yes, in states where it’s available & legal
Pros - Provides online ADHD diagnosis
- Assessment results available within days
- Can potentially prescribe stimulant medications
- Offers ADHD coaching in all 50 states
- You can use your HSA/FSA for assessment, etc.
Cons - Does not accept insurance
- Not all services available in all states
- Relatively small provider selection
- Diagnosis based entirely on questionnaire
- Unclear whether they treat kids
Preview ADHD Online:
ADHD Online focuses on assessing, diagnosing, and treating ADHD in adults, while also screening for common comorbidities such as anxiety, depression, eating disorders, social media overuse, and loneliness. Although the platform stated in 2024 that its assessment was adapted for children (ages 6–12) and teens (13–17), information on pediatric services is limited, and we recommend other providers for non-adult care.1
An initial assessment with ADHD Online costs $189 and involves a comprehensive questionnaire reviewed by a licensed psychologist. No live session is included, but results are widely accepted by physicians.
Treatment options include medical management ($175–$199 per session, with or without medication), psychotherapy ($220 per session), and wellness coaching ($99 per session). ADHD Online stands out for its ADHD specialization, unlike broader mental health platforms such as Talkiatry and Brightside. These platforms accept insurance, something ADHD Online does not, potentially limiting its affordability.
For child and teen ADHD care or family-oriented services, platforms like Talkiatry or Bend Health are probably better matches; particularly Bend, which integrates ADHD treatment with broader therapeutic and family support.
Circle Medical - ADHD Diagnosis and Treatment
Affordable and accessible ADHD evaluations and treatment. Diagnosis and prescription over video. Insurance accepted. Same-day appointments.
Detailed Review of ADHD Online
ADHD Online, operating in conjunction with parent company Mentavi Health, provides assessment and diagnosis for ADHD symptoms, as well as coaching, therapy, and medication management. The initial online assessment costs $189 and screens for several disorders, providing psychologist-reviewed results within days. Diagnosis and coaching are available nationwide, while medical treatment availability and pricing vary by state and provider. ADHD Online does not accept insurance.
Review our scoring criteria for online therapy platforms here.
Review our complete editorial policies here.
ADHD Assessment & Diagnosis
One of the main offerings from ADHD Online is its unique virtual ADHD assessment and diagnostic system through Mentavi. For $189, patients can complete a detailed questionnaire screening for ADHD and co-occurring disorders, such as binge eating disorder, chronic loneliness, and problematic social media use. Payment plans are available.
ADHD Online says its ADHD assessment is built on credible, recognized tools like the ASRS-2 (a clinical ADHD assessment), PHQ-9 (depression screener), GAD-7 (anxiety assessment), Bergan’s Scale (measuring social media addiction), and additional screeners for conditions like binge eating disorder and chronic loneliness.
The clinical criteria for attention-deficit/hyperactivity disorder (ADHD) in the Diagnostic and Statistical Manual of Mental Health Disorders (DSM-5) is built into the questionnaire as well, so the psychologist that reviews your assessment can see how your current symptoms line up with established diagnostic criteria.1
ADHD Online bases its diagnostics on written responses, which can certainly provide valuable insights to the psychologist who reads them. However, some nuance is inevitably lost when compared to face-to-face evaluations. Having a provider in front of you to clarify and answer questions is ideal, and it’s something ADHD Online lacks.
Nonetheless, this method of ADHD assessment is probably preferable or even ideal for some. In-person treatment can be time-consuming, expensive, and hard to find. While ADHD Online may lack some nuance, it could be a game-changer for individuals with limited access to care.
Therapy, Wellness Coaching, & Psychiatry
If a patient is diagnosed with ADHD through the ADHD Online assessment, they will have the option to sign up for psychotherapy, wellness coaching, or medical treatment, which could include medication. The availability of these services varies by state, as do the providers who offer them; however, therapy with ADHD Online is now available in 40+ states.
Psychiatry & Medication Management
I decided to schedule an appointment with one of ADHD Online’s medication providers. Upon signing up, I noticed a limited selection of just four providers in my area, including two MDs and two nurse practitioners. Of those, only one had a fully detailed bio with information about their background and approach. Ultimately, my choice came down to scheduling.
