This is going to be a nightmare for my clinic and I will likely just stop prescribing controlled substances all together. A not insignificant number of patients I see (patients 6+ hours away with nearest psychiatrist being 3+ hours away) end up being patients with ADHD for most of their lives who were never treated who have benefited significantly from starting low doses of stimulants. I'm talking patients now holding down jobs and and improved home interactions with children after starting, not "man I feel so much better with Adderall!" So basically I'm going to have to see them, have them see their PCP in-person again for a specific referral, then see them again just to trial a stimulant?
I've been in the process of transferring many patients back to PCP anyway from the previous docs who ran this clinic ran it more like a continuity clinic (which it was never meant to be), but for patients I've been continuing to see to stabilize further before sending back to PCP this may just expedite the process.