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Locations / New York / Rochester

Online psychiatry for Rochester, New York

Rochester invented imaging and optics, but you still cannot get a psychiatric appointment in under a season. shrinkMD serves the Flower City and the Finger Lakes region by secure video, within days.

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

Jogging the Genesee Riverway past High Falls in Rochester, New York
Quick overview. shrinkMD provides licensed online psychiatry for adults in Rochester. You'll meet a board certified clinician by secure video, as clinician availability allows, with transparent pricing and consistent follow up.

Care in Rochester

Real psychiatry, without the local waitlist

Rochester's mental health math is upstate standard: strong hospitals, long waits, gray winters, and a workforce of engineers, healthcare staff, and students at U of R and RIT who treat symptoms as a project to manage alone. By the time most people book, they have been white knuckling it for a year.

shrinkMD shortens that timeline to days: board certified evaluations by video from the South Wedge, Brighton, or a dorm at RIT, with seasonal mood patterns screened explicitly at this latitude and continuity through school breaks and job changes across our ten states.

Care is measured at every visit, prescriptions reach your local pharmacy same day, and no insurance billing keeps everything off employer and university systems.

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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Kayaking the Erie Canal near Pittsford outside Rochester

From the Wedge to the Finger Lakes, expert care is a few days away.

Getting started

Getting started in Rochester

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 Rochester.

Local resources

Mental health resources in the Rochester area

Crisis and community resources for the Rochester area:

  • 988 Suicide and Crisis Lifeline: call or text 988, 24 hours
  • Monroe County's mobile crisis and access services operate 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 New York

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 New York 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

Rochester and nearby areas we serve

Greater Rochester and the region, identically:

  • The South Wedge, Park Avenue, and downtown
  • Brighton, Pittsford, and the eastern suburbs
  • Greece, Webster, and the lakeshore towns
  • The Finger Lakes communities beyond

Frequently asked questions

Good questions, clear answers

Is telepsychiatry available in Rochester?

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

Do you prescribe controlled medication in Rochester?

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 Rochester?

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 Rochester 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 Rochester?

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 U of R and RIT students keep care through breaks?

Yes, anywhere in New York automatically and across our other states when home is elsewhere. Nothing touches university systems or family insurance.

Is gray season depression worth treating or just life here?

Worth treating. Seasonal patterns respond strongly to timed light, sleep anchoring, and medication when indicated, and we plan for the gray rather than surrendering to it.

Start online psychiatry in Rochester

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

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Part of The Shrink Network

Independent, ad-free mental health education and wellness properties, founded and medically reviewed by our founder. Care happens here. Learning happens across the network.

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