Psychiatric Consultation · Telehealth · CA & HI

When treatment hasn't worked
the way it should

A diagnostic-first approach — for adults whose treatment history deserves a closer, more careful look.

Diagnostic Clarification Second Opinions Medication Reassessment Complex Cases
Schedule in California Schedule in Hawaiʻi

Appointments are limited to maintain a careful, individualized pace of care.

★ 5.0 Healthgrades Verified
100% Patients felt listened to & respected
2× Board Certified · Psychiatry & Family Medicine
Services

What we offer

Each service is structured around careful evaluation — not a faster prescription or a briefer visit.

Diagnostic Clarification

For patients whose diagnosis has never fully fit — or who have received multiple conflicting diagnoses over time. A careful, structured re-evaluation from the beginning.

Second Opinions

For patients who want an independent clinical perspective on their current diagnosis or treatment plan before making a major decision about their care.

Medication Reassessment

For patients whose medications have been adjusted repeatedly without a clear rationale — or who want to understand what they are taking and why.

Complex Cases

For patients with overlapping or difficult-to-treat presentations — where both psychiatric and medical factors need to be evaluated together, not separately.
Who This Is For

Not designed to be high-volume care.

Designed to be careful, deliberate, and clinically precise — with enough time and attention to actually understand what is happening, and why.

Many patients arrive after months or years of treatment that never fully made sense. Diagnoses that didn't quite fit. Medications adjusted without clear rationale. Partial improvements without a clear understanding of why.

This practice is built around second-opinion level evaluation — a careful diagnostic process, a fresh clinical perspective, and a more deliberate approach to treatment planning.

The Environment

Telehealth from a space designed for clinical focus.

Most telehealth visits happen from a spare room or a home office. Dr. Casilang conducts evaluations from a dedicated clinical consultation space — private, quiet, and built around the same standards of focus and intentionality you'd expect from an in-person visit.

Private consultation office corner — warm seating area with natural light, plants, and art Consultation room seating area — The MindCounsel, Anaheim Hills Office from patient perspective — calm clinical space with window view

Anaheim Hills, CA · All visits conducted via HIPAA-compliant secure video — from wherever you are in California or Hawaiʻi

Your Provider
Dr. Reginald Casilang, DNP, PMHNP-BC, FNP-BC
Reginald Casilang, DNP
PMHNP-BC · FNP-BC · Board-Certified Psychiatry & Family Medicine

Dr. Casilang holds a Doctor of Nursing Practice (DNP) — the terminal clinical degree in nursing — and is dual board certified in both psychiatric-mental health and family medicine. This uncommon combination means your evaluation isn't limited to psychiatric symptoms in isolation. It includes a full medical lens, which matters more than most patients realize.

Medical contributors to psychiatric symptoms — thyroid dysfunction, sleep disorders, neurological factors, medication interactions — are reviewed as part of every evaluation, not treated as someone else's concern. That integrated perspective is what a DNP-level, dually certified provider brings that a single-specialty clinician typically does not.

Dr. Casilang practices telehealth-first across California and Hawaiʻi, and has built The MindCounsel specifically to offer the kind of careful, unhurried evaluation that is difficult to find in high-volume outpatient settings.

Philosophy

A different kind of psychiatric care

In psychiatry, diagnostic precision matters. Small differences in interpretation can lead to significantly different treatment paths — some of which are correct, and some of which extend the time a patient spends without adequate relief.

A careful, unhurried evaluation — including a thorough medication history and a structured review of prior diagnoses — leads to more stable, more effective outcomes. It avoids the trial-and-error that comes from treating an incomplete picture.

Dual board certification in psychiatric-mental health and family medicine allows for a fuller picture — one that accounts for the medical contributors to psychiatric symptoms that are often missed when the two are evaluated separately.

What Others Say

Trusted by patients and colleagues alike

Reggie cares about his patients. He is always open and thoughtful when considering the right medication for each individual patient. He places importance on the opinions of his patients and really listens.

