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Commercial hub

Find a psychiatrist for online adult care

shrinkMD is a physician-led online psychiatric practice for adults, launching state by state. This page is the single map into every part of our commercial cluster: pick your state, condition, service, budget, city, or the specific clinician on our panel. It also tells you honestly when we're not the right fit and where to go instead.

Medically reviewed by Shariq Refai, MD, MBA, FAPA, board certified psychiatrist · Last reviewed August 27, 2026 · Editorial policy

Already know your state is active? Skip to the waitlist.

Quick overview. This is a navigation hub, not a diagnosis or triage tool. If you're not sure whether you actually need a psychiatrist versus a therapist or your PCP, take the 90-second walkthrough at /do-i-need-a-psychiatrist first. If you're in crisis right now, call or text 988, or 911 for a medical emergency.

Find a psychiatrist

Browse shrinkMD by every pivot

Whether you know your state, your condition, the service you need, the cost you can absorb, your city, or you want to see who's on the panel first, this page is the map. Everything below routes to the shrinkMD page built for that specific need.

By state

shrinkMD launches state by state as clinicians are licensed.

Maine (open now)
Nebraska (open now)
Coming as clinicians are credentialed
  • Florida - clinician licensure in progress
  • Georgia - clinician licensure in progress
  • Texas - clinician licensure in progress
  • California - clinician licensure in progress
  • New York - clinician licensure in progress
  • Virginia - clinician licensure in progress
  • Indiana - clinician licensure in progress
  • Hawaii - clinician licensure in progress

By condition

Every condition page includes shrinkMD-specific fit criteria and treatment approach.

Anxiety disorders
Generalized anxiety, panic, social anxiety, OCD
Depressive disorders
Major depression, seasonal affective disorder
Mood disorders (bipolar)
Bipolar I, bipolar II, cyclothymia
OCD and related
Obsessive-compulsive spectrum
Postpartum and PMDD
Postpartum depression, PMDD, perinatal anxiety
Sleep problems
Insomnia and sleep-related dysregulation
Adjustment / life stress
Stress-response and adjustment issues
Anger and irritability
Chronic irritability, anger dysregulation

By service

The four service categories that make up shrinkMD.

Psychiatric evaluation
Full-hour first visit to sort out diagnosis and build a plan.
Medication management
Ongoing prescribing and monitoring, same clinician every visit.
Telepsychiatry (video care)
Secure video visits from anywhere in your state.
Therapy coordination
We handle medication; we coordinate with your therapist.

By cost and insurance

Cash-pay with a superbill. Published pricing.

Pricing and fees
$295 PMHNP evaluation, follow-ups from $150. Full transparent pricing.
Reimbursement estimator
Estimate your out-of-network reimbursement in three inputs.
Cash-pay psychiatrist
Why cash-pay, how the superbill works, HSA and FSA rules.
Why we don't take insurance
The reasoning, honestly explained.
Cost by state
State-by-state cost pages for local context.

By city

Local context for shrinkMD's live states.

Maine
Portland Bangor Augusta Lewiston Biddeford Auburn
Nebraska
Omaha Lincoln Grand Island Kearney Norfolk North Platte
Every city listed has a dedicated shrinkMD page with local context, but we see adults from any address within our licensed states, not just the cities we list here. Rural addresses in Maine, Nebraska are equally supported.

By clinician (current panel)

Honest disclosure about who is on the shrinkMD panel today.

