Roanoke, Virginia
Psychiatric Evaluation in Roanoke
Roanoke is the biggest city for a hundred mountainous miles, so every county's shortage becomes its waitlist: routine outpatient psychiatry stretches months while the valley's health systems carry demand from the whole Blue Ridge region. The star shines on a lot of people waiting. What changes that's a real evaluation: a full clinical hour that ends in answers. shrinkMD delivers it to Roanoke by secure video, as soon as availability allows, from board certified clinicians.
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
shrinkMD in Roanoke, on your terms
From Grandin Village to Salem to the New River Valley, visits happen by video from home or a parked car between jobs, with railroad and healthcare shift rotations treated as normal scheduling.
We bill no insurance, fees are flat and published, superbills are provided, and the insomnia rotating shifts manufacture is treated as the condition it is.
What's included
What a thorough evaluation looks like
We treat the evaluation as the highest leverage hour in psychiatry, because everything downstream depends on it. Yours runs 45 to 60 minutes and works through symptoms, sleep, substances and caffeine, medical history, family patterns, and the full record of prior treatment, what helped, what didn't, and at what dose and duration.
Differential diagnosis is the discipline most often skipped in shorter intakes, and the one we refuse to skip: unipolar versus bipolar, anxiety versus trauma, attention deficit versus exhaustion. The visit closes with a plain language diagnosis, measured baselines, a stepwise plan, same day prescriptions when appropriate, and an honest answer about whether outpatient telehealth is the right level of care for you.
Keep exploring
Care and next steps in Roanoke
Frequently asked questions
Good questions, clear answers
My hours rotate weekly; can treatment keep up?
Yes, it is built for it: follow ups run 15 to 30 minutes at varying times with the same clinician, and shift work sleep disruption is itself treated.
Do you reach the smaller mountain counties?
Anywhere in Virginia with a connection, identically: the mountain counties are exactly where telepsychiatry earns its keep.
Is a video evaluation as accurate as in person?
Yes. Psychiatric evaluation is history, conversation, and structured screening, all fully intact over secure video, and the research consistently shows equivalence.
What happens after the evaluation?
Treatment starts: same day prescriptions when appropriate, a booked follow up, therapy coordination when it belongs in the plan, and measured progress from visit one.
Do I need a referral to book an evaluation?
No. You book directly, and with your permission we coordinate with your primary care clinician afterward so the whole picture stays connected.
About Roanoke
Roanoke is the largest city in southwest Virginia and the medical center of the region, anchored by Carilion Clinic. It's home to about 97,000 people. The people we see here include hospital staff, healthcare workers, and families across the surrounding rural counties.
Serving Roanoke
Roanoke is the largest city in Virginia's Blue Ridge, and reaching a psychiatrist here shouldn't take a long drive. shrinkMD sees adults across Roanoke by secure video, whether you're near the Mill Mountain Zoo, the Blue Ridge Parkway, and the Roanoke Star. 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 Virginia 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 Roanoke
Call 1-877-747-4656 now, appointments are available as soon as availability allows for Roanoke residents, by secure video from home.
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