Telepsychiatry for Clark County, WA

Photo of John Benson, PMHNP, Psychiatric Nurse Practitioner
John Benson
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Vancouver, WA 98660  (Online Only)
Contacting me with questions is easy and can be done via my online patient portal or secure text line.
Are you struggling with irritability, anxiety, low mood, poor focus, substance use, or lack of motivation that is impairing your relationships, your career, or your overall quality of life? Have you perhaps tried therapy, but found that your problems persisted? Have you tried medications, but found that psychiatric appointments were too impersonal or that your concerns about possible side effects or worsening symptoms were met with indifference?
Contacting me with questions is easy and can be done via my online patient portal or secure text line.
Are you struggling with irritability, anxiety, low mood, poor focus, substance use, or lack of motivation that is impairing your relationships, your career, or your overall quality of life? Have you perhaps tried therapy, but found that your problems persisted? Have you tried medications, but found that psychiatric appointments were too impersonal or that your concerns about possible side effects or worsening symptoms were met with indifference?
(360) 404-7788 View (360) 404-7788
Photo of Adam Ellis, PMHNP, Psychiatric Nurse Practitioner
Adam Ellis
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Vancouver, WA 98660  (Online Only)
Therapy waitlist available online.
Adam Ellis is a board-certified Psychiatric Mental Health Nurse Practitioner. He has earned degrees from the University of California, Irvine, The George Washington University, and most recently, a Master of Science in Nursing from The University of Pennsylvania. He has worked with both adult and adolescent psychiatric populations since 2015, and he enjoys engaging with diverse patients who have a broad range of mental health needs. If interested in group therapy for insomnia sign up now! While serving 20 years as a naval officer, Adam developed strong active listening skills and a high level of consideration and respect for others.
Therapy waitlist available online.
Adam Ellis is a board-certified Psychiatric Mental Health Nurse Practitioner. He has earned degrees from the University of California, Irvine, The George Washington University, and most recently, a Master of Science in Nursing from The University of Pennsylvania. He has worked with both adult and adolescent psychiatric populations since 2015, and he enjoys engaging with diverse patients who have a broad range of mental health needs. If interested in group therapy for insomnia sign up now! While serving 20 years as a naval officer, Adam developed strong active listening skills and a high level of consideration and respect for others.
(801) 876-4397 x2 View (801) 876-4397 x2
Photo of Leah Haddad, MSN, PMHNP, FNP, Psychiatric Nurse Practitioner
Leah Haddad
Psychiatric Nurse Practitioner, MSN, PMHNP, FNP
Verified Verified
3 Endorsed
Vancouver, WA 98662
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide Telemedicine ( Online Psychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: www.pwpsychiatry.com/WA
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide Telemedicine ( Online Psychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: www.pwpsychiatry.com/WA
(360) 564-1854 View (360) 564-1854
Photo of Jack Mkroyan, MSN, PMHNP, Psychiatric Nurse Practitioner
Jack Mkroyan
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
1 Endorsed
Vancouver, WA 98662
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide holistic online psychiatry services (telemedicine), so that you can conveniently be seen in the comfort of your home for appointments and medication management without the need to travel! I provide the same psychiatry services as in-person visits and I will address other aspects that encompass your complete wellness beyond a standard psychiatry visit. My aim is for you to truly thrive at your best! You can conveniently self-schedule a holistic psychiatry video appointment right now at: pwpsychiatry.com/WA
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide holistic online psychiatry services (telemedicine), so that you can conveniently be seen in the comfort of your home for appointments and medication management without the need to travel! I provide the same psychiatry services as in-person visits and I will address other aspects that encompass your complete wellness beyond a standard psychiatry visit. My aim is for you to truly thrive at your best! You can conveniently self-schedule a holistic psychiatry video appointment right now at: pwpsychiatry.com/WA
(360) 284-1939 View (360) 284-1939
Photo of Shantel Escobar, PMHNP, Psychiatric Nurse Practitioner
Shantel Escobar
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Vancouver, WA 98661  (Online Only)
Please visit my website at www.healthymindsrx.com - I offer medication services to help with depression, anxiety, ADHD, and other mood disorders in children, adolescents, and adults. While therapy is important, sometimes it's not enough as medication can be a crucial part of effective treatment.
