Fremont, Nebraska
Anxiety Treatment in Fremont
Fremont's economy does not keep office hours, the plants run around the clock, harvest does not reschedule, and Dodge County's psychiatric coverage is effectively a rumor. So sleep frays on rotating shifts, worry compounds through planting and prices, and the nearest specialist with an opening is a county away and a season out. That pattern has a name and a well proven treatment. shrinkMD treats anxiety across Fremont by video, with board certified clinicians, measured care, and appointments as soon as availability allows instead of months.
Medically reviewed by Shariq Refai, MD, MBA, FAPA, board certified psychiatrist · Published June 7, 2026 · Last reviewed July 7, 2026 · Editorial policy
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Why shrinkMD
shrinkMD in Fremont, on your terms
We bring board certified psychiatry to Fremont within days, by video, scheduled around plant rotations and field work, post shift mornings, evenings, and the slow hour after lunch all work.
Shift disrupted sleep gets treated as part of the condition, not an excuse. No insurance billing keeps everything off employer plans, and visits run fine on a phone connection with backup protocols when rural internet acts rural.
What's included
Anxiety care, done properly
Anxiety is a body event as much as a mind event, racing heart, tight chest, restless gut, thinned sleep, so treatment addresses both. After a full evaluation rules out the imitators, your plan combines what the evidence ranks first: SSRI or SNRI medication where indicated and cognitive behavioral work that interrupts the avoidance cycle keeping the alarm sensitive.
Expect visible movement in your scores within weeks, with follow ups every two to four weeks until the trend is unmistakable, then maintenance spacing. You'll have usable tools immediately, and a clinician who tracks results instead of assuming them. We're equally clear about what we won't do: no benzodiazepines, which trade an hour of relief for a stronger long term anxiety.
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Care and next steps in Fremont
Frequently asked questions
Good questions, clear answers
Will my employer's plan ever show a mental health claim?
Never, because we bill no insurance. There is no claim to show.
Can appointments follow my rotating plant schedule?
Yes, the schedule rotates and so do we. Short video follow ups land before or after shifts, whichever your week allows.
How fast does anxiety treatment start working?
Skills help immediately, and medication typically begins working within two to six weeks. We measure scores at every visit so progress is visible, not guessed.
Do you treat panic attacks specifically?
Yes. Panic disorder gets targeted care: medication that lowers the baseline plus breathing and interoceptive skills that take the terror out of the attacks themselves.
Can I do anxiety treatment alongside my current therapist?
Yes, and we encourage it. We handle evaluation and medication, coordinate with your therapist with your permission, and the combination outperforms either alone.
About Fremont
With about 28,000 residents, one of the larger cities in eastern Nebraska, Fremont is a community we're glad to serve. It's the seat of Dodge County and a regional commercial and agricultural center northwest of Omaha. We care for farming families, food-processing and manufacturing workers, and commuters.
Serving Fremont
Across Fremont, from the Dodge County Courthouse area, historic downtown, and the May Museum, residents can meet a board-certified psychiatrist by secure video with shrinkMD. Fremont is a Dodge County city near the Platte River, known as the Antique Capital of Nebraska, so virtual care means no drive and no waiting room, just steady follow-up with one clinician.
What it costs
Transparent, published pricing
Our self-pay prices are the same in every state where we practice. No insurance billing, and no surprise statement later.
| Service | Self-pay price | What's included |
|---|---|---|
| Initial evaluation | From $295 | A full 50 to 60 minute evaluation, diagnosis, and written plan. |
| Follow-up visits | $110 to $215 | Per visit, depending on length and complexity. Member rates are lower. |
| Membership (optional) | $49 per month | Priority scheduling, member rates, and the Unstuck and QuitScrolling apps. First month free. |
Your care team
Who you will see
Your care is delivered by shrinkMD clinicians, and you keep the same one over time. You meet by secure video with a clinician licensed in your state.
- Shariq Refai, MD, MBA, FAPA, founder and board certified psychiatrist (ABPN), dual board certified in psychiatry and in sports and performance psychiatry.
- Matthew George, PMHNP-BC, ANP-BC, dual board certified psychiatric nurse practitioner with more than two decades of clinical experience.
Helpful guides to read next
More from a trusted source: Anxiety Disorders - National Institute of Mental Health.
Your next step in The Shrink Network
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Each site in the network has one job. No matter where you enter, we help you find the next step that makes sense.
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Want to understand more first?
Start anxiety treatment in Fremont
Call 1-877-747-4656 now, appointments are available as soon as availability allows for Fremont residents, by secure video from home.
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