I secured an appointment within a few days of receiving my ADHD diagnosis via the online assessment. The session took place over Zoom, which ADHD Online uses for all telehealth appointments. I joined from my iPhone using my home WiFi. Although I experienced a brief audio issue that required me to leave and rejoin the call, the rest of the session went smoothly.
My session was scheduled for 30 minutes but lasted about 15, during which my prescriber gathered basic information about my background, daily routine, and the symptoms I’d been experiencing. She also asked for vital signs and information like my height, weight, and blood pressure. It seemed like she primarily relied on the information from my initial assessment.
After reviewing my case, she recommended Adderall, a stimulant medication and federally controlled substance. She addressed my concerns about potential side effects and the risk of dependence, but I would have appreciated a broader conversation about other ways to manage my symptoms. Once I agreed to move forward, she sent the prescription to my local pharmacy.
Note that medication treatment with ADHD Online isn’t available in all states, and stimulant medications are even more restricted, so your location may influence the treatment options your provider can offer.
Therapy & Wellness Coaching
ADHD Online offers therapy with licensed therapists in 40+ states priced at $220 per session. Wellness coaching, which costs $99 per session, is available in all 50 states. In my region, therapy wasn’t an option, and while there were only two coaches to choose from, they offered a wide range of appointment times and dates. Coaching sessions are conducted via Zoom and providers are either licensed therapists or certified wellness coaches.
Here are types of therapy offered through ADHD Online:
- Cognitive behavioral therapy (CBT)
- Dialectical behavior therapy (DBT)
- Emotion-focused therapy (EFT)
- Humanistic therapy
- Mentalization therapy
- Psychodynamic therapy
- Somatic therapy
- Talk therapy
Mental Wellness Snapshot
Mentavi’s Mental Wellness Snapshot is a brief, 20-minute quiz available for $29, which gives you access to the assessment for a full year. You can take the assessment as many times as you want within that time frame, giving you the ability to track any relevant symptoms over time. The assessment scans for anxiety, depression, PTSD, substance use disorders, ADHD, and more. The trackable score will also let you know if you may need more comprehensive treatment to address your symptoms.
Cost & Insurance
The Mentavi assessment with ADHD Online costs $189. In some states, medical treatment, which may or may not include medication prescription and management, is available after the assessment. This costs $199 for an initial consult, and $175 per follow-up. Wellness coaching (available nationwide) costs $99 per session, and psychotherapy (in 40+ states) costs $220 per session.
ADHD Online costs:
- Mentavi Smart Assessment/ADHD Diagnosis: $189 one-time payment
- Wellness Coaching: $99 per session
- Psychotherapy: $220 per session
- Medical Treatment: $199 for initial consult; $175 for follow-ups
- Mental Wellness Snapshot: $29 for a year’s access
ADHD Online doesn’t accept insurance, but you can request a superbill for potential out-of-network reimbursement. The platform also partners with Klarna to provide affordable payment plans. The cost of prescriptions will be determined by your pharmacy.
Who Does ADHD Online Serve?
ADHD Online is available to anyone over 18 in the U.S. While most services are offered in most states, the availability of specific services varies by location. See the map below.
If ADHD Online doesn’t meet your needs, explore our other favorite online ADHD treatment options. In regard to platforms that offer a combination of medication and online therapy services, two of our favorites are Brightside Health and Talkiatry.
If you’re looking for services for your child or teenager, Talkiatry and Bend Health both offer comprehensive mental health care, including ADHD treatment, for kids and adolescents.
User Reviews
There really aren’t that many user reviews for ADHD Online. Trustpilot and the BBB both have a handful, most of which tend to skew negative. The major issues cited in reviews involve complaints about perceived unfair pricing, questions about legitimacy, and concerns about provider credentials.
Reviews from TrustPilot | 2.4 out of 5 stars | 152 reviews
Positive reviews from Trustpilot tend to focus on positive individual experiences and progress. Many people praise the accessibility and affordability compared to traditional services. Some reviews note that having a questionnaire-based assessment helped them overcome some nervousness they felt about seeing a therapist.