Currently practicing
Matthew George, PMHNP-BC
Board-certified psychiatric mental health nurse practitioner. Matthew is shrinkMD's practicing clinician at launch, providing psychiatric evaluations, diagnosis, and medication management for adults across Maine and Nebraska. Full-hour first evaluations. Non-controlled prescribing. Practicing under psychiatrist medical direction (Dr. Refai).
Medical Director (oversight, not currently seeing patients)
Shariq Refai, MD, MBA, FAPA
Board-certified psychiatrist, founder of shrinkMD and The Shrink Network. Dr. Refai provides medical direction, protocol oversight, and case consultation for shrinkMD's clinical operations. Direct psychiatrist appointments with Dr. Refai will open as our clinician panel expands. If you specifically need to see a psychiatrist (MD or DO) rather than a PMHNP right now, we recommend the alternatives listed below under "If shrinkMD is not the right fit yet."
We are actively recruiting additional board-certified psychiatric clinicians (psychiatrists and PMHNPs) licensed in Maine and Nebraska to expand access. As we add clinicians, this section updates. To be notified when psychiatrist-direct appointments open, join the waitlist below.
If shrinkMD is not the right fit yet, here are honest alternatives
  • You need a psychiatrist (MD/DO) direct evaluation right now: at launch, shrinkMD's practicing clinician is a PMHNP under psychiatrist oversight. For MD/DO-direct evaluation in Maine or Nebraska, ask your primary-care physician for a referral, or use the American Psychiatric Association's find-a-psychiatrist directory. Wait times are typically 60 to 120 days.
  • You need controlled substances: shrinkMD does not prescribe stimulants or benzodiazepines. Any local psychiatrist accepting new patients can, and community mental-health centers routinely handle these.
  • You need in-person care, hospitalization, or IOP: in Maine, Spring Harbor Hospital (Greater Portland) and Northern Light Acadia (Bangor); in Nebraska, Nebraska Medicine, CHI Health Immanuel, and Bryan West Behavioral Health.
  • You are under 18: shrinkMD is adults-only. Boys Town National Research Hospital in Nebraska serves adolescents; Spring Harbor Hospital in Maine has adolescent services.
  • You are in crisis right now: call or text 988, or 911 for a medical emergency. In Maine: 1-888-568-1112 (Maine Crisis Line). In Nebraska: 1-888-866-8660 (Nebraska Family Helpline).

How to use this page

Which section fits your situation

If you already know which state you live in and want to see shrinkMD's coverage there, start with By state. Each live state has a full commercial cluster (evaluation, medication management, cash-pay, cost). States marked "coming" show clinician licensure is in progress; you can still browse the state cornerstone and join the waitlist to be notified when we open.

If your entry point is a specific condition ("I want a bipolar psychiatrist" or "I need a depression psychiatrist"), start with By condition. Each condition page details shrinkMD's clinical approach and links to related state and city pages.

If you're focused on cost or insurance mechanics, start with By cost. The reimbursement estimator helps you see whether your out-of-network mental-health benefit makes cash-pay math work for you.

If you specifically want to see who's currently on the shrinkMD panel before considering us, jump to By clinician. That section is the most honest section on this page, and it tells you clearly who's practicing at launch and what psychiatrist-direct access looks like as the panel expands.

Frequently asked questions

Good questions, clear answers

Does shrinkMD have a psychiatrist (MD or DO) taking new patients?

At launch, shrinkMD's practicing clinician is a board-certified PMHNP (Matthew George) under psychiatrist medical direction (Dr. Shariq Refai, Medical Director). Direct psychiatrist appointments will open as our clinician panel expands. If you specifically need to see an MD or DO psychiatrist right now, our "If shrinkMD is not the right fit yet" section above lists honest alternatives.

What's the difference between a psychiatrist and a PMHNP?

Both are trained to evaluate, diagnose, and prescribe medication for psychiatric conditions. A psychiatrist is a physician (MD or DO) with residency training in psychiatry. A PMHNP is a psychiatric mental health nurse practitioner with graduate-level psychiatric training. In Nebraska and Maine, PMHNPs practice with full or collaborative authority depending on the setting. Clinical outcomes for outpatient medication management are broadly comparable when the clinician is board-certified and experienced.

What conditions does shrinkMD treat?

Adult depression, anxiety, bipolar spectrum disorders, OCD, PMDD, postpartum depression, sleep problems, adjustment disorder, and related conditions. We do not treat under 18, we do not prescribe controlled substances (stimulants for ADHD, benzodiazepines), and we do not do in-person care.

What states does shrinkMD currently serve?

Maine and Nebraska at launch. Florida, Georgia, Texas, California, New York, Virginia, Indiana, and Hawaii are in various stages of clinician licensure and will open as licensure completes. See By state above for current status.

If I don't live in a shrinkMD state, can I still use this page?

Yes as a routing guide, no as a booking path. The "If shrinkMD is not the right fit yet" section lists honest alternatives that apply regardless of state. Once shrinkMD opens in your state, the state's cluster of pages will populate here.

How is this different from /find-the-right-mental-health-professional?

That page is for readers still deciding whether they need a psychiatrist, a therapist, or something else. This page is for readers who've decided they want a psychiatrist and are browsing shrinkMD's options.

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?

Ready to hold a spot?

Whether shrinkMD's current PMHNP-led panel fits you now or you'd rather wait for psychiatrist-direct appointments, joining the waitlist puts you in front of the general public either way.

Get Started

Already know your state is active? Skip to the waitlist.

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