- Yes. Brightside’s psychiatric providers prescribe non-controlled psychiatric medication, mainly SSRIs and SNRIs, from a published list of 25+ drugs, in all 50 states for ages 13 and up.
- No controlled substances of any kind, anywhere: no benzodiazepines (Xanax included), no stimulants (Adderall included), no Z-drug sleep medications. Company policy, not state law.
- A prescription is never guaranteed; it follows a 30-minute video evaluation, bookable “in as little as 24 hours” after the intake assessment.
Brightside Health’s telehealth services cover psychiatry and therapy for anxiety, depression, and related conditions, delivered entirely by video and app. Its psychiatric providers (psychiatrists, physicians, and psychiatric nurse practitioners) evaluate you by video and, where appropriate, prescribe what it calls “nonaddictive medications like SSRIs and SNRIs.” Brightside’s own pages add: “There’s never a guarantee that our providers will write a prescription.” It prescribes no controlled substances, which rules out Xanax and Adderall by name.
Brightside’s prescribing covers a defined set of conditions: generalized anxiety disorder, major depressive disorder, panic disorder, phobia, social anxiety disorder, OCD, PTSD, seasonal affective disorder, postpartum depression, PMDD, insomnia, and bipolar II disorder. Brightside’s website also states, “In situations where remote care may not be appropriate for an individual’s needs, we guide them to appropriate local care resources.”
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What Brightside prescribes
Brightside publishes a list of the medications its providers commonly prescribe:
|
Class |
Named examples from Brightside’s list |
|
SSRIs |
Lexapro, Prozac, Zoloft, Paxil, Celexa, Luvox |
|
SNRIs |
Cymbalta, Effexor |
|
Other antidepressants |
Wellbutrin, Remeron, trazodone, Auvelity, tricyclics (Elavil, Pamelor, Anafranil) |
|
Non-controlled anxiety options |
Buspar (buspirone), Vistaril (hydroxyzine), Inderal (propranolol) |
|
Mood stabilizers and anticonvulsants |
Lamictal, Depakote, Topamax, Neurontin (gabapentin) |
|
Antipsychotics |
Abilify, Seroquel, Geodon |
From Brightside’s published medication list, which ends in “plus more” (verified August 2026).
Gabapentin appears on the prescribe list but with a note: “gabapentin is considered a controlled substance in some states,” so its availability depends on where you live. For ADHD, Brightside offers only non-stimulant options (Strattera, Intuniv) but does not conduct ADHD assessments. Instead, it points people needing an evaluation to “a licensed psychologist or psychiatrist in your community.”
Does Brightside prescribe Xanax?
No. Brightside’s policy is published on many of its pages: “Brightside does not prescribe medications classified as controlled substances, such as benzodiazepines (e.g., Ativan, Klonopin, Valium, Xanax), stimulants (e.g., Adderall, Concerta, Mydayis, Ritalin, Vyvanse), or ‘Z-drug’ hypnotics (e.g., Ambien, Lunesta, Sonata).”
Xanax (alprazolam) is a benzodiazepine and classified as a Schedule IV controlled substance. While it is FDA-approved for generalized anxiety disorder and panic disorder, its label carries a boxed warning that benzodiazepine use “exposes users to risks of abuse, misuse, and addiction.”1 Brightside’s published reasoning tracks that warning: “While controlled medications may provide symptom relief quickly, they are less effective at providing lasting relief. Individuals can develop addiction and tolerance in a short period of time… Due to this high risk of abuse and limited efficacy, Brightside does not prescribe controlled substances.”
The policy has no exceptions: it applies in every state, to new patients and to people already taking Xanax from another prescriber. What Brightside offers anxiety patients instead are SSRIs like Zoloft, Prozac, or Lexapro, buspirone, hydroxyzine, propranolol, trazodone for sleep, and CBT-based therapy. Every one of those medications is on its prescribe list.
Does Brightside prescribe Adderall?
No. Stimulants fall under the same controlled substance policy, with Adderall, Ritalin, Vyvanse, Concerta, and Mydayis specifically named. Diagnosed ADHD can alternatively be treated with non-stimulants, and undiagnosed ADHD needs a community evaluation first, per Brightside’s own referral advice.
How prescribing works at Brightside
- Intake assessment. An online assessment Brightside says captures over 100 data points; our reviewer’s intake included the standard PHQ-9 and GAD-7 measures.
- Evaluation. A video consultation with a psychiatric provider, “in as little as 24 hours” by Brightside’s claim, normally about 30 minutes. The evaluation covers your symptoms, history, and care plan. Providers are MDs or psychiatric NPs following American Psychiatric Association guidelines, each with a supervisor reviewing their care, and a psychiatrist is on call around the clock.
- The prescribing decision. Your provider weighs a recommendation from PrecisionRx, Brightside’s decision tool, which it says analyzes 100+ personal data points against 1,000+ medication and dose combinations. Your provider then makes the final decision. Prescriptions are then sent to your pharmacy (or $15 per fill by mail order without Rx benefits).
- Ongoing care. Progress runs on GAD-7 and PHQ-9 check-ins, with video visits at least every three months and messaging in between. Providers typically recommend nine to 12 months on medication, with “structured, intentional care plans with the goal of tapering and ending medication.” Brightside attributes strong results to this approach, including 70 percent of members responding to their first prescribed medication.2
The psychiatry plan costs $95 a month without the need for insurance. Medication costs are separate: either $15 per mail-order fill or your preferred pharmacy’s price. Therapy costs $299 a month, and Brightside offers the combined psychiatry and therapy plan at $349. Insurance can replace those costs with plan copays. Brightside accepts most major plans, including some Medicare and Medicaid, varying by state. Start with the assessment to check your coverage and match with a provider. Our Brightside Health review covers the full experience. The Brightside vs BetterHelp comparison compares it with a therapy-only service. The Cerebral vs Brightside comparison covers the other medication platform people decide between.
