2026 Report

Chronic care clinical outcomes

Clarity Pediatrics is a virtual pediatric chronic care clinic delivering integrated behavioral and medical care — physicians and therapists working as one team — for ADHD, anxiety, and obesity.

A teen imagining a future career, with briefcase and document doodles

At a glance

Patients
10,865
Clarity patients served in the last 2 years (Aug ‘24–Aug ‘26)
ADHD outcomes
42%
Reduction in ODD ADHD symptoms with combination care
Attendance
80%
Group participant attendance in Behavioral Parent Training (BPT) for ADHD
Anxiety
90%
Of families reported their management of anxiety symptoms improved

Our ADHD outcomes exceed benchmark

High quality behavioral care with added medication benefit

Clarity’s ADHD Behavioral Parent Training (BPT)-only outcomes exceed published benchmarks for behavioral ADHD treatment. Our integrated model delivers the combination of behavioral and medical care recommended by the AAP, coordinated within one care team. In our outcomes, adding medication management increased the overall treatment effect by 1.4x.

Parent-reported ADHD outcomes by treatment pathway
Standardized effect size (d); higher values indicate more symptom improvement
Benchmark
d=0.32
d=0.42
d=0.58
Clarity BPT-only
n=73
Clarity combination BPT+Medication
n=103
BPT-only meta-analysis benchmark (d=0.32)
1.4x
effect when BPT is combined with medication
Independent statistical validation

Clarity’s ADHD outcomes analysis was independently reviewed and validated by a leading biostatistician whose research spans advanced quantitative methods and peer-reviewed studies of ADHD treatment and outcomes.

Importantly, there was no difference in outcomes between Medicaid and commercially insured patients, a meaningful demonstration of equity in our clinical results.

Clarity treatment drove 42% improvement in oppositional defiance symptoms

ADHD can involve more than inattention and hyperactivity. Some children also struggle with frequent arguing, irritability, refusal, and conflict with adults, broadly categorized as oppositional defiance symptoms. Clarity treatment produced meaningful improvement in these symptoms at home and in the classroom.

At home
Parent-reported symptom improvement
n=176, *** p<0.001
BPT-only
BPT + Medication
Inattention
14.2%
25.9%
Hyperactivity
18.5%
28.8%
Oppositional defiance
16.0%
42.5%
In the classroom
Teacher-reported symptom improvement
n=72, *** p<0.001
All treatment pathways
Inattention
37.4%
Hyperactivity
35.4%
Oppositional defiance
42.2%

Care quality & family experience

84%
of parents are “very likely to recommend Clarity services to a friend”
90%
Clarity had a large impact on their lives
98%
Provider listened with empathy
95%
BPT improved ADHD parenting understanding
97%
Diagnosis & treatment plan are clear & easy-to-understand
94%
Provider effectively addressed questions
80%
Average BPT group attendance
Source: Parent NPS surveys post-treatment visit, n=1,355.
“
I had a great experience. I learned a few tools that really helped my day to day life. Knowing our family is not the only one struggling has been eye opening.
— Clarity Parent, ADHD BPT group
“
Clarity has changed the relationship between my son and I. I do believe it has helped him so much. Applying everything I learned to help him has definitely helped me be a better parent.
— Clarity Parent, ADHD BPT group
“
The movement, what’s going on our plate, and planning around those things — those have been changes that we’ve maintained.
— Clarity Parent, obesity group
“
Clarity has changed the relationship between my son and I. I do believe it has helped him so much. Applying everything I learned to help him has definitely helped me be a better parent.
— Clarity Parent, ADHD BPT group
“
The movement, what’s going on our plate, and planning around those things — those have been changes that we’ve maintained.
— Clarity Parent, obesity group
“
The caring, patient, responsive, heart of the Clarity team has made all the difference for our son.
— Clarity Parent, ADHD medical care
Prepared by
Alesandro Larrazabal, MD, FAAP
Alesandro Larrazabal, MD, FAAP
Chief Medical Officer
Read bio
Erin Schoenfelder Gonzalez, Ph.D.
Erin Schoenfelder Gonzalez, Ph.D.
Vice President, Clinical Innovation
Read bio

Read the full 2026 outcomes report

Program-level outcomes for ADHD, anxiety, and obesity, patient demographics, provider feedback, methodology, and references.

Download the report
For providers
Refer a patient
For families
Book a visit
Request a clinical presentation
providers@claritypediatrics.com
Talk to our Chief Medical Officer
alarrazabal@claritypediatrics.com
✕
Alesandro Larrazabal, MD, FAAP
Co-founder & Chief Medical Officer

As co-founder and Chief Medical Officer of Clarity Pediatrics, Dr. Alesandro Larrazabal combines a passion for medical innovation with clinical expertise to improve care for children with chronic conditions, regardless of insurance coverage, language, or country of origin. Dr. Larrazabal is a proud immigrant of Guatemala, a pediatrician and pediatric interventional cardiologist with advanced training in medical innovation through the Stanford Biodesign Innovation Fellowship. He previously built the Pediatric Interventional Cardiology Program at Kaiser Permanente Northern California, a healthcare network with more than 4.5M members, serving as the program’s first Medical Director. Dr. Larrazabal trained at UCSF and Texas Children’s Hospital, and completed a postdoctoral research fellowship at Boston Children’s Hospital, Harvard Medical School.

✕
Erin Schoenfelder Gonzalez, Ph.D.
Vice President, Clinical Innovation

As Vice President of Clinical Innovation at Clarity Pediatrics, Dr. Erin Schoenfelder Gonzalez combines clinical expertise with a passion for advancing evidence-based care for children with chronic conditions. A clinical psychologist and nationally recognized researcher, she leads Clarity’s clinical innovation and outcomes research, translating scientific evidence into scalable care models that improve patient outcomes. Dr. Schoenfelder Gonzalez has authored more than 100 peer-reviewed publications and presentations focused on pediatric behavioral health, implementation science, and integrated care. She earned her Ph.D. in Clinical Psychology from Arizona State University and completed her clinical internship and postdoctoral fellowship at Duke University Medical Center.