Lihue, Hawaii
Medication Management in Lihue
Kauai has never sustained much psychiatric capacity: residents needing more than primary care could offer have flown to Oahu, waited months, or gone without. The going without is what telepsychiatry exists to end, on the Garden Isle as much as anywhere in America. That's what unmanaged medication looks like, and it's fixable. shrinkMD delivers real medication stewardship to Lihue: 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
shrinkMD in Lihue, on your terms
From Lihue to Hanalei to Waimea, visits happen by video on island, no flight required, with hospitality shift schedules and island cost of living realities respected.
We bill no insurance, fees are flat and published, superbills are provided, and the same Hawaii licensed clinician sees you visit after visit.
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 Lihue
Frequently asked questions
Good questions, clear answers
I work hotel shifts on the South Shore. When do visits happen?
Around your rota: early mornings, midafternoon breaks, and evenings, with 15 to 30 minute follow ups and one consistent clinician.
Is all of Kauai covered?
Every district identically: the North Shore, the Coconut Coast, the South Shore, and the West Side, by video.
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.
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.
About Lihue
Lihue is home to about 8,000 people. It's Kauai's main town and the county seat, home to the island's airport and harbor. Our patients here range across Kauai residents, county and healthcare workers, and families who travel there for the island's main services.
Serving Lihue
Care should reach every corner of Lihue. As Kauai's government and commercial center, Lihue stretches from Nawiliwili Harbor, the Kauai Museum, and Wailua Falls, 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 Hawaii 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 Lihue
Call 1-877-747-4656 now, appointments are available as soon as availability allows for Lihue residents, by secure video from home.
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