Please visit my website at www.healthymindsrx.com - I offer medication services to help with depression, anxiety, ADHD, and other mood disorders in children, adolescents, and adults. While therapy is important, sometimes it's not enough as medication can be a crucial part of effective treatment.
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Photo of Davonna (Dee) Wilson, APRN, PMHNP, Psychiatric Nurse Practitioner
Davonna (Dee) Wilson
Psychiatric Nurse Practitioner, APRN, PMHNP
Verified Verified
Vancouver, WA 98660
Embarking on the journey of seeking support takes immense courage, and I appreciate the strength it takes to reach out. As a Mental Health Nurse Practitioner, I offer compassionate therapeutic support and Medication Management for anxiety, depression, trauma, PTSD, OCD, and more. Specializing in adults, children, and teenagers, my integrative approach unravels persistent patterns, empowering you to confront life's challenges with resilience. Let's collaboratively navigate your journey towards healing and growth.
Embarking on the journey of seeking support takes immense courage, and I appreciate the strength it takes to reach out. As a Mental Health Nurse Practitioner, I offer compassionate therapeutic support and Medication Management for anxiety, depression, trauma, PTSD, OCD, and more. Specializing in adults, children, and teenagers, my integrative approach unravels persistent patterns, empowering you to confront life's challenges with resilience. Let's collaboratively navigate your journey towards healing and growth.
(360) 564-7718 View (360) 564-7718
Photo of Jonathan Allotey, DNP, PMHNP, Psychiatric Nurse Practitioner
Jonathan Allotey
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
Vancouver, WA 98662  (Online Only)
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide Telemedicine ( Online Psychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: www.pwpsychiatry.com/WA
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide Telemedicine ( Online Psychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: www.pwpsychiatry.com/WA
(360) 230-6642 View (360) 230-6642
Photo of Margaret (Peggy) Rose, ARNP-BC, Psychiatric Nurse Practitioner
Margaret (Peggy) Rose
Psychiatric Nurse Practitioner, ARNP-BC
Verified Verified
Vancouver, WA 98684
As a psychiatric nurse practitioner (ARNP), I have provided medication management and psychotherapy in Washington for forty years. I hold an MA from Seattle University in Existential-Phenomenological Psychology, which emphasizes our experience of living and how our choices and views can define the world for us. But these things can change if that is our goal. Through our choices we can bring meaning to our lives, and we can also make the lives of people we love more meaningful. Some of my patients take medication, but not all, and I find psychotherapy to be helpful for everyone in my practice.
As a psychiatric nurse practitioner (ARNP), I have provided medication management and psychotherapy in Washington for forty years. I hold an MA from Seattle University in Existential-Phenomenological Psychology, which emphasizes our experience of living and how our choices and views can define the world for us. But these things can change if that is our goal. Through our choices we can bring meaning to our lives, and we can also make the lives of people we love more meaningful. Some of my patients take medication, but not all, and I find psychotherapy to be helpful for everyone in my practice.
(206) 457-1421 View (206) 457-1421
Photo of Kassandra Ransom, DNP, PMHNP, Psychiatric Nurse Practitioner
Kassandra Ransom
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
Vancouver, WA 98662
I often hear from people, “I wish I could get my brain to work the way I want.” or “I have 58 browser tabs open in my brain all the time!” or “I get so frustrated with myself because I can’t get the things done I want to do!” If any of these statements sound like you, you are certainly not alone. Many clients make appointments with me wondering about ADHD. That is often one possibility, and with further discussion and exploration of symptoms, we can come to a diagnosis together. I am licensed in OR & WA and I am now accepting new patients ages 16-60yo for medication management visits in-office in Vancouver, WA., or via telehealth.
