San Jose, California
Medication Management in San Jose
San Jose ships product on schedules psychiatry ignores: release cycles, on-call rotations, and the highest cost of living in America, with South Bay psychiatrists booked out months or closed entirely. Burnout is treated as a job perk; it shouldn't be. Medication that affects your brain should be managed, not merely refilled. shrinkMD brings board certified medication management to San Jose 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
Care built around San Jose
From Japantown to Almaden to Milpitas, visits happen by video from home offices, booked meeting rooms, or parked cars, with follow ups short enough to fit between standups.
We bill no insurance, so nothing about your care exists in any employer adjacent system, with flat published fees and PHQ-9 and GAD-7 scores tracking real progress.
What's included
Stewardship, visit by visit
Good prescribing is a feedback loop. At each visit your clinician reviews your validated symptom scores, your side effects, and your sleep, then adjusts a single variable so cause and effect stay readable. While starting or changing medication that loop runs every two to four weeks; once you're doing well it relaxes to every one to three months.
Your full trial history, names, doses, durations, responses, lives in your chart from day one, so failed experiments never get repeated. Prescriptions go electronically to your pharmacy, monitoring labs are arranged through your local clinic when a medication requires them, and your primary care doctor stays in the loop with your permission. No controlled substances, stated plainly before you ever book.
Keep exploring
Care and next steps in San Jose
Frequently asked questions
Good questions, clear answers
Do you treat burnout, ADHD, or depression, and how do you tell?
All three, and distinguishing them is the evaluation's purpose: they overlap in symptoms and differ in treatment.
Do you cover the whole South Bay?
Identically: Santa Clara, Cupertino, Campbell, Milpitas, and all of San Jose, by secure video.
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 San Jose
With more than 970,000 residents, the third-largest city in California, San Jose is a community we're glad to serve. It's a Silicon Valley tech hub. We care for tech and professional workers, immigrants, and families.
Serving San Jose
Across San Jose, from Santana Row, Japantown, and the SoFA District, residents can meet a board-certified psychiatrist by secure video with shrinkMD. San Jose is the largest city in Silicon Valley, 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 California 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 Jose
Call 1-877-747-4656 now, appointments are available as soon as availability allows for San Jose residents, by secure video from home.
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