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The Journal.

Uncontrolled Substances, Part 1: Subscribe and Prescribe

The Journal.

The Wall Street Journal

Business News, News, Daily News

4.25.8K Ratings

🗓️ 9 December 2022

⏱️ 29 minutes

🧾️ Download transcript

Summary

Cerebral is a startup that set out to provide access to mental-health services and wound up under federal investigation. WSJ's Rolfe Winkler and Khadeeja Safdar take us back to the origins of the company, exploring the ideas that laid the foundation for explosive growth. Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0

You know that feeling when you see a poster, a thread that just catches your eye?

0:10.8

And you're like, what?

0:13.4

That's what happened to our colleague, Ralph Winkler, this spring.

0:18.8

Here's what he saw.

0:20.5

It's titled Adderall for All.

0:22.9

The post was anonymous, written by someone who said they'd worked at a startup called

0:28.3

Cerebral. Cerebral launched in 2020 with a mission to transform mental health care in

0:34.7

America. And it took off, signing up thousands of patients and securing hundreds of millions

0:41.3

of dollars from Silicon Valley investors.

0:44.8

But the post-Rolf stumbled upon, raised a lot of questions.

0:49.3

It said, you have to be really comfortable prescribing stimulants. Almost all your patients

0:55.0

will want Adderall. And if you don't prescribe a stimulant, you'll get an email from the

1:01.0

quote-quality team asking you to write a note justifying why you chose a non-stimulant.

1:06.3

Adderall is used to treat ADHD. And it's a controlled substance. Its use is regulated by the government

1:13.4

because it's potentially addictive and prone to abuse. And the post suggested that Cerebral

1:20.0

was pressuring clinicians to prescribe it.

1:23.7

And I saw that and I thought that's interesting. I wonder if that's true. These are anonymous

1:30.5

reviews. You have to go verify them.

1:33.8

Over the next few months, Rolf teamed up with reporter Kadeja Safdar. Together, they found

1:39.0

former employees who had similar concerns about Cerebral.

1:45.1

I spoke to employees who cried on the phone because they were so stressed out that they

1:49.9

weren't treating patients properly about just having that on their conscience and then

...

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