Negative reviews from Trustpilot focus on financial issues. Many people paid for the assessment and a medication appointment with the expectation that they would be receiving medication. When these reviewers did not receive medication, they requested a refund that ADHD Online was not willing to provide.
Reviews from Better Business Bureau | 1.41 out of 5 stars | 105 reviews
Positive reviews from BBB focus on personal progress and praise for ADHD Online’s accessibility.
Negative reviews from BBB often coincide with negative reviews on Trustpilot. It looks like many negative reviewers post to both websites. Complaints focus on finances, cost, and refused refunds.
Reviews from Reddit | r/adhdwomen
Positive reviews on Reddit highlight the ease of getting prescriptions and having an actual licensed provider in the online assessment process.
Negative reviews focus mostly on the high cost of assessment and follow-up fees.
Alternatives & Competitors
Compared to ADHD Online, Brightside Health is a great option that also treats other disorders. Talkiatry is your best bet if you have an in-network insurance plan, but it’s unavailable for uninsured people. Bend Health, like Talkiatry, treats kids and teens.
Best for Ongoing Care Model - Brightside Health
Price: $45–$349 monthly
Insurance Accepted: Yes
Brightside Health is a better option for those seeking an ongoing payment model, offering a more comprehensive approach to mental health treatment than ADHD Online. While Brightside doesn’t provide ADHD diagnoses, it treats a wider range of symptoms with non-stimulant medications (i.e., NOT stimulants like Adderall) and therapy. Its monthly subscription pricing, ranging from $45 to $349, offers predictable costs. The platform also accepts many insurance plans to help reduce expenses.
To learn more about the differences between ADHD Online and Brightside Health, visit our full Brightside Health review.
Pros & Cons
Pros - Offers medication & therapy
- Accepts many insurance plans
Cons - Cannot diagnose ADHD
- Doesn’t prescribe stimulants
Best for Insurance Use - Talkiatry
Price: ~ $30 copay
Insurance Accepted: Yes
If your insurance plan is in-network with Talkiatry, it is one of the most affordable options for comprehensive mental healthcare, especially when compared to ADHD Online. It’s one of our top contenders on our breakdown of the best online platforms for treating ADHD.
Talkiatry is available in 45 US states and offers care to anyone 5+. While they do offer therapy as well, you must be an existing psychiatric patient to receive it. Talkiatry does not offer wellness coaching like ADHD Online does.
To learn more about Talkiatry, visit our full Talkiatry review.
Pros & Cons
Pros - Treats children (5+), teens, & adults
- Accepts many insurance plans
Cons - Doesn't provide out-of-network care
- Therapy only for established patients
Best for Kids & Teens - Bend Health
Price: $199.99–$549.99 monthly
Insurance Accepted: Yes
Bend Health provides online mental healthcare services tailored to children, teens, young adults, and families. It offers exceptional service, including care for kids with ADHD, and can even support higher acuity mental health concerns. While most people access Bend Health through their health insurance, employer benefits, or pediatrician, they do offer cash-pay prices, but they can quickly add up.
For more information, read our Bend Health review.
Pros & Cons
Pros - Comprehensive team provides support at every level
- Can prescribe controlled medication
- Can collaborate with child’s pediatrician and/or school
Cons - Onboarding process can become overwhelming
- Cannot book same-day appointments
- Cash-pay is pricey
Why You Can Trust My Review
“I personally signed up for ADHD Online, paid the $189 fee, and completed the Mentavi Smart Assessment, an experience that gave me firsthand insight into how its online diagnostics work. I went through the entire process, from answering the 30-minute questionnaire (which you can complete in one sitting or over a period of days) to receiving a detailed 500-word report from a psychologist within two days.
While I found the platform affordable and accessible, I noticed some gaps in care. For example, not all services are available nationwide, though you can receive a diagnosis and coaching in all 50 states. I also missed having a direct face-to-face interaction with a diagnosing clinician, though some patients might prefer it.