Sheena Janine Smith
Clinical Social Worker & Therapist

I have referred my clients who are in need of med management and support. I have heard nothing but positive things, and great growth from my clients who work with him.

Kiavash Ebadat
Marriage & Family Therapist, LMFT

Dr. Reginald Casilang is a compassionate and skilled clinician whose dedication to patient care, clinical excellence, and teamwork is unmatched. He leads with integrity, empathy, and professionalism. I confidently endorse him without reservation.

Jenna N Vo
Psychiatric Nurse Practitioner, PMHNP-MS

Reginald Casilang is a highly skilled ADHD provider known for his compassionate care and expert knowledge. He offers personalized treatment plans that help individuals manage symptoms effectively and improve their overall well-being.

Simone Valente Kaufman
Psychiatric Nurse Practitioner, PMHNP-MS

My NP is Reggie and he's amazing! He works with me, listens to my concerns, and I feel like we're a team. As a therapist myself, I recommend him to my own clients.

Cassie S.
Patient · California
★★★★★
5.0 · Healthgrades Verified
100% of patients report: provider listened carefully, appointment wasn't rushed, questions were answered, and they felt respected. Rated 5.0 across all provider feedback categories.
Patient Fit

Is this the right fit?

This may be a good fit if:

  • You've been in treatment but still feel uncertain about your diagnosis
  • You want a second-opinion level evaluation
  • You value careful, evidence-based medication decisions
  • You prefer a slower, more deliberate clinical approach

This may not be the best fit if:

  • You're seeking immediate medication changes without a full evaluation
  • You prefer very brief, high-frequency visits
What to Expect

Your first visit

The initial evaluation is 60 minutes. We review your history in detail — prior diagnoses, past medications, what has helped and what hasn't. Prior records are welcome and reviewed carefully before any recommendations are made.

Thorough intake

Full psychiatric and medical history, including prior diagnoses and how they were determined.

Records reviewed

Prior records from previous providers are reviewed carefully — they are part of understanding your full picture.

Medication history

Structured review of every medication tried — at what doses, and why it was stopped or changed.

Clear findings

After evaluation, a clear clinical impression with explanation — not just a revised label.

Common Questions

Frequently asked

Do you prescribe medication?

Yes, when clinically indicated. Medication decisions are made collaboratively, with a clear explanation of the rationale, expected benefits, and what to monitor.

Do you accept insurance?

Yes — and the process is straightforward. In California, appointments are scheduled through Headway, which verifies your coverage automatically at the time of booking. Accepted plans include Aetna, Cigna, United Healthcare, Anthem Blue Cross, and others. If you're unsure whether your specific plan qualifies, Headway will confirm this before anything is finalized — there's no guesswork on your end.

In Hawaiʻi, care is available for patients with Med-QUEST coverage through HMSA or AlohaCare. If you're not sure whether you qualify, send a message before scheduling — we're glad to help you figure it out.

Do you offer second opinions?

Yes. Many patients come specifically for diagnostic clarification or treatment reassessment. Prior records are welcome and reviewed carefully as part of the evaluation.

How does telehealth work?

All visits are conducted via HIPAA-compliant secure video. You'll need a smartphone, tablet, or computer with a camera and a private space. Scheduling links are state-specific and provided after intake.

Schedule

Request a consultation

If this approach sounds like what you have been looking for, select the state where you are located.

California Patients

Accepted plans include Aetna, Cigna, United Healthcare, Anthem Blue Cross, and others. Insurance eligibility verified through Headway at scheduling.

Schedule in California Have a question first?

Hawaiʻi Patients

Care is available for patients with Med-QUEST coverage, including HMSA and AlohaCare. Med-QUEST is Hawaiʻi's Medicaid program.

Schedule in Hawaiʻi Have a question first?
Contact

Send a message

If you have a question before scheduling, or aren't sure which state option applies to you, use the form below. Messages are reviewed personally and you can expect a response within 1–2 business days.

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