Hastings, Nebraska
Psychiatric Evaluation in Hastings
In a town Hastings sized, the clinic parking lot is a bulletin board, and that fact alone has kept generations of treatable anxiety and depression untreated. Add Adams County's thin psychiatric coverage and the local conviction that you push through, and the people carrying the most are the least likely to be seen carrying it. A psychiatric evaluation is how the guessing ends: one structured hour with a board certified clinician that produces a real diagnosis and a real plan. shrinkMD brings that hour to Hastings by secure video, as clinician availability allows.
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 Hastings
Video care deletes the bulletin board: board certified treatment from your own living room, no lot, no lobby, no familiar pickup parked outside anything. Appointments within days.
We bill no insurance, so no claim exists anywhere, and records move only with your written authorization. Scheduling fits early mornings, lunch hours, and evenings, the rhythms of how Hastings actually works.
What's included
The evaluation, start to finish
Before the visit, you gather the short list that sharpens everything: current medications, your pharmacy, and any past psychiatric medications with dose, duration, and response. The appointment itself runs 45 to 60 minutes by secure video, covering your history, screening tools, medical contributors, and goals, in plain conversation rather than interrogation.
By the end you know three things: what this is, what we recommend, and what to expect in the first six weeks. Validated scores from this visit become the baseline every follow up is measured against, prescriptions go to your pharmacy the same day when indicated, and therapy is coordinated when it strengthens the plan. The next appointment is on the calendar before you close the laptop.
Keep exploring
Care and next steps in Hastings
Frequently asked questions
Good questions, clear answers
Will anyone in town know I am getting treatment?
Only whoever you tell. There is nothing to see and nothing billed, the privacy is built into the structure.
Is video psychiatry as good as driving to a specialist?
The same evaluations, the same measured follow up, the same board certification, minus the drive and the wait. For rural Nebraska it is not a compromise, it is the upgrade.
What should I've ready for the appointment?
Current medications and doses, your pharmacy, any past diagnoses, and most importantly every psychiatric medication you've tried with dose, duration, and response. That history guides everything.
What if I need more than telehealth can provide?
Then we tell you plainly and help arrange the right level of care. Knowing our limits is part of the clinical standard, not an exception to it.
Will I get a diagnosis at the first visit?
Usually yes, a working diagnosis and plan the same day. When something genuinely needs more information or records first, we say exactly what and why.
About Hastings
Hastings is the seat of Adams County, a regional center in south-central Nebraska and home to Hastings College. It's home to about 25,000 residents. The people we see here include farming families, college students and staff, hospital workers, and commuters.
Serving Hastings
Hastings is a south-central Nebraska city and the birthplace of Kool-Aid, and reaching a psychiatrist here shouldn't take a long drive. shrinkMD sees adults across Hastings by secure video, whether you're near Fisher Fountain, Highland Park, and the Historic Downtown District. 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
- the psychiatric evaluation
- what to expect at your first evaluation
- your first appointment, step by step
More from a trusted source: What is psychiatry? - American Psychiatric Association.
Nearby areas
Psychiatric Evaluation in nearby Nebraska cities
Your next step in The Shrink Network
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Each site in the network has one job. No matter where you enter, we help you find the next step that makes sense.
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Want to understand more first?
Start psychiatric evaluation in Hastings
Call 1-877-747-4656 now, appointments are available as soon as availability allows for Hastings residents, by secure video from home.
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