Lihue, Hawaii
Psychiatric Evaluation in Lihue
Kauai has never sustained much psychiatric capacity: residents needing more than primary care could offer have flown to Oahu, waited months, or gone without. The going without is what telepsychiatry exists to end, on the Garden Isle as much as anywhere in America. The way out starts with an accurate diagnosis. shrinkMD provides full psychiatric evaluations to Lihue by secure video, with a board certified clinician and a first appointment withwithout the typical months-long wait.
Medically reviewed by Shariq Refai, MD, MBA, FAPA, board certified psychiatrist · Published June 7, 2026 · Last reviewed July 7, 2026 · Editorial policy
Already know your state is active? Skip to the waitlist.
Why shrinkMD
Care built around Lihue
From Lihue to Hanalei to Waimea, visits happen by video on island, no flight required, with hospitality shift schedules and island cost of living realities respected.
We bill no insurance, fees are flat and published, superbills are provided, and the same Hawaii licensed clinician sees you visit after visit.
What's included
Inside the evaluation hour
Real diagnosis takes time, so we protect a full 45 to 60 minutes. The hour covers your story chronologically, when symptoms started and what they've cost, plus structured screening across conditions, because depression, anxiety, trauma, attention problems, and sleep deprivation overlap from the inside. Medical mimics get ruled out rather than assumed away.
The most valuable history is your medication record: every psychiatric medication tried, at what dose, for how long, and with what response, including side effects. With that map, your clinician chooses what comes next instead of repeating what already failed. You end the hour with a diagnosis you understand, baseline symptom scores, a written direction, and treatment that starts immediately, often with same day prescriptions.
Keep exploring
Care and next steps in Lihue
Frequently asked questions
Good questions, clear answers
Did seeing a psychiatrist really require flying to Oahu?
For many specialized needs, historically yes. Telepsychiatry ends that: the same board certified evaluation from your living room within days.
I work hotel shifts on the South Shore. When do visits happen?
Around your rota: early mornings, midafternoon breaks, and evenings, with 15 to 30 minute follow ups and one consistent clinician.
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.
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.
About Lihue
Lihue is Kauai's main town and the county seat, home to the island's airport and harbor. It's home to about 8,000 people. The people we see here include Kauai residents, county and healthcare workers, and families who travel there for the island's main services.
Serving Lihue
Lihue is Kauai's government and commercial center, and reaching a psychiatrist here shouldn't take a long drive. shrinkMD sees adults across Lihue by secure video, whether you're near the Kauai Museum, Wailua Falls, and downtown along Rice Street. 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 Hawaii 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 psychiatric evaluation in Lihue
Call 1-877-747-4656 now, appointments are available as soon as availability allows for Lihue residents, by secure video from home.
Get StartedAlready know your state is active? Skip to the waitlist.