Klarity vs. Done: Which is Better for ADHD Treatment? (May 2026)

If you are comparing Klarity and Done for online ADHD treatment, you are asking the right question. Both platforms promise fast appointments and licensed providers. But the similarities end there. One accepts insurance, operates in all 50 states, and has no regulatory red flags. The other runs on a subscription model, has faced federal criminal prosecution, and holds a 3.0/5 Trustpilot rating from over 4,300 patients.

This article walks through everything you need to know before you book: pricing, coverage, provider credentials, real patient reviews, and the legal history that should factor into your decision.

Table of Contents

• TLDR
• What is Done?
• How Done Actually Works
• What Do Real Patients Say About Done?
• How Much Does Done Cost?
• Why People Choose Klarity Over Done
• Feature Comparison: Klarity vs. Done
• Why Klarity Is the Better Choice
• Frequently Asked Questions

TLDR

• Klarity accepts 50+ insurance plans. Done runs entirely on a paid subscription with no insurance option.
• Done’s founder and clinical president were convicted by a federal jury in November 2025 for conspiracy to illegally distribute Adderall and healthcare fraud. The company itself was subsequently indicted in December 2025.
• Done holds a 3.0/5 on Trustpilot (4,386+ reviews). Klarity holds a 4.4/5 on Trustpilot and 4.7/5 on Reviews.io.
• Klarity covers all 50 states with 2,000+ board-certified providers. Done operates in approximately 47 states with an ADHD-only focus.
• Klarity charges per visit with no subscription required. Done costs $199 for the first month, then $79 every month after — over $1,100 per year before any pharmacy costs.
• Klarity accepts HSA/FSA payments. Appointments are available in as little as 24 hours.

What is Done?

Done (operating as DoneFirst, or Done Global Inc.) is a San Francisco-based telehealth startup founded in 2019 by Ruthia He. The company focuses almost exclusively on ADHD, offering online assessments, medication management, and some coaching support through a subscription membership.

Done attracted patients quickly by marketing fast appointments and easy access to stimulant medications like Adderall, Ritalin, and Vyvanse. At its peak, Done distributed over 40 million stimulant pills while running millions of dollars in social media advertising.

That growth came at a severe legal cost. In November 2025, a federal jury in San Francisco convicted Done's founder and CEO Ruthia He and its clinical president David Brody for conspiracy to illegally distribute Adderall over the internet and conspiracy to commit healthcare fraud. He was also convicted of obstruction of justice. In December 2025, a federal grand jury indicted the company itself on charges of participating in a $100 million Adderall distribution scheme, healthcare fraud, and obstruction conspiracies. The Department of Justice called this its first criminal drug distribution prosecution arising from telehealth prescribing practices.

Done continues to operate while the legal process unfolds, but the convictions and indictment represent serious, unresolved institutional risk for any patient considering the platform.

How Done Actually Works

Done’s sign-up process starts with a brief online assessment to determine whether you are a candidate for ADHD care. If you pass, you book a video appointment with a clinician and pay the $199 first-month fee upfront. From that point forward, your membership renews at $79 per month automatically.

The subscription covers video consultations, medication management, and unlimited messaging with a care team. Done handles prescription delivery coordination, meaning refills come to you rather than requiring separate pharmacy visits.

There is no insurance billing. Done operates entirely outside the traditional insurance system. If you cancel your membership, your account is deleted immediately. Done's own FAQ states: "All future appointments booked will be canceled with no refunds. It will take up to 24 hours for everything to take effect. There are no refunds for membership fees." There is no way to retrieve your records after cancellation.

Done's clinical scope is also narrow. The platform treats ADHD and related medication management — it does not offer comprehensive psychiatric care for co-occurring conditions like depression or anxiety without additional enrollment.

What Do Real Patients Say About Done?

Done holds a 3.0 out of 5 on Trustpilot based on 4,386+ reviews — a below-average score for a healthcare platform. On Reviews.io, it holds a 4.0 out of 5 from 342 reviews.

The negative reviews cluster around a few persistent themes:

• Clinician no-shows. Multiple patients report scheduling appointments only to have the clinician fail to appear, with no proactive notification from Done.
• Medication gaps. Patients describe going weeks without their medication due to refill delays and poor coordination between Done’s care team and pharmacies.
• Customer service barriers. Reviews frequently cite offshore support staff, language barriers, and an inability to resolve basic account or prescription issues.
• Billing disputes. Patients report being charged after attempting to cancel, and some describe difficulty obtaining refunds.
• Record deletion on cancellation. The loss of medical records upon membership cancellation frustrates patients who want to transfer care.

One Reviews.io patient wrote: “Done does not care whatsoever about their customer’s mental health — horrible customer service and communication. I have been without my medication for weeks because of the entire Done staff’s inability to follow through.”

The BBB profile for Done Health in San Francisco documents a pattern of consumer complaints consistent with the review platform data, particularly around billing and medication access issues.

How Much Does Done Cost?

Done’s pricing is straightforward but expensive over time:

At the standard monthly rate, Done costs $1,147 per year after the first month. The annual plan reduces this to $699, but requires a full-year commitment upfront. Neither plan bills through insurance.

