Houston, Texas
Medication Management in Houston
Houston has the world's largest medical center and still quotes months for a psychiatric appointment, while the city's real schedules, plant turnarounds, hospital nights, energy desks, run right past office hours. Add distances that make Katy to anywhere a half day project, and care keeps losing to logistics. That's what unmanaged medication looks like, and it's fixable. shrinkMD delivers real medication stewardship to Houston: board certified clinicians, measured follow up, and visits that fit your actual schedule.
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 Houston
Video deletes the logistics: visits from the Heights, Sugar Land, Clear Lake, or a parked truck at the plant gate, with post shift mornings and evening slots as standard issue, and turnaround season treated as a calendar fact.
No insurance billing keeps everything off employer plans, which energy and medical professionals consistently tell us is what got them through the door. Flat fees first, same clinician throughout.
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 Houston
Frequently asked questions
Good questions, clear answers
Why not just use the Medical Center?
It is extraordinary and booked. We see you within days, keep one clinician throughout, and coordinate with your Houston doctors with your permission.
Do you cover the whole metro?
Identically, from EaDo to Katy to The Woodlands to Clear Lake. Houston distance stops mattering by video.
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.
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.
About Houston
Houston is home to more than 2.3 million people, the most populous city in Texas. It's a major metro and home to the Texas Medical Center, the largest medical complex in the world. Our patients here range across healthcare and energy workers, professionals, and a large, diverse population of working families.
Serving Houston
Care should reach every corner of Houston. As the largest city in Texas, just inland from the Gulf coast, Houston stretches from Hermann Park, downtown, and Montrose, 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
More from a trusted source: Mental health medications - MedlinePlus.
Nearby areas
Medication Management in nearby Texas 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 Houston
Call 1-877-747-4656 now, appointments are available as soon as availability allows for Houston residents, by secure video from home.
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