Alexandria, Virginia
Medication Management in Alexandria
Alexandria's brick sidewalks lead to federal grade pressure: Pentagon staff, contractors, and Hill commuters whose calendars have no slot for a clinic with a three month wait. Northern Virginia psychiatry quietly closed its panels years ago; the demand never closed. Medication that affects your brain should be managed, not merely refilled. shrinkMD brings board certified medication management to Alexandria by video, with appointments as soon as availability allows and progress tracked at every visit.
Medically reviewed by Shariq Refai, MD, MBA, FAPA, board certified psychiatrist · Published June 7, 2026 · Last reviewed June 8, 2026 · Editorial policy

Why shrinkMD
Care built around Alexandria
From Old Town to the West End to Mount Vernon, visits happen by video from rowhouse, office, or parked car, with early and evening slots for Pentagon and Hill schedules.
We bill no insurance, so no diagnosis or prescription enters insurer databases, which matters to the many Alexandrians who hold or pursue security clearances.
What's included
Stewardship, visit by visit
Good prescribing is a feedback loop. At each visit your clinician reviews your validated symptom scores, your side effects, and your sleep, then adjusts a single variable so cause and effect stay readable. While starting or changing medication that loop runs every two to four weeks; once you are doing well it relaxes to every one to three months.
Your full trial history, names, doses, durations, responses, lives in your chart from day one, so failed experiments never get repeated. Prescriptions go electronically to your pharmacy, monitoring labs are arranged through your local clinic when a medication requires them, and your primary care doctor stays in the loop with your permission. No controlled substances, stated plainly before you ever book.
Keep exploring
Care and next steps in Alexandria
Frequently asked questions
Good questions, clear answers
Can appointments fit Pentagon hours?
Yes: early morning and evening slots exist for exactly those calendars, with 15 to 30 minute follow ups between obligations.
Do you serve all of Alexandria and south?
Identically: Del Ray, Landmark, Belle Haven, Fort Hunt, and all of Northern Virginia, by video.
Can you take over prescriptions from my previous provider?
Usually yes, for non controlled medications, after an evaluation and records review. Switching should not mean starting over or missing a refill.
Do you prescribe stimulants or benzodiazepines?
No, anywhere. We are upfront about it before you book, and skilled with the non controlled options the evidence supports.
How do labs work with a telehealth practice?
We coordinate orders through your local clinic or lab, lithium levels, metabolic panels, thyroid checks, and review results together. Telehealth changes the visit, not the monitoring standard.
Start medication management in Alexandria
Call 1-877-747-4656 now, appointments are available as soon as availability allows for Alexandria residents, by secure video from home.
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