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Locations / Texas / Houston

Online psychiatry for Houston, Texas

Houston has the world's largest medical center and monthslong psychiatric waits anyway. shrinkMD serves the entire metro by secure video, with board certified evaluations within days, in a city where the drive alone has been canceling care for years.

Medically reviewed by Shariq Refai, MD, MBA, FAPA, board certified psychiatrist · Published June 7, 2026 · Last reviewed June 8, 2026 · Editorial policy

Friends kayaking Buffalo Bayou beneath the Houston skyline
Quick overview. shrinkMD provides licensed online psychiatry for adults in Houston. You'll meet a board certified clinician by secure video, as clinician availability allows, with transparent pricing and consistent follow up.

Care in Houston

Real psychiatry, without the local waitlist

Houston's paradox is famous: more medicine per square mile than anywhere on earth, and you still cannot get a psychiatric appointment this quarter. Add distances that make Katy to the Medical Center a half day round trip, energy and hospital schedules that ignore office hours, and a heat that makes everything heavier, and care keeps losing to logistics.

shrinkMD deletes the logistics. Board certified clinicians see you by video from the Heights, Sugar Land, Katy, or Clear Lake, usually within days, with evening and post shift slots for plant rotations and hospital staff alike.

Treatment is measured and consistent: a full evaluation, validated scores tracked at every follow up, the same clinician each visit, and prescriptions to your local pharmacy the same day when indicated. No insurance billing means nothing enters employer plans, which energy and medical professionals tell us matters.

What we treat

Conditions we treat

Evaluation, diagnosis, and ongoing care for the full range of adult outpatient conditions.

Anxiety Disorders

Generalized anxiety, panic, social anxiety, and OCD.

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Depressive Disorders

Major depression, seasonal patterns, and postpartum depression.

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Mood Disorders

Bipolar I, bipolar II, and cyclothymia, diagnosed carefully.

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Sleep & Insomnia

Chronic insomnia and disrupted sleep, treated without controlled substances.

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Women's Mental Health

PMDD, perinatal and postpartum care across life stages.

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Psychotic Disorders

Schizophrenia and schizoaffective disorder, managed with continuity.

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Family strolling the reflection pool at Hermann Park in Houston

From the loop to the energy corridor and the bay, expert care is a few days away.

Getting started

Getting started in Houston

1

Complete the secure intake

A few minutes online so we can match you with the right clinician.

2

Meet your clinician by video

A full 45 to 60 minute evaluation from anywhere private in the area, as clinician availability allows.

3

Get your plan the same day

A working diagnosis, clear next steps, and prescriptions to your local pharmacy when appropriate.

4

Follow up that actually happens

Short measured visits with the same clinician, scheduled around real life in Houston.

Local resources

Mental health resources in the Houston area

Crisis and community resources for the Houston area:

  • 988 Suicide and Crisis Lifeline: call or text 988, 24 hours
  • The Harris Center crisis line serves Harris County around the clock
  • Emergency: 911 or the nearest emergency department
Important. If you or someone you know is in danger, call or text 988 or call 911 right away. shrinkMD provides outpatient care and is not an emergency service.

Access

Insurance, access, and appointment availability in Texas

shrinkMD operates as a transparent cash pay practice: we do not bill insurance, which is what keeps evaluations a full hour, follow ups consistent, and your records entirely out of insurer databases. Fees are flat and published before you book, HSA and FSA funds work, and superbills are available for possible out of network reimbursement.

Our clinicians are licensed in Texas and see patients by secure video anywhere in the state, as clinician availability allows. If we are ever not the right level of care, we say so plainly and help you find what is.

Where we serve

Houston and nearby areas we serve

The full metro, by video, identically:

  • The Heights, Montrose, Midtown, and EaDo
  • Sugar Land, Katy, Cypress, and the Energy Corridor
  • Clear Lake, Pearland, Pasadena, and the Bay Area
  • The Woodlands, Spring, and Kingwood

Frequently asked questions

Good questions, clear answers

Is telepsychiatry available in Houston?

Yes. shrinkMD provides licensed online psychiatry for adults across Texas, including Houston, by secure video, with evaluations usually available as soon as availability allows.

Do you prescribe controlled medication in Houston?

No. shrinkMD does not prescribe controlled substances anywhere, including stimulants and benzodiazepines. We are upfront about this and effective with the evidence based alternatives.

How fast can I be seen in Houston?

Usually as clinician availability allows, compared to the months long waits common locally. Early treatment is easier treatment.

Will I see the same clinician each time?

Yes. Continuity is a core standard: one clinician who knows your history, your scores, and your goals, visit after visit.

What number do I call in Houston for a mental health emergency?

Call or text 988, the Suicide and Crisis Lifeline, or call 911. shrinkMD is an outpatient practice, not an emergency service, and we want you safe first.

Does insurance cover telepsychiatry in Houston?

We do not bill insurance. You pay a transparent flat fee per visit, HSA and FSA funds work, and we provide superbills you may submit for possible out of network reimbursement.

Where do appointments take place?

Wherever you have privacy and a connection: home, an office, or a parked car. There is no clinic to drive to and no waiting room.

Do I need a referral?

No referral is needed. Book directly, and with your permission we coordinate with your primary care clinician afterward.

Can plant and refinery shift workers actually fit treatment in?

Yes. Rotations are a scheduling input here, follow ups run 15 to 30 minutes, and the sleep disruption turnarounds cause is treated as part of the condition, not an excuse.

Why use shrinkMD with the Medical Center nearby?

Speed and continuity. The Medical Center is extraordinary and booked. We see you within days, keep the same clinician at every visit, and coordinate with your Houston doctors with your permission.

Start online psychiatry in Houston

Call 1-877-747-4656 or book online. Appointments are available as soon as availability allows for Houston residents, by secure video from home.

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If you are in crisis or need urgent assistance: Crisis Text Line: Text HOME to 741741 • National Suicide Prevention Hotline: 9-8-8