Richmond, Virginia
Medication Management in Richmond
Richmond's renaissance outran its prescribers: a creative class on irregular income, VCU's student and medical masses, and state careers wary of records, all sharing waitlists that quote next quarter while the anxiety compounds daily interest. Medication that affects your brain should be managed, not merely refilled. shrinkMD brings board certified medication management to Richmond 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
Made to fit life in Richmond
Freelancers get flat published fees and cadence that flexes with the budget; state workers get structural privacy, no insurance billing, no databases; VCU students keep continuity through breaks and past graduation across our ten states.
Visits happen by video from the Fan, Church Hill, Short Pump, or a quiet hospital corner, within days, with one clinician and measured progress throughout.
What's included
From handoff to dialed in
Many patients arrive mid treatment, a prescriber retired, moved, or simply stopped paying attention. After an evaluation and records review we can usually continue your non controlled medications without missing a refill, then begin actually optimizing: one change at a time, tracked with validated scores until the numbers and your life agree.
Visits run 15 to 30 minutes by video on a cadence your treatment sets, every two to four weeks while tuning, stretching to quarterly once stable. Side effects, interactions, and the question of whether you still need each medication all stay on the table at every visit. Labs are coordinated locally when needed, and nothing here ever touches an insurance database.
Keep exploring
Care and next steps in Richmond
Frequently asked questions
Good questions, clear answers
My income is irregular. How do I plan for treatment?
Fees are flat and published, HSA and FSA work, and visit cadence flexes once you are stable. We plan the schedule with you.
I work for the Commonwealth. Is this private from my employer?
Completely: no claims, no databases, records only with your written authorization.
Can you take over prescriptions from my previous provider?
Usually yes, for non controlled medications, after an evaluation and records review. Switching shouldn't mean starting over or missing a refill.
Do you prescribe stimulants or benzodiazepines?
No, anywhere. We're upfront about it before you book, and skilled with the non controlled options the evidence supports.
How do labs work with a telehealth practice?
We coordinate orders through your local clinic or lab, lithium levels, metabolic panels, thyroid checks, and review results together. Telehealth changes the visit, not the monitoring standard.
About Richmond
Richmond is Virginia's capital and a regional medical hub anchored by VCU Health. It's home to about 234,000 people. The people we see here include state government workers, hospital staff, and healthcare professionals.
Serving Richmond
Richmond is Virginia's capital, on the James River, and reaching a psychiatrist here shouldn't take a long drive. shrinkMD sees adults across Richmond by secure video, whether you're near Carytown, the Fan District, and Shockoe Bottom. 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 Richmond
Call 1-877-747-4656 now, appointments are available as soon as availability allows for Richmond residents, by secure video from home.
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