Ultimately, my perspective is rooted in real experience, not just research, giving me a balanced view of both the benefits and limitations of ADHD Online’s approach.”
History & News About ADHD Online
Year Founded: 2018
CEO: Keith Brophy
Parent Company: Mentavi Health
Headquartered In: Grand Rapids, Michigan
ADHD Online was founded in 2018 by Zachariah Booker and Dr. Randall Duthler as an asynchronous assessment platform that allowed people to be evaluated online without any real-time clinician interaction. Both founders, personally affected by ADHD, wanted to address the challenges they faced in finding timely and affordable diagnoses. In 2019, they also formed Mentavi Health, an affiliated company, and the originator of many additional comprehensive online mental health assessments.2
In 2021, the company experienced significant growth, quadrupling its corporate team and expanding its network of providers nationwide. This expansion allowed ADHD Online to serve patients with additional services across more US states.3
In 2023, a major corporate restructuring led to the formation of a new corporate entity with Mentavi Health becoming more like a parent company to ADHD Online. Keith Brophy, previously the Chief Operating Officer, was appointed CEO of both companies, succeeding Booker, who remained on the board of directors.4
In May 2025, Mentavi Health announced the results of a validation study that confirmed the reliability and accuracy of the Mentavi Smart Assessment for ADHD and other mental health conditions. Mentavi Chief Medical Officer, Barry K. Herman, MD, MMM, presented the findings at the 10th World Congress on ADHD. The study’s manuscript will be published later in 2025 after undergoing peer review.5
Frequently Asked Questions
Is ADHD Online Legit?
Yes, ADHD Online is a legitimate provider of online mental health services. It vets all of its providers, ensuring they have the appropriate licensure and qualifications.
Is the Mentavi Smart Assessment Legit?
Yes, the Mentavi Smart Assessment was created by qualified psychologists and physicians to diagnose ADHD, anxiety, and depression. It involves embedded DSM-5 criteria and validated clinical tools like the GAD-7 and PHQ-9. The assessment is regularly updated to include recent screeners (e.g., Bergan’s scale for social media addiction, ASRS-2, binge eating disorder, etc.)6
Can ADHD Online Prescribe Controlled Substances?
Yes, depending on your location, ADHD Online may be able to prescribe controlled substances, including stimulants like Adderall or Ritalin.
What States is ADHD Online Available In?
ADHD Online offers assessment and ADHD coaching in all 50 US states; however, among their services (assessment, medication, coaching, and therapy), certain services are not available in all states. See the map above.
How Much is an ADHD Assessment with ADHDOnline.com?
Through ADHD Online, ADHD assessments cost $189. In-depth, comprehensive ADHD assessments conducted in person can be very lengthy and cost upwards of $1,000 out-of-pocket.
How Much Does ADHDOnline.com Cost?
ADHDOnline.com costs include:
- Mentavi Smart Assessment/ADHD Diagnosis: $189 one-time payment
- Wellness Coaching: $99 per session
- Psychotherapy: $220 per session
- Medical Treatment (may include medication): $199 for initial consult, $175 for follow-ups
Does ADHD Online Take Insurance?
No, ADHD Online does not take insurance. However, you can use FSA or HSA funds for mental health services if your insurance plan allows for that. You can also request an itemized superbill to submit for potential out-of-network reimbursement.
Is ADHD Online HIPAA-Compliant?
Yes, ADHD Online is fully HIPAA-compliant and follows standard privacy practices for telehealth companies. View ADHD Online’s Terms and Conditions, Notice of Privacy Practices, and Privacy Policy for more details.
Does ADHD Online Use AI?
According to a Linkedin post from ADHD Online CEO, Keith Brophy, ADHD Online and Mentavi use AI in the background to “enhance support, streamline operations, and elevate patient experiences.” He clarifies that they do not use AI to diagnose or treat patients. He also says that Mentavi has its own AI Governance & Ethics Committee.7
ChoosingTherapy.com strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.
