Alexandria, Virginia
Medication Management in Alexandria
Alexandria's brick sidewalks lead to federal grade pressure: Pentagon staff, contractors, and Hill commuters whose calendars have no slot for a clinic with a three month wait. Northern Virginia psychiatry quietly closed its panels years ago; the demand never closed. Medication that affects your brain should be managed, not merely refilled. shrinkMD brings board certified medication management to Alexandria by video, with appointments as soon as availability allows and progress tracked at every visit.
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 Alexandria
From Old Town to the West End to Mount Vernon, visits happen by video from rowhouse, office, or parked car, with early and evening slots for Pentagon and Hill schedules.
We bill no insurance, so no diagnosis or prescription enters insurer databases, which matters to the many Alexandrians who hold or pursue security clearances.
What's included
Stewardship, visit by visit
Good prescribing is a feedback loop. At each visit your clinician reviews your validated symptom scores, your side effects, and your sleep, then adjusts a single variable so cause and effect stay readable. While starting or changing medication that loop runs every two to four weeks; once you're doing well it relaxes to every one to three months.
Your full trial history, names, doses, durations, responses, lives in your chart from day one, so failed experiments never get repeated. Prescriptions go electronically to your pharmacy, monitoring labs are arranged through your local clinic when a medication requires them, and your primary care doctor stays in the loop with your permission. No controlled substances, stated plainly before you ever book.
Keep exploring
Care and next steps in Alexandria
Frequently asked questions
Good questions, clear answers
Can appointments fit Pentagon hours?
Yes: early morning and evening slots exist for exactly those calendars, with 15 to 30 minute follow ups between obligations.
Do you serve all of Alexandria and south?
Identically: Del Ray, Landmark, Belle Haven, Fort Hunt, and all of Northern Virginia, by video.
Can you take over prescriptions from my previous provider?
Usually yes, for non controlled medications, after an evaluation and records review. Switching shouldn't mean starting over or missing a refill.
Do you prescribe stimulants or benzodiazepines?
No, anywhere. We're upfront about it before you book, and skilled with the non controlled options the evidence supports.
How do labs work with a telehealth practice?
We coordinate orders through your local clinic or lab, lithium levels, metabolic panels, thyroid checks, and review results together. Telehealth changes the visit, not the monitoring standard.
About Alexandria
With about 159,000 people, Alexandria is a community we're glad to serve. It's a historic Washington DC commuter suburb in Northern Virginia, just across the Potomac from the District. We care for federal workers, government contractors, and DC-area commuters.
Serving Alexandria
Across Alexandria, from Old Town, King Street, and the Potomac waterfront, residents can meet a board-certified psychiatrist by secure video with shrinkMD. Alexandria is a historic riverfront city just south of Washington, DC, 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
- psychiatric medications, explained
- questions to ask your prescriber
- how long antidepressants take to work
More from a trusted source: Mental health medications - MedlinePlus.
Nearby areas
Medication Management in nearby Virginia 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 medication management in Alexandria
Call 1-877-747-4656 now, appointments are available as soon as availability allows for Alexandria residents, by secure video from home.
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