I often hear from people, “I wish I could get my brain to work the way I want.” or “I have 58 browser tabs open in my brain all the time!” or “I get so frustrated with myself because I can’t get the things done I want to do!” If any of these statements sound like you, you are certainly not alone. Many clients make appointments with me wondering about ADHD. That is often one possibility, and with further discussion and exploration of symptoms, we can come to a diagnosis together. I am licensed in OR & WA and I am now accepting new patients ages 16-60yo for medication management visits in-office in Vancouver, WA., or via telehealth.
(360) 226-5430 View (360) 226-5430
Photo of Anna Gavrishova, MSN, Psychiatric Nurse Practitioner
Anna Gavrishova
Psychiatric Nurse Practitioner, MSN
Verified Verified
Vancouver, WA 98662
Go to calendly.com/anna-halcyoncounseling/15min to schedule a consult. I provide counseling/med management to individuals and families. Everyone experiences significant anxiety, sadness or emotional distress at some point in their lives, and most people have experienced some sort of traumatic event in their past. Seeking support during times when life feels overwhelming can help you build awareness of yourself, your personal needs and how to manage stress without destructive behaviors and thoughts. My tailored, trauma-informed and evidence-based therapy will help you navigate your unique goals with therapy and/or medication.
Go to calendly.com/anna-halcyoncounseling/15min to schedule a consult. I provide counseling/med management to individuals and families. Everyone experiences significant anxiety, sadness or emotional distress at some point in their lives, and most people have experienced some sort of traumatic event in their past. Seeking support during times when life feels overwhelming can help you build awareness of yourself, your personal needs and how to manage stress without destructive behaviors and thoughts. My tailored, trauma-informed and evidence-based therapy will help you navigate your unique goals with therapy and/or medication.
(360) 469-0752 View (360) 469-0752
Photo of Ryan Thebo, DNP, PMHNP, FNP, CICP, Psychiatric Nurse Practitioner
Ryan Thebo
Psychiatric Nurse Practitioner, DNP, PMHNP, FNP, CICP
Verified Verified
Vancouver, WA 98662
Unsure if medication is right for you or need help optimizing your current treatment? While medication can be beneficial, the most effective approach to mental health challenges often combines the right medications with holistic treatments. Sadly, the profit-driven mental healthcare system may not always prioritize your well-being. My goal is to help you thrive through holistic psychiatry, enabling you to achieve optimal wellness. Easily schedule an online appointment for personalized medication management at www.pwpsychiatry.com/CA and take the first step towards a healthier you.
Unsure if medication is right for you or need help optimizing your current treatment? While medication can be beneficial, the most effective approach to mental health challenges often combines the right medications with holistic treatments. Sadly, the profit-driven mental healthcare system may not always prioritize your well-being. My goal is to help you thrive through holistic psychiatry, enabling you to achieve optimal wellness. Easily schedule an online appointment for personalized medication management at www.pwpsychiatry.com/CA and take the first step towards a healthier you.
(360) 525-1875 View (360) 525-1875
Photo of Melissa Osada - Neupathway (Melissa Osada), APRN, PMHNP, BC, Psychiatric Nurse Practitioner
Neupathway (Melissa Osada)
Psychiatric Nurse Practitioner, APRN, PMHNP, BC
Verified Verified
Vancouver, WA 98662
Accepting New Patients, same week availability................................... With 28 years in healthcare, Melissa, a U.S. Army vet, is a board-certified Psychiatric Mental Health NP licensed in WA and OR. Holding an MSN from Gonzaga University, she provides evidence-based care for those 18+, addressing anxiety, depression, bipolar, and trauma-related concerns. Melissa emphasizes connections with patients, values inherent worth, and fosters respect, understanding, and compassion. Collaborating on holistic treatment decisions, she builds strong therapeutic relationships in a safe environment.
