San Antonio, Texas
Anxiety Treatment in San Antonio
Military City USA runs on service: active duty families across Lackland, Randolph, and Fort Sam, a huge veteran community, and the medical complexes serving them all. Every group navigates systems with their own waits and visibility worries, and the civilian waitlists offer no refuge either. Anxiety that persistent isn't a personality trait, it's the most treatable condition in psychiatry. shrinkMD treats anxiety in San Antonio 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
Care built around San Antonio
We sit outside every system that worries you: nothing billed to TRICARE or any insurer, records that move only with written authorization, and adult family members, veterans, and civilians seen within days by video.
Care honors language and family culture in matching and planning, flexes around base rhythms and medical center shifts, and keeps one clinician with you throughout.
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 San Antonio
Frequently asked questions
Good questions, clear answers
Do you see veterans alongside VA care?
Yes, and with your permission we coordinate records both directions so plans never conflict.
Does anything touch TRICARE or military systems?
No. We bill no insurance at all, so no claims exist, and nothing reaches military or VA systems unless you authorize records in writing.
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 San Antonio
San Antonio is a major metro with a deep military presence, home to Joint Base San Antonio. It's home to about 1.4 million people, the second-most-populous city in Texas. The people we see here include military families and veterans, healthcare workers, and a large Hispanic community.
Serving San Antonio
San Antonio is a historic South Texas city on the San Antonio River, and reaching a psychiatrist here shouldn't take a long drive. shrinkMD sees adults across San Antonio by secure video, whether you're near the King William Historic District, the Mission Trail, and downtown. 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.
Nearby areas
Anxiety Treatment in nearby Texas 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 San Antonio
Call 1-877-747-4656 now, appointments are available as soon as availability allows for San Antonio residents, by secure video from home.
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