New York City, New York
Medication Management in New York City
New York has the densest psychiatric supply in America, nearly all of it out of network, charging Manhattan rates, and booked anyway. The in network lists are ghost towns, the city runs your nervous system hot daily, and somehow getting help became another impossible apartment hunt. That's what unmanaged medication looks like, and it's fixable. shrinkMD delivers real medication stewardship to New York City: 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 New York City, on your terms
Same cash pay game, different manners: transparent flat fees that undercut typical Manhattan rates, appointments within days, and video visits because nobody crosses boroughs at 2 p.m. for anything.
One clinician from Astoria to Park Slope to the UWS, validated scores at every visit, prescriptions to your corner pharmacy same day, and continuity to Florida for the seasonal splitters, we serve both states.
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 New York City
Frequently asked questions
Good questions, clear answers
I split time between New York and Florida. One clinician for both?
Yes, we serve both states, so the seasonal rhythm keeps one clinician year round.
Do you cover all five boroughs?
And Long Island and Westchester, identically, under the same New York coverage.
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 New York City
New York City is the largest city in the United States. It's home to more than 8.4 million people. The people we see here include working families, immigrants, professionals, students, and people from nearly every background.
Serving New York City
New York City is the largest city in the United States, spread across five boroughs, and reaching a psychiatrist here shouldn't take a long drive. shrinkMD sees adults across New York City by secure video, whether you're near Manhattan, Brooklyn, and Queens. 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.
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 New York City
Call 1-877-747-4656 now, appointments are available as soon as availability allows for New York City residents, by secure video from home.
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