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(July 10, 2024). “Mentavi Health Expands Diagnostic Evaluation Approach to Address Broader Range of Mental Health Conditions.” ADHD Online press release. Retreived from: https://adhdonline.com/press-releases/mentavi-health-expands-diagnostic-evaluation-approach-to-address-broader-range-of-mental-health-conditions/
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(n.d.). “We are Clinical Leaders.” Mentavi Health, About. https://mentavi.com/about-us/
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(Nov 16. 2021). “Grand Rapids-based ADHD Online Celebrates Exponential Growth, Key Milestones.” ADHD Online press release. Retrieved from: https://adhdonline.com/press-releases/grand-rapids-based-adhd-online-celebrates-exponential-growth-key-milestones/
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(July 20, 2023). “ADHD Online Unveils a New Corporate Structure, announces AA Round Investment, Establishes a New Board, and Appoints New CEO. ” ADHD Online press release. Retrieved from: https://adhdonline.com/press-releases/adhd-online-announces-aa-round-investment-new-board-and-new-ceo/
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(May 1, 2025). “Mentavi Health to Present Study Validating Its Online Assessment for Diagnosing Adult ADHD at Major International Conference.” Fox 59, Access Newsire. Retrieved from: https://fox59.com/business/press-releases/accesswire/1021309/mentavi-health-to-present-study-validating-its-online-assessment-for-diagnosing-adult-adhd-at-major-international-conference/
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No author. (2024). “Is the Mentavi Health Smart Assessment legitimate?” ADHD Online Support FAQs. Retrieved from: https://adhddiagnosis.zendesk.com/hc/en-us/articles/360055666794–Is-the-Mentavi-Health-Smart-Assessment-legitimate
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Brophy, K. (April 12, 2025). Keith Brophy’s post on LinkedIn. https://www.linkedin.com/posts/keith-brophy-6137271_ai-healthcareinnovation-ethicalai-activity-7308162133458866176-zlUv
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Church, M. (March 18, 2025). “Brightside Health Review 2025: Pros & Cons, Cost, & My Experience.” ChoosingTherapy.com. https://www.choosingtherapy.com/brightside-health-review/
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Church, M. (Jan. 28, 2025). “Talkiatry Review 2025: Pros & Cons, Cost, & My Experience.” ChoosingTherapy.com. https://www.choosingtherapy.com/talkiatry-review/
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Liebermen, A. (May 1, 2025). “Bend Health Review 2025: Pros & Cons, Cost, & Who It’s Right For.” ChoosingTherapy.com. https://www.choosingtherapy.com/bend-health-review/
We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.
Author: Matthew Church, MS (No change)
Medical Reviewer: Kristen Fuller, MD (No change)
Primary Changes: Updating score regarding extra resources, which improved overall score to 4 out of 5 stars; removed Brightline as a suggested alternative for kids, replacing it with Bend Health; updated News & History section to include major events, including the appointment of new CEO, Keith Brophy and the results of a recent study confirming reliability of Mentavi test; added two new FAQs, “Is the Mentavi Smart Assessment Legit?” and “Does ADHD Online Use AI?”
Author: Matthew Church, MS (No change)
Medical Reviewer: Kristen Fuller, MD (No change)
Primary Changes: Updated pricing from $179 to $189 per ADHD assessment, and from $200 to $220 per therapy session; added new pictures of homepage and pricing in the Preview section; updated map to reflect services available in each state; added a list of available therapy modalities.
Author: Matthew Church, MS (No change)
Medical Reviewer: Kristen Fuller, MD (No change)
Primary Changes: Removed Done as an alternative to ADHD Online throughout article.
Author: Matthew Church, MS (New author)
Medical Reviewer: Kristen Fuller, MD (New medical reviewer)
Primary Changes: Added Circle Medical as an alternative in the “Who Should Seek an Alternative” and “Vs. Competitors” sections.
Author: Matthew Church, MS (New author)
Medical Reviewer: Kristen Fuller, MD (New medical reviewer)
Primary Changes: Full rewrite, re-review, and re-score of ADHD Online; added article summary, new editorial rating, and all associated page features.
Author: Emily Guarnotta, PsyD
Medical Reviewer: Benjamin Troy, MD
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