Focused

What the service is

Focused (operated as Focus Partners) is a membership-based medical practice that provides telehealth ADHD treatment and medication management specifically for adults. The practice is founded by Dr. Roxanna Durrani, a physician who specializes exclusively in attention-deficit/hyperactivity disorder. Rather than billing insurance, Focused operates as a direct-to-patient service, charging a flat monthly membership fee and keeping the treatment process straightforward and transparent.

How it works

The first step is a free online assessment that takes less than two minutes and helps determine whether Focused can help. If you proceed, you'll have a telehealth consultation with an ADHD physician using your phone, tablet, or computer from wherever is most comfortable for you, home, office, dorm, or elsewhere. During that initial session, the doctor will provide a diagnosis (or review existing diagnoses), discuss your current medications if any, and create a personalized treatment plan.

Once you're a member, the membership fee covers several things at once: the initial diagnostic consultation, ongoing medication management, 24/7 access to the patient portal, monthly prescription refills without additional fees, and follow-up visits that are included rather than billed separately. Members can message their care provider through the portal at any time. The practice is designed to eliminate the friction of traditional care: there are no surprise fees, no quarterly bills for visits, and no insurance prior-authorization processes that you have to wait through. The company handles prior authorizations with pharmacies and insurance companies when those come up, even though Focused itself doesn't bill insurance.

For members in Chicago and New York, Focused has partnered with Capsule, a medication-delivery service, to provide free same-day delivery of prescribed medications. After your doctor sends the prescription to Capsule, the service texts you to confirm details and schedule delivery, then drops the medication at your door the same day, all at no additional cost. For members outside these delivery areas, prescriptions go to any pharmacy of your choice.

Treatment itself is medication-focused. Focused is able to prescribe the full range of ADHD medications, including stimulants like Adderall and Vyvanse. The practice uses pharmacogenomic principles in medication selection, meaning they take into account genetic factors that affect how your body metabolizes different drugs, to maximize the chances of finding the right medication for you. Members are expected to notify their clinician about any other medications they're taking to ensure there are no harmful interactions.

The practice does not treat other mental health conditions or general medical issues. It is exclusively focused on ADHD in adults ages 18 and up, and that focused scope is intentional, the company believes that concentrating on one condition allows them to provide the highest quality care in that area.

What the pages prove

The membership fee is $65 per month, with no separate consultation charges, no add-on fees for visits, and no surprise bills. This is the total cost of the membership, though the company notes that the monthly fee does not include the cost of any medications themselves, you'll pay for those at your pharmacy or through the delivery service. Focused accepts FSA and HSA funds, which means if you have a tax-advantaged savings account through your employer, you can potentially use that to cover the membership fee.

Focused does not accept insurance, which is a deliberate business choice. The company's FAQ explicitly states it is "direct-to-patient care" and does not bill insurance plans. This means your membership cost comes out of pocket, though the transparent pricing model avoids the hidden costs and prior-authorization delays that come with insurance billing.

The service is available in four states: Illinois, Michigan, New York, and Ohio. Within those states, the company lists specific cities it serves: Ann Arbor, Champaign, Chicago, Cincinnati, Cleveland, Columbus, Dayton, and Toledo, though members in other parts of those states may also be eligible. The company explicitly states it is open to expanding to new states and invites inquiries from people outside the current service area.

The founding physician, Dr. Roxanna Durrani, leads the practice. The pages indicate she is extensively experienced in ADHD diagnosis and treatment and uses her expertise to work closely with each member to develop individualized treatment plans. The company emphasizes that it integrates pharmacogenomic principles into medication management, an approach that tailors medication selection to genetic factors rather than using a one-size-fits-all approach.

The practice prescribes controlled substances. Members do need to notify their clinician of other medications they're taking to avoid interactions, particularly with GLP-1 weight-loss medications like semaglutide or tirzepatide, which the company specifically names as drugs they account for in treatment planning.

What the site doesn't say

Focused does not publish information about appointment wait times or availability. The pages mention "next-day appointments" when comparing traditional provider services to their own model, but they don't commit to a specific wait time for your first consultation. You would need to reach out through the website or phone to find out how quickly an appointment can be scheduled.

The site does not publish information about credentials beyond Dr. Roxanna Durrani's name. The practice doesn't describe the licensing, board certifications, or specific qualifications of other medical staff, if any exist. The pages emphasize the "experienced medical professionals" on the team but don't detail their backgrounds.

There's no published information about refund or cancellation policies, or what happens if a prescribed medication isn't working out or causes side effects. The pages describe the continuity of care and ongoing support, but they don't detail the process for adjusting medications or switching providers if the fit isn't right.

Focused doesn't publish success rates, clinical outcomes, or research backing the effectiveness of its treatment model, though the pages include several member testimonials praising the quality of care and the results they've seen.

Who it fits

Focused is designed for adults 18 and up who have ADHD and want medication management specifically. It works particularly well for people who are comfortable with telehealth visits and who value transparent, predictable pricing over the complexity of insurance billing. If you have FSA or HSA funds available through an employer, the $65 monthly fee becomes even more affordable.

It's especially relevant for people in Chicago or New York, where the free medication delivery removes another friction point from the treatment process. The same-day delivery through Capsule means your prescription can be in your hands the same day you speak with the doctor.

Focused is not a fit for people who want to explore multiple mental health conditions in one place, the practice treats ADHD exclusively. It's not a choice if you're under 18. If you have good insurance coverage that includes telehealth psychiatry and you prefer to use that insurance, Focused's direct-pay model doesn't give you that option. And if you live outside Illinois, Michigan, New York, or Ohio, Focused currently can't serve you, though the company has indicated it may expand.