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Responsible prescribing

An online psychiatrist that doesn't prescribe controlled substances

Safe, evidence based psychiatric care for adults, without controlled substances.

Medically reviewed by Shariq Refai, MD, MBA, FAPA, board certified psychiatrist · Last reviewed June 28, 2026 · Editorial policy

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What we don't prescribe

Care without controlled substances

shrinkMD is a non-controlled psychiatry practice. We don't prescribe benzodiazepines like Xanax, Klonopin, Ativan, or Valium on an ongoing basis, stimulants for ADHD like Adderall, Vyvanse, Ritalin, or Concerta, or opioids and sedatives like Ambien.

We start with treatments that are safe and that last. For most conditions that means non-controlled medication chosen carefully, paired with therapy when it helps. You can read how we approach prescribing on our medication management page.

If you take a controlled medication

Switching, tapering, or finding the right fit

If you currently take a controlled medication and want to keep it, we may not be the right practice for you, and we'll gladly point you toward a clinician who manages those medications. If you want to come off one, we can support a careful taper coordinated with your current prescriber where appropriate.

Frequently asked questions

Good questions, clear answers

Will shrinkMD prescribe Adderall or other stimulants?

No. shrinkMD doesn't prescribe stimulants or any other controlled substances. If you specifically need stimulant ADHD medication, a different practice would be a better fit.

Why doesn't shrinkMD prescribe controlled substances?

We focus on treatments that are safe and durable. A non-controlled approach reduces risks like dependence and misuse, and for most conditions it's effective when paired with the right plan and follow-up.

What can shrinkMD prescribe?

Non-controlled psychiatric medications, such as antidepressants, mood stabilizers, and other evidence based options, chosen and monitored for your situation.

Medical Disclaimer: This content is provided for general educational and informational purposes only. It is not medical advice, diagnosis, or treatment. Reading this content does not create a doctor-patient relationship with shrinkMD, Dr. Shariq Refai, or any affiliated clinician. Always seek the advice of a qualified healthcare professional regarding questions about a medical or mental health condition. Never disregard professional medical advice or delay seeking care because of something you have read on this website. If you are experiencing a medical or mental health emergency, call 911 or go to the nearest emergency room.

Care you can trust

Physician led online psychiatry for adults, cash pay, with no controlled substances and the same clinician over time. Join the waitlist for your state.

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