San Antonio, Texas
Medication Management in San Antonio
Military City USA runs on service: active duty families across Lackland, Randolph, and Fort Sam, a huge veteran community, and the medical complexes serving them all. Every group navigates systems with their own waits and visibility worries, and the civilian waitlists offer no refuge either. That's what unmanaged medication looks like, and it's fixable. shrinkMD delivers real medication stewardship to San Antonio: 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
Why San Antonio chooses shrinkMD
We sit outside every system that worries you: nothing billed to TRICARE or any insurer, records that move only with written authorization, and adult family members, veterans, and civilians seen within days by video.
Care honors language and family culture in matching and planning, flexes around base rhythms and medical center shifts, and keeps one clinician with you throughout.
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 San Antonio
Frequently asked questions
Good questions, clear answers
Can care be conducted with sensitivity to language and culture?
Yes, tell us your preference when booking; both shape clinician matching and treatment planning.
Do you see veterans alongside VA care?
Yes, and with your permission we coordinate records both directions so plans never conflict.
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 San Antonio
With about 1.4 million people, the second-most-populous city in Texas, San Antonio is a community we're glad to serve. It's a major metro with a deep military presence, home to Joint Base San Antonio. We care for military families and veterans, healthcare workers, and a large Hispanic community.
Serving San Antonio
Across San Antonio, from downtown, the River Walk, and the Alamo, residents can meet a board-certified psychiatrist by secure video with shrinkMD. San Antonio is a historic South Texas city on the San Antonio 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 Texas 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 San Antonio
Call 1-877-747-4656 now, appointments are available as soon as availability allows for San Antonio residents, by secure video from home.
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