Accepting New Patients, same week availability................................... With 28 years in healthcare, Melissa, a U.S. Army vet, is a board-certified Psychiatric Mental Health NP licensed in WA and OR. Holding an MSN from Gonzaga University, she provides evidence-based care for those 18+, addressing anxiety, depression, bipolar, and trauma-related concerns. Melissa emphasizes connections with patients, values inherent worth, and fosters respect, understanding, and compassion. Collaborating on holistic treatment decisions, she builds strong therapeutic relationships in a safe environment.
(360) 215-2284 View (360) 215-2284
Photo of Wendy Anne Piper - Wendy Piper, DNP, PMHNP, DNP, PMHNP, Psychiatric Nurse
Wendy Piper, DNP, PMHNP
Psychiatric Nurse, DNP, PMHNP
Verified Verified
Vancouver, WA 98662
This behavior health outpatient practice treats teenagers, adults and seniors. My skills include assessment, diagnosis, and treatment of individuals and families with psychiatric disorders using therapeutic skills, including the prescription of medication when needed, medication follow up and brief focused therapy. Book a session on my website. See website address at the right of this page or leave message on my site to call you. I try and answer all messages quickly.
This behavior health outpatient practice treats teenagers, adults and seniors. My skills include assessment, diagnosis, and treatment of individuals and families with psychiatric disorders using therapeutic skills, including the prescription of medication when needed, medication follow up and brief focused therapy. Book a session on my website. See website address at the right of this page or leave message on my site to call you. I try and answer all messages quickly.
(360) 559-6997 View (360) 559-6997
Photo of Grant L Beloof, MD, Psychiatrist
Grant L Beloof
Psychiatrist, MD
Verified Verified
Vancouver, WA 98660
I hold certification General Adult Psychiatry as well as in Integrative and Holistic Medicine and was trained in the bio-psycho-social model of human development. I offer primarily medication management and will enjoy working in coordination with your usual therapist and when necessary, with physicians of other specialties. I often incorporate knowledge from my integrative and holistic background, including Asian theories of health, with more conventional care of patients. My preferred style of medication management is to carefully seek the lowest doses that are still consistent with full return of function.
I hold certification General Adult Psychiatry as well as in Integrative and Holistic Medicine and was trained in the bio-psycho-social model of human development. I offer primarily medication management and will enjoy working in coordination with your usual therapist and when necessary, with physicians of other specialties. I often incorporate knowledge from my integrative and holistic background, including Asian theories of health, with more conventional care of patients. My preferred style of medication management is to carefully seek the lowest doses that are still consistent with full return of function.
(503) 980-1273 View (503) 980-1273
Photo of Regina Spencer-Sikandar, PMHNP, Psychiatric Nurse Practitioner
Regina Spencer-Sikandar
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
4 Endorsed
Vancouver, WA 98686  (Online Only)
No Waitlist! Immediate availability for Psychiatry and mental health medications. I am a patient-centered and value personalized care over a one-size-fits-all approach. I'm not pushy and I listen to my patients. I see patients via Telehealth in OR and WA. I a board-certified Psychiatric Mental Health Nurse Practitioner. Over the years, I've had the privilege of working in a variety of settings, including community mental health, inpatient treatment, corrections, and substance use treatment among others. I firmly believe in creating a non-judgmental environment where my patients can show up authentically and feel truly seen.
No Waitlist! Immediate availability for Psychiatry and mental health medications. I am a patient-centered and value personalized care over a one-size-fits-all approach. I'm not pushy and I listen to my patients. I see patients via Telehealth in OR and WA. I a board-certified Psychiatric Mental Health Nurse Practitioner. Over the years, I've had the privilege of working in a variety of settings, including community mental health, inpatient treatment, corrections, and substance use treatment among others. I firmly believe in creating a non-judgmental environment where my patients can show up authentically and feel truly seen.
