Locations / Texas / San Antonio
Online psychiatry for San Antonio, Texas
San Antonio is Military City USA with civilian waitlists to match. shrinkMD serves the city and its bases' families by secure video, with board certified evaluations within days and care that respects military and medical rhythms.
Medically reviewed by Shariq Refai, MD, MBA, FAPA, board certified psychiatrist · Published June 7, 2026 · Last reviewed June 8, 2026 · Editorial policy
Care in San Antonio
Real psychiatry, without the local waitlist
San Antonio carries military weight like nowhere else: active duty families across Lackland, Randolph, and Fort Sam Houston, a huge veteran population, and the medical complexes that serve them all, every group navigating systems with their own waits and visibility worries.
shrinkMD sits outside every one of those systems. We see adult family members, veterans, and civilians by video within days, bill nothing to TRICARE or any insurer, and release records only with written authorization. Care happens from Alamo Heights, Stone Oak, or a parked car at the medical center, in English or with cultural context honored.
The clinical work is the same standard the whole site describes: full evaluations, measured follow up, one clinician throughout, no controlled substances, honest answers about what fits and what does not.
What we treat
Conditions we treat
Evaluation, diagnosis, and ongoing care for the full range of adult outpatient conditions.
Sleep & Insomnia
Chronic insomnia and disrupted sleep, treated without controlled substances.
Learn more →
From the missions to Stone Oak and the bases, expert care is a few days away.
Getting started
Getting started in San Antonio
Complete the secure intake
A few minutes online so we can match you with the right clinician.
Meet your clinician by video
A full 45 to 60 minute evaluation from anywhere private in the area, as clinician availability allows.
Get your plan the same day
A working diagnosis, clear next steps, and prescriptions to your local pharmacy when appropriate.
Follow up that actually happens
Short measured visits with the same clinician, scheduled around real life in San Antonio.
Local resources
Mental health resources in the San Antonio area
Crisis and community resources for the San Antonio area:
- 988 Suicide and Crisis Lifeline: call or text 988, 24 hours, with a Veterans option
- The Center for Health Care Services operates Bexar County's crisis line
- Emergency: 911 or the nearest emergency department
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
San Antonio and nearby areas we serve
Greater San Antonio, covered identically:
- Downtown, Southtown, and Alamo Heights
- Stone Oak, the medical center area, and the northwest side
- Converse, Universal City, and the base adjacent communities
- New Braunfels, Boerne, and the hill country edge
Keep exploring
Related care and next steps
Related conditions
- Psychiatric evaluation in San Antonio
- Medication management in San Antonio
- Anxiety treatment in San Antonio
- Depression treatment in San Antonio
- All of Texas
- Online psychiatry in Houston
- Online psychiatry in Dallas
- Online psychiatry in Austin
- Online psychiatry in Fort Worth
- Online psychiatry in El Paso
- Online psychiatry in Corpus Christi
- Online psychiatry in Plano
- Online psychiatry in Frisco
- Online psychiatry in The Woodlands
- Online psychiatry in Sugar Land
Helpful next steps
Frequently asked questions
Good questions, clear answers
Is telepsychiatry available in San Antonio?
Yes. shrinkMD provides licensed online psychiatry for adults across Texas, including San Antonio, by secure video, with evaluations usually available as soon as availability allows.
Do you prescribe controlled medication in San Antonio?
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 San Antonio?
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 San Antonio 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 San Antonio?
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.
Does using shrinkMD touch TRICARE or military systems?
No. We bill no insurance at all, so no claims exist anywhere, and nothing reaches military or VA systems unless you authorize records in writing.
Can care be sensitive to language and family culture?
Yes. Tell us your preference when booking; language and family context shape both matching and how we plan treatment.
Start online psychiatry in San Antonio
Call 1-877-747-4656 or book online. Appointments are available as soon as availability allows for San Antonio residents, by secure video from home.
Join Our Waiting List