Long Island, New York
Medication Management in Long Island
Long Island hides a psychiatric bottleneck behind its prosperity: Nassau practices with closed panels, Suffolk drives that stretch past an hour, and the LIRR eating any city appointment whole. Three million people between Great Neck and Montauk deserve care that doesn't require a railroad timetable. Medication that affects your brain should be managed, not merely refilled. shrinkMD brings board certified medication management to Long Island 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 Long Island chooses shrinkMD
From the North Shore to the East End, appointments happen by video from home or office, with early slots before the Penn Station trains and evening slots after them, identical care in August and February.
We bill no insurance, fees are flat and published, and seasonal mood patterns in the off season towns are familiar clinical territory, not a curiosity.
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 Long Island
Frequently asked questions
Good questions, clear answers
Do you cover eastern Suffolk and the East End?
Identically to Nassau, year round. Distance is the problem telepsychiatry erases, and Riverhead gets the same care as Garden City.
Is winter seasonal depression on the Island something you treat?
Yes, properly: diagnosed with care and treated with evidence based options, from light therapy guidance to medication when warranted.
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 Long Island
With about 2.9 million people across Nassau and Suffolk counties, Long Island is a community we're glad to serve. It's a densely populated suburban region just east of New York City. We care for suburban families, commuters who work in the city, professionals, and retirees.
Serving Long Island
Across Long Island, from Jones Beach, the Hamptons, and Montauk, residents can meet a board-certified psychiatrist by secure video with shrinkMD. Long Island is the suburban region east of New York City across Nassau and Suffolk counties, 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
More from a trusted source: Mental health medications - MedlinePlus.
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 Long Island
Call 1-877-747-4656 now, appointments are available as soon as availability allows for Long Island residents, by secure video from home.
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