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Anxiety

Published: Feb 13, 2026

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Written by Klarity Editorial Team

Published: Feb 13, 2026

Why would a provider deny Hydroxyzine?
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In today’s fast-paced world, anxiety has become increasingly common, affecting millions of Americans. Yet many people still face barriers to getting proper treatment, from long wait times to difficulties fitting in-person appointments into busy schedules. Telehealth has emerged as a convenient solution—but can you actually get anxiety medication prescribed online? The short answer is yes, but with some important nuances.

Understanding Telehealth for Anxiety Treatment in 2026

Telehealth services for mental health, including anxiety treatment, have become mainstream after gaining tremendous popularity during the COVID-19 pandemic. As of 2026, telehealth remains a legally valid and increasingly common way to receive anxiety medication prescriptions across all 50 states.

‘The landscape for telehealth prescribing has significantly evolved,’ explains Dr. Sarah Hernandez, a board-certified psychiatrist at Klarity Health. ‘Most patients with anxiety can now access effective medications like SSRIs through legitimate telehealth platforms without needing to visit a clinic in person.’

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Which Anxiety Medications Can Be Prescribed via Telehealth?

Not all anxiety medications are treated equally under telehealth prescribing laws. Here’s what you need to know about the most common options:

Non-Controlled Medications (Available via Telehealth)

These medications can be legally prescribed through telehealth in all states with no federal restrictions:

MedicationCommon UseNotes
SSRIs (Lexapro, Zoloft, Prozac)First-line treatment for anxiety disordersNo special federal restrictions; can be prescribed via telehealth in all states
SNRIs (Cymbalta, Effexor)Anxiety and depressionNo special federal restrictions
Buspirone (BuSpar)Generalized anxiety disorderNon-controlled, telehealth-friendly option
Hydroxyzine (Vistaril)Short-term or situational anxietyNon-sedating antihistamine used for anxiety
Beta-blockers (propranolol)Performance anxiety, physical symptomsOften prescribed for specific situations like public speaking

Controlled Substances (Special Rules Apply)

These medications face stricter regulations for telehealth prescribing:

MedicationClassificationTelehealth Status
Benzodiazepines (Xanax, Klonopin, Ativan)Schedule IV controlled substancesSubject to DEA’s temporary flexibility through December 31, 2026; may require in-person visit after that date
Certain sleep medications (Ambien, Lunesta)Schedule IV controlled substancesSimilar restrictions as benzodiazepines

‘Many patients don’t realize that first-line treatments for anxiety—medications like SSRIs—aren’t controlled substances and can be legally prescribed via telehealth,’ notes Dr. Hernandez. ‘At Klarity Health, we can evaluate patients remotely and prescribe these medications when appropriate, making anxiety treatment accessible even for those with busy schedules or transportation challenges.’

Current Telehealth Prescribing Laws: What You Need to Know

Federal Regulations in 2026

The federal regulatory landscape for telehealth prescribing is different depending on the type of medication:

  • Non-controlled medications (including SSRIs, SNRIs, buspirone): These can be prescribed via telehealth with no special federal restrictions. The Ryan Haight Act’s in-person exam requirement never applied to these medications.

  • Controlled substances: The DEA has extended its pandemic-era flexibility through December 31, 2026, allowing telehealth prescribing of controlled substances without an initial in-person visit. However, this is a temporary measure, and permanent rules are expected to be finalized.

State-by-State Variations

While all states permit telehealth prescribing of non-controlled anxiety medications, some have implemented specific requirements:

  • States with periodic in-person requirements: A few states (like New Hampshire and Missouri) have introduced rules requiring periodic in-person evaluations for ongoing telehealth prescriptions.

  • Standard of care requirements: All states require that telehealth providers meet the same standard of care as in-person visits, meaning a thorough evaluation must be conducted before prescribing.

  • Provider licensing: Telehealth providers must be licensed in the state where the patient is located at the time of the visit.

Who Can Prescribe Anxiety Medications via Telehealth?