If you need a medication Brightside will not prescribe
Federal telehealth rules currently allow controlled-substance prescribing by video through December 31, 2026.3 Brightside’s ban is its own policy choice rather than a legal requirement. Readers who need to consult a prescriber about controlled substances have two routes:
- Talkiatry, where the published policy is conditional rather than a flat no. Psychiatrists can prescribe controlled substances including Xanax and Adderall where state law allows telehealth prescribing. Only after an evaluation and never guaranteed. Talkiatry lists Alabama, Arkansas, Delaware, Hawaii, Louisiana, Minnesota, and Rhode Island as states that prohibit it entirely, and it only sees patients through insurance it accepts.4
- In-person psychiatry, which works in every state, handles complex cases and long-standing regimens. This option does not depend on where the federal telehealth rules land after 2026.
Both paths start with an evaluation, the same as Brightside. Remember, no legitimate service promises a specific prescription before or without an evaluation.
What patients report
Brightside’s Trustpilot profile stood at 4.1 of 5 across 1,110 reviews at a January 2026 snapshot.5 Positive reviews center on provider quality and speed. One review states, “providers were available immediately for therapy as well as to assess for my medication needs.” Negative reviews cluster on billing and cancellation rather than prescribing decisions. One one-star reviewer wrote, “they couldn’t even prescribe my medicine.” Checking the medication list and the controlled-substance policy before signing up prevents that surprise.
This article is for information only and is not medical advice. Talk to a doctor or licensed clinician before starting, stopping, or changing any treatment.
Frequently Asked Questions
Does Brightside Health prescribe medication?
Yes. Its psychiatric providers (MDs and psychiatric nurse practitioners) prescribe non-controlled psychiatric medication, mainly SSRIs and SNRIs, after a video evaluation, in all 50 states for ages 13 and up. A prescription is never guaranteed in advance.
Can Brightside Health prescribe controlled substances?
No, and no exceptions. No benzodiazepines, no stimulants, no Z-drug sleep medications, by a company-wide policy stated on its medication pages. The policy is not state-dependent and has no published exceptions.
Can Brightside Health prescribe Xanax?
No. Xanax is a benzodiazepine, and benzodiazepines are named in Brightside’s controlled-substance exclusion. Its published anxiety alternatives are SSRIs, buspirone, hydroxyzine, propranolol, and therapy.
Can Brightside Health prescribe Adderall?
No. Stimulants are excluded by the same controlled-substance policy, and specifically Adderall by name. Brightside treats diagnosed ADHD with non-stimulants like Strattera or Intuniv and refers ADHD evaluations to community psychologists or psychiatrists.
How fast can Brightside prescribe medication?
Brightside says the evaluation can happen in as little as 24 hours after the intake assessment, and prescriptions go to your pharmacy after the visit if your provider prescribes. Whether you get a prescription is decided at the evaluation.
Who are Brightside’s prescribers?
Psychiatrists, physicians, and psychiatric-mental health nurse practitioners. All prescribers follow American Psychiatric Association practice guidelines and have a supervisor who reviews their care. There is also a psychiatrist on call 24/7, per Brightside’s psychiatry explainer.
How long do people stay on Brightside medication?
Brightside’s providers typically recommend nine to 12 months depending on symptom severity, with care plans built around eventually tapering off medication under the provider’s guidance.
Does insurance cover Brightside medication visits?
Brightside accepts most major insurance, including some Medicare and Medicaid plans, varying by state. There is a self-pay option at $95 a month for psychiatry. Medication costs are separate either way: your pharmacy copay, or $15 per fill by mail order.
If your needs fall within Brightside’s list, the assessment checks your coverage and books the evaluation. If they involve a controlled substance, start with the two routes above instead.
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.
- DailyMed, U.S. National Library of Medicine. (August 2026). XANAX (alprazolam) FDA label. Retrieved from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=388e249d-b9b6-44c3-9f8f-880eced0239f
- Brightside Health. (December 2025). Our Medications. Retrieved from: https://www.brightside.com/our-medications/
- Federal Register. (December 2025). Fourth Temporary Extension of COVID-19 Telemedicine Flexibilities. Retrieved from: https://www.federalregister.gov/documents/2025/12/31/2025-24123/fourth-temporary-extension-of-covid-19-telemedicine-flexibilities-for-prescription-of-controlled
- Talkiatry. (August 2026). Can Talkiatry prescribe controlled substances? Retrieved from: https://www.talkiatry.com/help-center-articles/can-talkiatry-prescribe-controlled-substances
- Trustpilot. (January 2026). Brightside Reviews. Retrieved from: https://www.trustpilot.com/review/brightside.com
- Brightside Health. (April 2026). What medications do we prescribe? Retrieved from: https://www.brightside.com/faqs/what-medications-do-we-prescribe/
- Brightside Health. (May 2026). What are our prescribing practices? Retrieved from: https://www.brightside.com/faqs/what-are-our-prescribing-practices/
- Brightside Health. (May 2026). Understanding our psychiatry: How Brightside Health prescribes medication. Retrieved from: https://www.brightside.com/blog/understanding-our-psychiatry-how-brightside-health-prescribes-medication/
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: Zachary Reale, PharmD
Reviewer: Andrea Brognano, LMHC, LPC, NCC