Pharmacy costs come on top of these fees and vary based on your individual coverage or GoodRx pricing.

For comparison, Klarity's pay-per-visit model with insurance acceptance often results in patients paying a standard copay — the same amount they would pay for any specialist visit under their health plan.

Why People Choose Klarity Over Done

1. Insurance Is Accepted

Klarity works with 50+ insurance plans, which means most patients pay their standard specialist copay rather than the full out-of-pocket cost. Done does not accept insurance at all. For patients with employer-sponsored health plans, Klarity can cost significantly less per year than Done’s subscription.

2. No Subscription Trap

Klarity charges per visit. There is no recurring monthly fee, no annual commitment, and no penalty for pausing care. Done locks patients into a subscription, deletes their records upon cancellation, and does not issue refunds for unused membership time.

3. Serious Regulatory Concerns with Done

Done’s founder and clinical president were convicted on federal charges in 2025, and the company itself faces a federal indictment. These are not allegations — Ruthia He and David Brody were found guilty by a jury. Choosing a telehealth provider with convicted leadership and an active federal indictment carries real risk for patients who depend on ongoing prescription access and continuity of care.

Klarity has no regulatory actions, federal charges, or indictments in its history.

4. Broader Conditions Covered

Klarity treats ADHD, depression, and anxiety — all through the same platform. Many adults with ADHD also experience co-occurring anxiety or depression. Done focuses almost exclusively on ADHD, which means patients with comorbid conditions may need to seek additional care elsewhere.

5. Provider Network and Credentials

Klarity’s network includes 2,000+ board-certified psychiatrists and psychiatric nurse practitioners. These are clinicians with full psychiatric training, not exclusively ADHD-focused practitioners. The depth of the provider network also means shorter wait times — appointments are available in as little as 24 hours.

6. Transparency and Patient Ratings

Klarity holds a 4.4/5 on Trustpilot and a 4.7/5 on Reviews.io. Done holds a 3.0/5 on Trustpilot. The gap reflects meaningful differences in clinical reliability, communication, and patient experience.

7. HSA/FSA Accepted

Klarity accepts HSA and FSA payments, giving patients a tax-advantaged way to cover care costs. This is particularly valuable for patients who do not have insurance that covers telehealth psychiatric care.

Feature Comparison: Klarity vs. Done

Why Klarity Is the Better Choice

For most adults seeking online ADHD treatment in 2026, Klarity is the stronger option on every axis that matters.

The insurance coverage alone changes the economics of care. Patients paying standard copays through their health plan will spend far less annually with Klarity than they would with Done's $79/month subscription — and that gap widens every year.

The regulatory situation at Done is a serious concern that goes beyond corporate scandal. A company whose founder and top clinical officer were convicted of distributing controlled substances illegally, and which faces a federal indictment as of December 2025, carries real uncertainty for patients who need reliable, ongoing prescription access. Stimulant prescriptions for ADHD are controlled substances. Any disruption to Done's operations — whether from sentencing, enforcement action, or business consequences — could interrupt care for thousands of patients with no warning.

Klarity's clinical breadth also matters. Adults with ADHD often arrive with anxiety or depression that deserves attention at the same time. With 2,000+ board-certified providers across all 50 states, Klarity handles the full picture rather than asking patients to piece together care across multiple platforms.

The patient ratings tell the same story. A 4.4/5 on Trustpilot versus Done's 3.0/5 is not a small gap in a category this important. Healthcare reviews reflect real treatment experiences — whether a clinician showed up, whether medication arrived on time, whether someone responded when a patient needed help.

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Frequently Asked Questions

Is Done still operating after its federal indictment?

Yes, Done continues to operate as of May 2026 while the legal process continues. However, Done’s founder Ruthia He and clinical president David Brody were convicted by a federal jury in November 2025, and the company was indicted in December 2025. Patients should be aware that the company’s long-term operational status is uncertain.

Does Klarity accept insurance for ADHD treatment?

Yes. Klarity accepts 50+ insurance plans for ADHD and other mental health conditions. Patients with applicable insurance typically pay a standard specialist copay rather than the full visit cost. Done does not accept insurance.

Can I use my HSA or FSA with Klarity?

Yes. Klarity accepts HSA and FSA payments, which allows patients to use pre-tax dollars toward their care. This can reduce the effective out-of-pocket cost for patients who contribute to health savings accounts.

How fast can I get an appointment with Klarity?

Klarity offers appointments in as little as 24 hours in many states. With 2,000+ board-certified providers across all 50 states, availability is significantly broader than most online psychiatric care platforms.

Does Klarity treat only ADHD, or other conditions too?

Klarity treats ADHD, depression, and anxiety — all through the same platform. This is particularly valuable for adults who have co-occurring conditions alongside ADHD, which is very common. Done focuses primarily on ADHD.

What happens to my records if I cancel Done?

According to Done’s own FAQ, canceling your membership results in immediate account deletion. Done states: “Your account will be immediately deleted and you will not have access to any of your records.” Patients who want to transfer care to another provider after canceling Done will lose access to their history. Klarity does not operate this way.

This article is for informational purposes only and does not constitute medical advice. Always consult a licensed healthcare provider to determine the right treatment for your specific needs.

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