Thoughtful Telehealth Psychiatry for Adults in California and Hawaiʻi

Care designed for individuals who want a more careful, unhurried approach—especially when prior treatment hasn’t led to the results they were hoping for.

TelepsychiatryAdults (18+)Secure Video Visits

When care feels rushed

When psychiatric care feels rushed or unclear

Many people arrive having already tried treatment—sometimes more than once—and still don’t feel like themselves. The problem is rarely the diagnosis. More often, it’s that the evaluation wasn’t thorough enough, the options weren’t fully explained, or the pace of care didn’t allow for real understanding.

This practice is built around a different model: slowing down to understand patterns, clarify diagnosis, and make thoughtful, sustainable treatment decisions together.

Good fit

This practice may be a good fit if you:

  • Want a thorough evaluation before starting or changing medication
  • Have tried treatment before but still don’t feel like yourself
  • Prefer a provider who explains the “why” behind recommendations
  • Are concerned about side effects, weight changes, or long-term health
  • Value a collaborative, unhurried approach
  • Want care paced to support understanding—not just symptom coverage
Where we see patients

Choose your state to get started

California

Telehealth Psychiatry for California Adults

Care for adults across California seeking structured, thoughtful psychiatric evaluation and medication management.

Schedule in California
Hawaiʻi

Telehealth Psychiatry Across the Islands

Telepsychiatry for adults across Hawaiʻi, designed to improve access to careful, consistent psychiatric care across the islands.

Schedule in Hawaiʻi
Our Approach

A more careful approach to psychiatric care

  • Thoughtful, comprehensive evaluation
  • Evidence-based medication decisions
  • Metabolic-informed care that considers weight, energy, and long-term health
  • Collaborative planning with clear explanations at every step

Learn more about our approach →

The Process

What working together looks like

Initial Evaluation

A 60-minute appointment to understand your history, current concerns, and goals.

Clear Explanation

A thorough review of findings, the reasoning behind any recommendations, and options available.

Follow-Up Care

Appointments focused on how you’re responding, adjustments, and your overall health.

Care Paced for You

Care paced to support understanding—not a 15-minute check-in with a prescription at the end.

About the Practice

About Dr. Casilang

Dr. Reginald Casilang is a dual-certified Psychiatric and Family Nurse Practitioner with a focused emphasis on diagnostic clarity, careful medication management, and long-term sustainability in treatment. He founded The MindCounsel to offer a more careful reassessment of current treatment for adults who want more than a quick prescription.

The practice operates entirely via telehealth, serving adults across California and Hawaiʻi with the same standard of care regardless of geography.

DNP PMHNP-BC FNP-BC Licensed in California Licensed in Hawaiʻi

Full credentials & approach →

Ready to get started?

Choose your state below to schedule your first visit.