Several types of healthcare providers can legally prescribe anxiety medications through telehealth platforms:

  1. Psychiatrists (MD/DOs specializing in mental health)
  2. Primary Care Physicians (MD/DOs)
  3. Nurse Practitioners (NPs) – with varying levels of independence by state
  4. Physician Assistants (PAs) – typically requiring physician collaboration

‘The availability of different provider types on telehealth platforms increases access to care,’ explains Dr. Hernandez. ‘At Klarity Health, we have a range of qualified providers, which helps reduce wait times while ensuring patients receive expert care for their anxiety.’

The Telehealth Anxiety Treatment Process

If you’re considering telehealth for anxiety medication, here’s what to expect:

1. Initial Consultation

  • Complete a health questionnaire about your symptoms, medical history, and current medications
  • Participate in a video consultation with a licensed provider
  • Discuss your anxiety symptoms, treatment goals, and medication options
  • Complete standardized assessments (like the GAD-7 for anxiety)

2. Diagnosis and Treatment Planning

  • Your provider will determine if you meet criteria for an anxiety disorder
  • Together, you’ll discuss treatment options, including whether medication is appropriate
  • If medication is recommended, your provider will explain benefits, risks, and alternatives
  • You’ll jointly develop a treatment plan that may include medication, therapy, and lifestyle changes

3. Prescription and Follow-up

  • If prescribed, your medication will be sent electronically to your preferred pharmacy
  • Initial follow-up appointments are typically scheduled 2-4 weeks after starting medication
  • Regular check-ins will be scheduled to monitor progress and adjust treatment as needed

‘The virtual care experience closely mirrors what you’d receive in person,’ says Dr. Hernandez. ‘The main difference is the convenience—you can speak with a qualified provider from the comfort of your home, often with much shorter wait times than traditional clinics.’

Is Telehealth Right for Your Anxiety Treatment?

While telehealth has made anxiety treatment more accessible for many, it’s not ideal for everyone. Here’s a quick guide to help determine if online prescribing might work for you:

Good Candidates for Telehealth Anxiety Treatment

  • Patients with mild to moderate anxiety symptoms
  • Those seeking non-controlled medications like SSRIs
  • Individuals with limited access to in-person care (due to location, mobility issues, or scheduling constraints)
  • Patients comfortable with technology and video visits
  • Those who prefer the privacy of receiving care at home

When In-Person Care May Be Better

  • Patients experiencing severe symptoms, including active suicidal thoughts
  • Those with complex psychiatric histories or multiple mental health conditions
  • Individuals who have tried several medications without success
  • People with medical conditions that might be causing anxiety symptoms
  • Those uncomfortable with or unable to use technology

Red Flags: How to Spot Questionable Telehealth Services

Not all telehealth platforms are created equal. Here are warning signs that a service may not be legitimate:

  • Promising specific medications (especially controlled substances) before evaluation
  • No video consultation requirement or very brief consultations (under 10 minutes)
  • Lack of transparency about provider credentials or licensing
  • No follow-up care or monitoring
  • Direct selling of medications without a pharmacy prescription
  • No screening for contraindications or safety concerns

Making the Most of Telehealth for Anxiety

If you decide to pursue anxiety medication through telehealth, these tips can help ensure a positive experience:

  1. Research the platform – Choose established telehealth providers with good reputations and transparent practices. Klarity Health offers provider availability information, transparent pricing, and accepts both insurance and cash pay.

  2. Prepare for your appointment – Make notes about your symptoms, when they started, what makes them better or worse, and any previous treatments you’ve tried.

  3. Be honest and thorough – Your provider needs accurate information to make appropriate recommendations. Disclose all medications, supplements, and substances you use.

  4. Ask questions – Understand how the medication works, potential side effects, when to expect results, and what follow-up will entail.

  5. Follow through with the treatment plan – Attend scheduled follow-ups and take medications as prescribed.

  6. Know your emergency resources – Have a plan for urgent situations, including local emergency services and crisis hotlines.

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logo
All professional services are provided by independent private practices via the Klarity technology platform. Klarity Health, Inc. does not provide medical services.
Phone:
(866) 391-3314

— Monday to Friday, 7:00 AM to 4:00 PM PST

Mailing Address:
1825 South Grant St, Suite 200, San Mateo, CA 94402
If you’re having an emergency or in emotional distress, here are some resources for immediate help: Emergency: Call 911. National Suicide Prevention Lifeline: call or text 988. Crisis Text Line: Text HOME to 741741.
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