McLean, Virginia
Medication Management in McLean
McLean households manage agencies, portfolios, and institutions, and the local psychiatric market answers with closed panels and referral chains. For people whose careers depend on discretion, the standard system feels riskier than the symptoms, so the symptoms go untreated. Medication that affects your brain should be managed, not merely refilled. shrinkMD brings board certified medication management to McLean 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 McLean chooses shrinkMD
From Langley to Great Falls to the Tysons border, visits happen by encrypted video from home or office, with no waiting rooms and no insurance billing anywhere in the model.
For clearance holders, current adjudicative guidance treats voluntarily seeking care as favorable, and our structure keeps every record between you and your clinician.
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 McLean
Frequently asked questions
Good questions, clear answers
Can my college student be seen on breaks?
If they are 18 or older and physically in a state where we hold licenses at appointment time, yes, and care can continue by video from campus in our licensed states.
Is the whole household seen by one practice?
Each adult is an individual patient with private records, and many McLean families establish care one member at a 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 McLean
McLean is an affluent Northern Virginia suburb of Washington DC and home to the CIA's headquarters. It's home to about 50,000 people. The people we see here include federal and intelligence professionals, executives, and DC-area commuters.
Serving McLean
McLean is an affluent community in Fairfax County near Washington, DC, and reaching a psychiatrist here shouldn't take a long drive. shrinkMD sees adults across McLean by secure video, whether you're near Great Falls Park, Tysons Galleria, and the Tysons Corner area. 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
More from a trusted source: Mental health medications - MedlinePlus.
Nearby areas
Medication Management in nearby Virginia 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 McLean
Call 1-877-747-4656 now, appointments are available as soon as availability allows for McLean residents, by secure video from home.
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