Lewiston, Maine
Medication Management in Lewiston
Lewiston works hard and waits long: mill and healthcare shifts that ignore office hours, a Bates campus hitting the age when most conditions first appear, and an Androscoggin County psychiatric supply that was thin before the waitlists doubled. L-A grit keeps people functioning, but functioning is not the same as well, and the gap between the two is where untreated anxiety and depression live. Medication that affects your brain should be managed, not merely refilled. shrinkMD brings board certified medication management to Lewiston 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 Lewiston
We see Lewiston within days by video, scheduled around CMMC rotations, mill shifts, and class blocks at Bates, early, evening, and post shift included. No drive, no waiting room, no weather cancellations in January.
We bill no insurance, so nothing reaches an employer plan or insurer database, and records move only with your signature. One flat fee, published first, with the same clinician every visit after.
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 Lewiston
Frequently asked questions
Good questions, clear answers
Do you schedule around hospital and mill shifts?
Routinely. Post shift mornings and evenings are standard slots, and 15 to 30 minute video follow ups fit inside real schedules.
Is the L-A area really that short on psychiatrists?
Yes, and the waits show it. Video care is how Lewiston gets board certified psychiatry in days instead of months.
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 Lewiston
Lewiston is a former mill city with a large Franco-American community, a sizable immigrant population, and Bates College. It's home to about 38,000 residents, the second-largest city in Maine. The people we see here include working families, recent immigrants, and college students.
Serving Lewiston
Lewiston is Maine's second-largest city, on the Androscoggin River, and reaching a psychiatrist here shouldn't take a long drive. shrinkMD sees adults across Lewiston by secure video, whether you're near Little Canada, Kennedy Park, and the Basilica of Saints Peter and Paul. You keep the same clinician each visit, with no commute and no waiting room.
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.
Related reading
- psychiatric medications, explained
- how long antidepressants take to work
- medication vs therapy vs lifestyle
More from a trusted source: Mental health medications - MedlinePlus.
Nearby areas
Medication Management in nearby Maine 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 Lewiston
Call 1-877-747-4656 now, appointments are available as soon as availability allows for Lewiston residents, by secure video from home.
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