Rochester, New York
Medication Management in Rochester
Rochester engineers its way through everything except the gray: long waits, long winters, and a workforce of engineers, clinicians, and students who treat their own symptoms as a side project to manage solo. By the time most people book, the project is a year overdue. Medication that affects your brain should be managed, not merely refilled. shrinkMD brings board certified medication management to Rochester 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
Why Rochester chooses shrinkMD
We shorten the timeline to days, by video from the South Wedge, Brighton, or an RIT dorm, with seasonal patterns screened explicitly at this latitude and continuity through breaks and job changes across our ten states.
Measured care suits this town: validated scores at every visit, one clinician throughout, and nothing billed to any insurer or visible to any employer.
What's included
How medication management works here
Everything starts with your medication story: what you take now and every psychiatric medication you've tried, each with dose, duration, and response, because that history is the strongest predictor of what will work next. Changes are then made one at a time, at sensible doses, and judged against validated symptom scores rather than impressions.
Expect visits every two to four weeks while adjusting and every one to three months once stable. Side effects get adult guidance, what fades, what to report, and how to switch safely, and tapers are planned rather than abrupt. We deprescribe when a medication stops earning its place, we don't prescribe controlled substances, and labs, when needed, are coordinated through your local clinic or lab.
Keep exploring
Care and next steps in Rochester
Frequently asked questions
Good questions, clear answers
Is the gray season worth treating or just life here?
Worth treating. Seasonal patterns respond strongly to timed light, sleep anchoring, and medication when indicated.
Do you reach the Finger Lakes towns?
Identically by video, Pittsford to Canandaigua and beyond.
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.
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.
About Rochester
Rochester is an Upstate health care and university hub anchored by the University of Rochester Medical Center. It's home to about 210,000 people in the city and roughly 1 million across the metro area. The people we see here include hospital staff, students, working families, and professionals.
Serving Rochester
Rochester is a Finger Lakes city on the Genesee River, and reaching a psychiatrist here shouldn't take a long drive. shrinkMD sees adults across Rochester by secure video, whether you're near the George Eastman Museum, the Park Avenue area, and downtown. 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 New York 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 Rochester
Call 1-877-747-4656 now, appointments are available as soon as availability allows for Rochester residents, by secure video from home.
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