Hastings, Nebraska
Medication Management in Hastings
In a town Hastings sized, the clinic parking lot is a bulletin board, and that fact alone has kept generations of treatable anxiety and depression untreated. Add Adams County's thin psychiatric coverage and the local conviction that you push through, and the people carrying the most are the least likely to be seen carrying it. Medication that affects your brain should be managed, not merely refilled. shrinkMD brings board certified medication management to Hastings 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
Why Hastings chooses shrinkMD
Video care deletes the bulletin board: board certified treatment from your own living room, no lot, no lobby, no familiar pickup parked outside anything. Appointments within days.
We bill no insurance, so no claim exists anywhere, and records move only with your written authorization. Scheduling fits early mornings, lunch hours, and evenings, the rhythms of how Hastings actually works.
What's included
How medication management works here
Everything starts with your medication story: what you take now and every psychiatric medication you've tried, each with dose, duration, and response, because that history is the strongest predictor of what will work next. Changes are then made one at a time, at sensible doses, and judged against validated symptom scores rather than impressions.
Expect visits every two to four weeks while adjusting and every one to three months once stable. Side effects get adult guidance, what fades, what to report, and how to switch safely, and tapers are planned rather than abrupt. We deprescribe when a medication stops earning its place, we don't prescribe controlled substances, and labs, when needed, are coordinated through your local clinic or lab.
Keep exploring
Care and next steps in Hastings
Frequently asked questions
Good questions, clear answers
Is video psychiatry as good as driving to a specialist?
The same evaluations, the same measured follow up, the same board certification, minus the drive and the wait. For rural Nebraska it is not a compromise, it is the upgrade.
What if my connection drops mid visit?
We finish by phone, the appointment counts, and we adjust the setup before next time.
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.
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.
About Hastings
Hastings is home to about 25,000 residents. It's the seat of Adams County, a regional center in south-central Nebraska and home to Hastings College. Our patients here range across farming families, college students and staff, hospital workers, and commuters.
Serving Hastings
Care should reach every corner of Hastings. As a south-central Nebraska city and the birthplace of Kool-Aid, Hastings stretches from the Hastings Museum, Fisher Fountain, and Highland Park, and shrinkMD brings board-certified telepsychiatry to all of it by secure video, with the same psychiatrist over time.
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.
Learn more
- psychiatric medications, explained
- medication vs therapy vs lifestyle
- questions to ask your prescriber
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 Hastings
Call 1-877-747-4656 now, appointments are available as soon as availability allows for Hastings residents, by secure video from home.
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