Kailua, Hawaii
Anxiety Treatment in Kailua
The windward side trades access for beauty: most specialty care sits in town, over the Pali and through the traffic, so for working families and Marine Corps households at Kaneohe Bay, treatment keeps losing to logistics and the symptoms keep winning by default. That pattern has a name and a well proven treatment. shrinkMD treats anxiety across Kailua 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
Care built around Kailua
The Pali is out of the equation: evaluations within days by video from Kailua town, Lanikai, Kaneohe, or base housing, with nothing billed to TRICARE or any insurer and records only you control.
Care fits windward rhythms, early before the wind comes up, evenings after work, family included in planning exactly as much as you choose.
What's included
How we treat anxiety
First, precision: an evaluation that pins down which anxiety this is and what it's riding on, sleep debt, caffeine, thyroid, trauma, because precision up front is what makes treatment fast. Then a two track plan: medication from the SSRI and SNRI families when indicated, which calms the baseline within two to six weeks, and structured skills that retrain the alarm itself.
The skills aren't platitudes, they're clinical tools: breathing with an extended exhale that engages your braking system, graded exposure that shrinks avoidance, worry containment that gives rumination a schedule instead of a kingdom. Progress is measured with validated scales at every visit, so the plan adjusts to results. No benzodiazepines, ever, and an honest explanation of why.
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Care and next steps in Kailua
Frequently asked questions
Good questions, clear answers
Do you serve Waimanalo and the rest of the windward coast?
Identically, with the rest of Oahu under the same Hawaii coverage.
Do Kaneohe Bay families risk TRICARE visibility?
None. We bill no insurance including TRICARE, no claims exist, and records release only with your written authorization.
Why do you not prescribe Xanax or other benzodiazepines?
Because they relieve an hour and reinforce the disorder, with real dependence risk. The durable path, SSRIs or SNRIs plus skills, actually shrinks anxiety, and that's what we practice.
What if it's anxiety and depression together?
Common, and treatable together. The evaluation maps both, and first line treatments overlap enough that one coherent plan usually covers the pair.
My anxiety is mostly physical symptoms. Is that normal?
Extremely. Racing heart, chest tightness, stomach trouble, and dizziness are anxiety's most common costumes, and we screen carefully in both directions before treating.
About Kailua
With about 40,000 people, Kailua is a community we're glad to serve. It's a residential community on windward Oahu, just over the mountains from Honolulu. We care for local families, commuters who work in Honolulu, and military households.
Serving Kailua
Across Kailua, from Lanikai Beach, downtown Kailua, and the Mokulua Islands, residents can meet a board-certified psychiatrist by secure video with shrinkMD. Kailua is a beach town on Oahu's windward side, 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.
Nearby areas
Anxiety Treatment in nearby Hawaii cities
Your next step in The Shrink Network
You are here: shrinkMD, the clinical care layer of The Shrink Network.
Each site in the network has one job. No matter where you enter, we help you find the next step that makes sense.
Get clinical care with shrinkMD
Want to understand more first?
Start anxiety treatment in Kailua
Call 1-877-747-4656 now, appointments are available as soon as availability allows for Kailua residents, by secure video from home.
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