Gretna, Nebraska
Medication Management in Gretna
Gretna grew faster than its services, and mental health care grew slowest of all: new neighborhoods full of commuting families, a small town center where word still travels at small town speed, and the nearest psychiatric openings sitting months out in Omaha systems. New address, old waitlist. Medication that affects your brain should be managed, not merely refilled. shrinkMD brings board certified medication management to Gretna 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
Already know your state is active? Skip to the waitlist.

Why shrinkMD
Made to fit life in Gretna
You can skip the waitlist entirely: board certified evaluation within days, by video from your new build off 370 or wherever the day has you, with follow ups timed around the Omaha commute.
Privacy is structural in a town where word travels: no insurance claims, no databases, no parking lot, and records that move only with your written authorization.
What's included
From handoff to dialed in
Many patients arrive mid treatment, a prescriber retired, moved, or simply stopped paying attention. After an evaluation and records review we can usually continue your non controlled medications without missing a refill, then begin actually optimizing: one change at a time, tracked with validated scores until the numbers and your life agree.
Visits run 15 to 30 minutes by video on a cadence your treatment sets, every two to four weeks while tuning, stretching to quarterly once stable. Side effects, interactions, and the question of whether you still need each medication all stay on the table at every visit. Labs are coordinated locally when needed, and nothing here ever touches an insurance database.
Keep exploring
Care and next steps in Gretna
Frequently asked questions
Good questions, clear answers
Can visits fit around my commute into Omaha?
Yes, early before you leave, evening after you are back, or a private lunch slot. The visit goes where you are.
Is this private in a town this connected?
Completely. Nothing to see, nothing billed, nothing filed anywhere you do not control.
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 Gretna
With about 9,000 residents, Gretna is a community we're glad to serve. It's one of the fastest-growing suburbs in the Omaha metro, in Sarpy County. We care for young families, commuters, and professionals working in the Omaha metro.
Serving Gretna
Across Gretna, from Schramm Park State Recreation Area, Eugene T. Mahoney State Park, and the Nebraska Crossing area, residents can meet a board-certified psychiatrist by secure video with shrinkMD. Gretna is a fast-growing town between Omaha and Lincoln near the Platte River, 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 Nebraska 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 Gretna
Call 1-877-747-4656 now, appointments are available as soon as availability allows for Gretna residents, by secure video from home.
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