Miami, Florida
Medication Management in Miami
Maybe your psychiatrist left the practice, your primary care doctor wants a specialist managing your antidepressant, or refills keep arriving without anyone actually checking how you feel. Medication management in Miami too often means a fifteen minute visit every six months and a prescription on autopilot. shrinkMD does the opposite: board certified clinicians who adjust treatment based on measured response, follow up that actually happens, and visits by secure video from anywhere in Miami-Dade, so staying on top of your medication never requires crossing the city.
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
Prescribing that respects your life in Miami
Whether your week runs through a Brickell trading floor, Jackson Memorial night shifts, or a family business in Hialeah, follow ups are 15 to 30 minutes by video and scheduled around your reality, early, late, or between meetings. If you split the year between Miami and New York, your care continues in both, since we serve both states.
We prescribe to any Miami pharmacy electronically, coordinate with your primary care doctor when you want us to, and keep your records out of insurer databases entirely, because we don't bill insurance. Your treatment stays between you and your clinician.
What's included
How medication management works here
It starts with understanding what you take and everything you've tried before, each medication with its dose, duration, and response, because that history is the best predictor of what will work next. From there, your clinician adjusts thoughtfully: one change at a time, at sensible doses, judged by validated symptom scores rather than impressions.
While starting or changing medication you're seen every two to four weeks; once stable, every one to three months. Side effects get handled like adult business, with clear guidance on what fades, what to report, and how to switch safely. We also deprescribe when a medication is no longer earning its place. We don't prescribe controlled substances, including stimulants and benzodiazepines, and we're upfront about that before you book. Labs, when needed, are coordinated through your Miami primary care office or a local lab.
Keep exploring
Care and next steps in Miami
Frequently asked questions
Good questions, clear answers
Can you take over the prescriptions my old Miami psychiatrist managed?
In most cases yes, for non controlled medications, after an evaluation and records review. Switching practices shouldn't mean starting over.
How often will I be seen?
Every two to four weeks while adjusting, every one to three months once stable. By video, the follow ups actually fit a Miami schedule, so they actually happen.
Do you prescribe Adderall or Xanax in Miami?
No. shrinkMD doesn't prescribe controlled substances anywhere. We treat anxiety and attention concerns with effective non controlled options and honest conversation about what we can and can't do.
Which Miami pharmacies can you send prescriptions to?
Any of them. Prescriptions go electronically to the pharmacy you choose, from a Sedano's pharmacy counter to the Navarro or CVS near you.
What if my medication stops working?
Tell your clinician, not just the refill line. Measured follow up exists precisely to catch this early, and a dose change or thoughtful switch usually beats white knuckling it.
About Miami
Miami is the anchor of Florida's largest metro, with one of the nation's largest medical districts. It's home to about 455,000 residents. The people we see here include working families, professionals, immigrants, and hospital staff.
Serving Miami
Miami is one of the country's major coastal cities, on Biscayne Bay, and reaching a psychiatrist here shouldn't take a long drive. shrinkMD sees adults across Miami by secure video, whether you're near Wynwood, Coconut Grove, and Little Havana. 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 Florida 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 Miami
Call 1-877-747-4656 now, appointments are available as soon as availability allows for Miami residents, by secure video from home.
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