New York City, New York
Anxiety Treatment in New York City
New York has the densest psychiatric supply in America, nearly all of it out of network, charging Manhattan rates, and booked anyway. The in network lists are ghost towns, the city runs your nervous system hot daily, and somehow getting help became another impossible apartment hunt. Anxiety that persistent isn't a personality trait, it's the most treatable condition in psychiatry. shrinkMD treats anxiety in New York City by secure video, with board certified clinicians and first appointments as soon as availability allows.
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
Made to fit life in New York City
Same cash pay game, different manners: transparent flat fees that undercut typical Manhattan rates, appointments within days, and video visits because nobody crosses boroughs at 2 p.m. for anything.
One clinician from Astoria to Park Slope to the UWS, validated scores at every visit, prescriptions to your corner pharmacy same day, and continuity to Florida for the seasonal splitters, we serve both states.
What's included
From spiral to skills
The work begins by mapping your specific pattern, when the worry spikes, what it costs your sleep and your decisions, and whether panic, social fear, or constant background dread leads the picture. That map decides the plan: medication when it earns its place, typically helping within two to six weeks, and skills training matched to your pattern, exposure for avoidance, interoceptive work for panic, containment for rumination.
Every follow up measures your progress on validated scales, every two to four weeks while we tune, then monthly or quarterly as you stabilize. You learn tools that work in real time, in traffic, before meetings, at 3 a.m., and the plan keeps adjusting until the numbers and your life both say better. No controlled substances, stated before you book.
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Care and next steps in New York City
Frequently asked questions
Good questions, clear answers
Do you cover all five boroughs?
And Long Island and Westchester, identically, under the same New York coverage.
How do your fees compare to Manhattan private psychiatry?
Meaningfully lower than typical Manhattan cash rates, published before you book, with superbills for out of network reimbursement.
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.
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.
About New York City
New York City is home to more than 8.4 million people. It's the largest city in the United States. Our patients here range across working families, immigrants, professionals, students, and people from nearly every background.
Serving New York City
Care should reach every corner of New York City. As the largest city in the United States, spread across five boroughs, New York City stretches from Times Square, the Statue of Liberty, and Manhattan, and shrinkMD brings board-certified telepsychiatry to all of it by secure video, with the same psychiatrist over time.
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.
Learn more
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 New York City
Call 1-877-747-4656 now, appointments are available as soon as availability allows for New York City residents, by secure video from home.
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