Thoughtful Telepsychiatry for Adults in California and Hawaiʻi
For individuals who have tried treatment but have not found the clarity or improvement they were hoping for. Care begins with a careful, unhurried reassessment.
TelepsychiatryAdults (18+)Secure Video Visits
When treatment hasn’t worked as expected
Many patients come to care after trying treatment without finding clear improvement. Sometimes the diagnosis was never fully clarified. Other times, the recommendations moved too quickly, the tradeoffs were not well explained, or the overall picture was not carefully reassessed.
This practice is built around a different model: slowing down to understand patterns, clarify diagnosis, and make thoughtful, sustainable treatment decisions together, with attention to both immediate symptoms and long-term stability.
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
Choose your state to get started
Telehealth Psychiatry for California Adults
Care for adults across California seeking structured, thoughtful psychiatric evaluation and medication management.
Schedule in CaliforniaTelehealth Psychiatry Across the Islands
Telepsychiatry for adults across Hawaiʻi, designed to improve access to careful, consistent psychiatric care across the islands.
Schedule in HawaiʻiA 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
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 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.
Ready to get started?
Choose your state below to schedule your first visit.