ADHD and Telehealth in Maryland: What to Know

Adult ADHD is diagnosed more often than it used to be, and telehealth has made evaluation more accessible — but it’s worth understanding both what a thorough evaluation looks like and the current rules around prescribing.

What an ADHD Evaluation Involves

A thorough evaluation looks at your history of attention, focus, and impulsivity going back to childhood where possible, since ADHD is a developmental condition. It also screens for other conditions that can look similar or overlap — anxiety, depression, sleep problems — since treating the wrong thing doesn’t help. This takes real conversation, not a five-minute checklist, and that’s true whether it happens in person or by telehealth.

Telehealth Prescribing Rules, Currently

ADHD medications are controlled substances, which historically required an in-person visit before they could be prescribed. A DEA rule has extended the telehealth exception — allowing prescribing without a prior in-person visit — through December 31, 2026, with permanent rules still under development. In practice, this means telehealth ADHD care is currently available, though the specific rules may continue to evolve, and any prescriber should be documenting evaluations thoroughly regardless of the setting.

What Treatment Can Look Like

Treatment is individualized — for some people that includes medication, for others it’s primarily behavioral strategies and accommodations, and for many it’s a combination. Follow-up visits monitor how things are working and adjust as needed.

If you think you might have ADHD and want a real evaluation rather than a rushed checklist, you can book directly through Headway.

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