Careful, unhurried, and grounded in evidence
The clinical philosophy behind The MindCounsel is straightforward: slow down, understand the full picture, and make decisions together.
Why the pace of care matters
A 15-minute follow-up can maintain a prescription. It cannot evaluate whether the prescription was right to begin with. Many people in psychiatric care have never had a genuinely thorough evaluation—one that considers their full history, their current concerns, and the “why” behind every recommendation.
“Slowing down to understand patterns, clarify diagnosis, and make thoughtful, sustainable treatment decisions together.”
That phrase isn’t a tagline. It describes the actual structure of care here—longer initial appointments, clear explanations of findings, collaborative decision-making, and follow-ups that genuinely assess how you’re doing.
The four pillars of this practice
Comprehensive Evaluation
A thorough assessment that considers your full history, not just your most recent chart notes. The initial visit is 60 minutes—enough time to actually understand what’s going on.
Evidence-Based Medication Decisions
Medication recommendations are grounded in current evidence, your individual clinical picture, and a clear explanation of the reasoning. You should always know why something is being recommended.
Metabolic-Informed Care
Psychiatric medications can have significant effects on weight, energy, and metabolic health. Those effects are part of the clinical equation—not a side note.
Collaborative Planning
The treatment plan is developed with you, not handed to you. That means explaining options, discussing trade-offs, and making decisions you fully understand and agree with.
Background & credentials
Dr. Reginald Casilang, DNP, PMHNP-BC, FNP-BC is a dual board-certified Psychiatric-Mental Health Nurse Practitioner and Family Nurse Practitioner. He completed his Doctor of Nursing Practice with a clinical focus on psychiatric evaluation, medication management, and the intersection of mental and metabolic health.
He founded The MindCounsel to build a telehealth-first psychiatric practice grounded in the principle that careful, unhurried care produces better outcomes than volume-based approaches. He is licensed to practice in both California and Hawaiʻi and supervises PMHNP students as part of his professional commitments.
His clinical emphasis is on adults with mood disorders, anxiety, ADHD, and complex presentations who have often had prior treatment that didn’t fully address their needs.
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 and options. The “why” is always part of the conversation.
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.
Ready to get started?
Choose your state to schedule your first visit.