Long Island, New York
Anxiety Treatment in Long Island
Long Island hides a psychiatric bottleneck behind its prosperity: Nassau practices with closed panels, Suffolk drives that stretch past an hour, and the LIRR eating any city appointment whole. Three million people between Great Neck and Montauk deserve care that doesn't require a railroad timetable. That pattern has a name and a well proven treatment. shrinkMD treats anxiety across Long Island 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
Already know your state is active? Skip to the waitlist.
Why shrinkMD
Care built around Long Island
From the North Shore to the East End, appointments happen by video from home or office, with early slots before the Penn Station trains and evening slots after them, identical care in August and February.
We bill no insurance, fees are flat and published, and seasonal mood patterns in the off season towns are familiar clinical territory, not a curiosity.
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.
Keep exploring
Care and next steps in Long Island
Frequently asked questions
Good questions, clear answers
Is winter seasonal depression on the Island something you treat?
Yes, properly: diagnosed with care and treated with evidence based options, from light therapy guidance to medication when warranted.
Can appointments fit around an LIRR commute?
Yes. Early morning and evening video slots exist for commuters, and a 15 to 30 minute follow up fits before the train or after dinner at home.
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 Long Island
Long Island is a densely populated suburban region just east of New York City. It's home to about 2.9 million people across Nassau and Suffolk counties. The people we see here include suburban families, commuters who work in the city, professionals, and retirees.
Serving Long Island
Long Island is the suburban region east of New York City across Nassau and Suffolk counties, and reaching a psychiatrist here shouldn't take a long drive. shrinkMD sees adults across Long Island by secure video, whether you're near Nassau County, Suffolk County, and Jones Beach. You keep the same clinician each visit, with no commute and no waiting room.
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.
Related reading
More from a trusted source: Anxiety Disorders - National Institute of Mental Health.
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 Long Island
Call 1-877-747-4656 now, appointments are available as soon as availability allows for Long Island residents, by secure video from home.
Get StartedAlready know your state is active? Skip to the waitlist.