(360) 488-0244 View (360) 488-0244
Photo of Karen Suzanne McNulty, ARNP, Psychiatric Nurse Practitioner
Karen Suzanne McNulty
Psychiatric Nurse Practitioner, ARNP
Verified Verified
Vancouver, WA 98663
"Do you have a goal to accept or change old habits? Maybe you want to sleep more peacefully? Navigate life transitions with more resilience? Handle stress confidently? Parent harmoniously? Relate authentically? Emotional wellness therapy can help to nurture confidence and grow skills in what matters most to you. Through compassionate insightful attention to your strengths and dreams, experience more of the essence of what you desire. Learn what obstacles may have to teach. Evidence based health psychology tools are offered to support you on your journey to greater inner peace."
"Do you have a goal to accept or change old habits? Maybe you want to sleep more peacefully? Navigate life transitions with more resilience? Handle stress confidently? Parent harmoniously? Relate authentically? Emotional wellness therapy can help to nurture confidence and grow skills in what matters most to you. Through compassionate insightful attention to your strengths and dreams, experience more of the essence of what you desire. Learn what obstacles may have to teach. Evidence based health psychology tools are offered to support you on your journey to greater inner peace."
(360) 215-5385 View (360) 215-5385
Photo of Naomi Kimani - Maitri Mental Health, LMFT, LMHC, QMHP, PMHNP, Psychiatric Nurse Practitioner
Maitri Mental Health
Psychiatric Nurse Practitioner, LMFT, LMHC, QMHP, PMHNP
Verified Verified
Vancouver, WA 98660
Maitri Mental Health utilizes an integrated and innovative model to provide individuals with optimal health, bringing balance to body, mind, and spirit. We understand that the human experience involves transforming pain and provide care rooted in compassion and dignity for all individuals in the healing process. Through collaboration with our clients, our dynamic staff select treatments from various disciplines to tailor services to best meet the need. It is important that throughout the process, individuals feel safe, heard, and supported.
Maitri Mental Health utilizes an integrated and innovative model to provide individuals with optimal health, bringing balance to body, mind, and spirit. We understand that the human experience involves transforming pain and provide care rooted in compassion and dignity for all individuals in the healing process. Through collaboration with our clients, our dynamic staff select treatments from various disciplines to tailor services to best meet the need. It is important that throughout the process, individuals feel safe, heard, and supported.
(360) 233-8070 View (360) 233-8070
Photo of Jessica Bentura-Jimenez - Jessica Jimenez-Agency Has Immediate Openings!, PMHNP, Psychiatric Nurse Practitioner
Jessica Jimenez-Agency Has Immediate Openings!
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Vancouver, WA 98684  (Online Only)
I am passionate about providing mental health services to the adult population. In her practice, she strives to achieve the highest care with respect and regard for her patients and their treatment preferences. She utilizes treatments aligned with evidence-based guidelines combined with clinical experience, personal observation, and patient input, in order to develop a treatment plan that is patient centered. Focused treatment areas include depression, treatment resistant depression, anxiety, bipolar disorder, PTSD, schizophrenia, schizoaffective disorder, and ADHD.
I am passionate about providing mental health services to the adult population. In her practice, she strives to achieve the highest care with respect and regard for her patients and their treatment preferences. She utilizes treatments aligned with evidence-based guidelines combined with clinical experience, personal observation, and patient input, in order to develop a treatment plan that is patient centered. Focused treatment areas include depression, treatment resistant depression, anxiety, bipolar disorder, PTSD, schizophrenia, schizoaffective disorder, and ADHD.
(360) 564-1990 View (360) 564-1990
Photo of Mason Spong, PA-C, Physician Assistant
Mason Spong
Physician Assistant, PA-C
Verified Verified
Vancouver, WA 98683
Have you tried several medications for your mental health and experienced no relief of symptoms? At Active Path, we are here to help your treatment-resistant depression, anxiety and OCD. Get back to you with services tailored to your specific needs. We offer Transcranial magnetic stimulation (TMS), talk therapy, Spravato (esketamine), and medication management. These services are designed to provide comprehensive support to our patients on their mental health journey. Our services are covered by most insurance plans, including Medicare and Medicaid.
