Fairfax, Virginia
Medication Management in Fairfax
Fairfax County crowds 1.1 million residents, a forty thousand student university, and federal commuters in every direction onto a psychiatric supply built for far fewer. Old Town's charm does not shorten anyone's waitlist; months out is the local standard. Psychiatric medication deserves an owner, not an autopilot. shrinkMD provides board certified medication management to Fairfax by secure video, with follow up that happens on schedule and decisions driven by measured results.
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
shrinkMD in Fairfax, on your terms
From Old Town Fairfax to Burke to Centreville, visits happen by video from townhouse, office, or between classes at the university, with early and evening slots for federal schedules.
We bill no insurance, fees are flat and published, HSA and FSA funds work, and investigation adjacent households are familiar, comfortable territory.
What's included
What careful prescribing actually involves
Choosing a medication is reasoning, not reflex: your specific diagnosis, your past trials and their outcomes, family response patterns, side effect profiles, interactions with what you already take, and your own priorities, sleep, weight, energy, focus, all weigh in. We explain the tradeoffs and decide together.
Then we manage it like it matters: measured follow up every two to four weeks during changes, honest side effect guidance, planned tapers instead of cold stops, and deprescribing when something is no longer pulling its weight. Monitoring labs run through your local lab with results reviewed together. We don't prescribe stimulants or benzodiazepines, and we're direct about that up front.
Keep exploring
Care and next steps in Fairfax
Frequently asked questions
Good questions, clear answers
Our jobs involve background investigations. Concerns?
Voluntarily seeking outpatient care is treated favorably under current adjudicative guidance, and our no insurance model keeps care out of insurer databases.
How much of the county do you serve?
All of it, identically: Springfield, Chantilly, Clifton, Fair Oaks, and beyond, by video.
Will you coordinate with my primary care doctor?
With your permission, yes, in both directions, so interactions get caught and both plans pull the same way.
How often will I be seen?
Every two to four weeks while starting or adjusting, then every one to three months once stable. The cadence follows your response, not a fixed grid.
What if my medication causes side effects?
You get clear guidance on what fades within two weeks, what deserves a message, and what means call now, and switches are planned rather than abrupt.
About Fairfax
With about 26,000 people, Fairfax is a community we're glad to serve. It's a Northern Virginia city in the Washington DC suburbs and the seat of Fairfax County. We care for federal workers, government contractors, and DC-area commuters.
Serving Fairfax
Across Fairfax, from Old Town Hall, Historic Blenheim, and Old Town Fairfax, residents can meet a board-certified psychiatrist by secure video with shrinkMD. Fairfax is the historic seat of Fairfax County in Northern Virginia, 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 Fairfax
Call 1-877-747-4656 now, appointments are available as soon as availability allows for Fairfax residents, by secure video from home.
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