Portland, Maine
Medication Management in Portland, Maine
Across greater Portland, psychiatric medication is being renewed far more often than it's being managed: the prescriber who started it left the state, the next opening is in four months, and the pharmacy keeps refilling while nobody measures whether the medication still earns its place. shrinkMD restores actual stewardship, board certified clinicians managing your medication by secure video anywhere in Maine, with follow up that happens on schedule, results tracked with validated scores, and appointments that fit hospital shifts, Old Port service hours, and school pickup in Westbrook.
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 Maine
Follow ups are 15 to 30 minutes by video, scheduled where your life has room, before a Maine Med rotation, during a quiet hour at the shop, or after the kids are asleep. Scarborough, Gorham, Cape Elizabeth, and the islands are all the same distance from care: none.
Prescriptions go electronically to any Portland area pharmacy the same day, and with your permission we coordinate with your primary care practice so nothing conflicts. Because we bill no insurance, your treatment never enters an insurer database, and in a state this small, that privacy is worth naming.
What's included
How medication management works here
We begin with the full story: current medications and every psychiatric medication you've tried, each with dose, duration, and response. That history is the strongest signal in psychiatry for what to try next. From there, one change at a time, measured at every visit against validated symptom scales.
You're seen every two to four weeks while adjusting and every one to three months once stable, with extra attention to the seasonal swings that Maine winters impose on mood and energy. Side effects get clear guidance, tapers are planned rather than abrupt, and medications that stop helping get retired. We don't prescribe controlled substances, stated before you book. Labs are coordinated through your local practice or lab, from Portland to Biddeford.
Keep exploring
Care and next steps in Portland
Frequently asked questions
Good questions, clear answers
My prescriber left Maine. Can you take over?
In most cases yes, for non controlled medications, after an evaluation and records review. Clinician turnover shouldn't interrupt your treatment.
Do my medications need to change with the seasons?
Sometimes, at this latitude, yes. Seasonal patterns are real biology, and we plan for fall and winter rather than react to them in January.
Do you prescribe benzodiazepines or stimulants in Portland?
No, none, anywhere. We're honest about it up front, and the non controlled options for anxiety, attention, and sleep are better than most people have been offered.
What if my internet cuts out mid visit?
We switch to phone and finish the appointment. Maine connectivity is a clinical reality, and we've built protocols for it.
Can you coordinate with my primary care doctor at Maine Health or InterMed?
With your permission, yes, in both directions, so interactions get caught and the whole plan stays coherent.
About Portland
Portland is home to about 70,000 residents, the largest city in Maine. It's the commercial and medical hub of the region. Our patients here range across longtime Mainers, port and service workers, college students, and a growing number of remote professionals.
Serving Portland
Care should reach every corner of Portland. As Maine's largest city, set on the shores of Casco Bay, Portland stretches from the Old Port, Munjoy Hill, and the West End, and shrinkMD brings board-certified telepsychiatry to all of it by secure video, with the same psychiatrist over time.
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.
Learn more
More from a trusted source: Mental health medications - MedlinePlus.
Nearby areas
Medication Management in nearby Maine 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 Portland
Call 1-877-747-4656 now, appointments are available as soon as availability allows for Portland residents, by secure video from home.
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