Have you tried several medications for your mental health and experienced no relief of symptoms? At Active Path, we are here to help your treatment-resistant depression, anxiety and OCD. Get back to you with services tailored to your specific needs. We offer Transcranial magnetic stimulation (TMS), talk therapy, Spravato (esketamine), and medication management. These services are designed to provide comprehensive support to our patients on their mental health journey. Our services are covered by most insurance plans, including Medicare and Medicaid.
(360) 226-7652 View (360) 226-7652
Photo of David Denton, PMHNP, Psychiatric Nurse Practitioner
David Denton
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Vancouver, WA 98663
Hello and welcome. Anxiety, depression, trauma, and stress have in some way affected so many of us. Any one of these can have a tremendous effect on your mental health. Whether you have endured loss, have been overwhelmed by external stressors, or have just been coping with isolation during these uncertain times there is support available for you. I would like to hear your story and be a part of the team that helps you navigate whatever storm you are weathering.
Hello and welcome. Anxiety, depression, trauma, and stress have in some way affected so many of us. Any one of these can have a tremendous effect on your mental health. Whether you have endured loss, have been overwhelmed by external stressors, or have just been coping with isolation during these uncertain times there is support available for you. I would like to hear your story and be a part of the team that helps you navigate whatever storm you are weathering.
(360) 233-8755 View (360) 233-8755
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Online Psychiatrists

Is online therapy as effective as in-person?

Numerous studies suggest that online therapy can be as effective as in-person therapy. However, further research is needed to determine if online therapy provides the same benefits across all client populations. Individuals with severe mental illnesses, such as schizophrenia or bipolar disorder, or those who may benefit from in-person check-ins, like those with eating disorders, may not experience the same level of benefit from online therapy. Nonetheless, the success of online therapy, much like in-person therapy, often hinges on the quality of the therapeutic relationship between the therapist and the client rather than the specific modality of therapy used.

What are the advantages and disadvantages of therapy conducted online?

One of the main advantages of online therapy is its convenience for both clients and therapists. It also allows clients who require specialized therapy to access a wider range of professionals than they could with only in-person sessions. Additionally, online therapy may be a more affordable option in some cases and often offers the same insurance benefits as in-person therapy. However, online therapy may not be suitable for everyone, especially those who value face-to-face interaction with a therapist. Therapists may find it more challenging to assess clients accurately in an online setting due to reduced nonverbal cues on camera. There is also the increased risk that disruptions caused by external factors, such as technology malfunctions, can hinder the therapy session. For these reasons, many therapists offer a "hybrid" therapeutic approach, alternating between seeing clients in-person and online.

Is online therapy suitable for children and adolescents?

Just like with adults, the accessibility and convenience of online therapy can greatly benefit children and adolescents. In fact, children and adolescents may be more accustomed to navigating online platforms than older adults, making online sessions feel more natural for them. Teens might also be interested in using additional online tools, such as therapist-recommended apps, as an adjunct to online therapy sessions. Apps for developing CBT skills, practicing mindfulness exercises, or tracking thoughts and moods can be helpful for teens receiving therapy. However, it's important to note that not all therapeutic modalities are well-suited to online therapy, especially those used with younger children. For example, play therapy, which helps younger children express their emotions, often requires in-person sessions to be fully effective.

Can I receive prescriptions and medication management with online therapy?

The ability for psychiatrists to prescribe medications through online therapy varies based on the medication and the states where the medical professional and client are located. While many prescribing regulations were relaxed during the COVID-19 pandemic, some states still enforce rules, especially concerning controlled substances, which may mandate an in-person visit before prescribing. Generally, however, medical professionals can prescribe non-controlled substances through online therapy sessions just as they do during in-person sessions.