Omaha, Nebraska
Medication Management in Omaha
A lot of Omaha is quietly managing its own psychiatric medication: the family doctor renews the sertraline started years ago, the system psychiatrist has a four month follow up gap, and nobody has actually measured whether any of it's working. Medication that affects your brain deserves an owner. shrinkMD provides board certified medication management by secure video across the Omaha metro, with follow up that happens on time, decisions driven by measured symptom scores, and scheduling that bends around hospital rotations, rail shifts, and real family calendars.
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
Stewardship that fits Nebraska
Follow ups run 15 to 30 minutes by video, before a UNMC shift, after the kids are down in Elkhorn, or from a West O office between meetings. No clinic drive, no waiting room, no half day burned.
Prescriptions go electronically to any Omaha pharmacy, from Kohll's to the Hy-Vee counter, and with your permission we coordinate directly with your primary care clinician so the whole plan pulls one direction. No insurance billing means your records stay completely out of employer and insurer systems.
What's included
How medication management works here
Everything starts with your medication history: what you take now and every psychiatric medication you've tried, with dose, duration, and what happened, including side effects. That record prevents repeated failures and points at what's likely to work. Changes are then made one at a time and judged by validated scores, not vibes.
Expect visits every two to four weeks during adjustments, then every one to three months once stable. We give straight guidance on side effects, taper rather than stop abruptly, and deprescribe when something is no longer pulling its weight. We don't prescribe controlled substances, and we say so before you book. Labs that medications require, like lithium levels or metabolic panels, get coordinated through your Omaha doctor or a nearby lab.
Keep exploring
Care and next steps in Omaha
Frequently asked questions
Good questions, clear answers
My family doctor manages my antidepressant now. Why switch?
Primary care does heroic work, but layered or resistant cases benefit from psychiatric depth: better differential thinking, more medication options, and measured follow up. We coordinate with your doctor rather than replace them.
Can you see me around rail or warehouse rotations?
Yes. Shift work scheduling is normal here, and we also treat the sleep disruption those rotations cause as part of the plan.
Do you prescribe Adderall or Xanax in Omaha?
No. We don't prescribe controlled substances anywhere, and we're upfront about it. The non controlled toolbox is deeper than most people have been shown.
How do lithium levels or other labs work by telehealth?
We coordinate the order through your local clinic or lab, review results, and adjust accordingly. Telehealth changes the visit, not the monitoring standard.
What does it cost?
A transparent flat fee per visit, published before you book, HSA and FSA eligible. No claims, no surprise bills.
About Omaha
With around 488,000 residents, the largest city in Nebraska, Omaha is a community we're glad to serve. It's the commercial and medical hub of the region, home to the University of Nebraska Medical Center. We care for healthcare and university workers, professionals, families, immigrant communities, and commuters.
Serving Omaha
Across Omaha, from Benson, the Blackstone District, and Little Italy, residents can meet a board-certified psychiatrist by secure video with shrinkMD. Omaha is Nebraska's largest city, on the Missouri River, 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.
Nearby areas
Medication Management in nearby Nebraska 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 Omaha
Call 1-877-747-4656 now, appointments are available as soon as availability allows for Omaha residents, by secure video from home.
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