Careful, unhurried, and grounded in evidence
The clinical philosophy behind The MindCounsel is straightforward: slow down, understand the full picture, and make decisions together.
Diagnostic precision matters. A diagnosis that is partially wrong leads to treatment that is partially ineffective - and extends the time a patient spends without adequate relief.
Most psychiatric treatment begins with a 20–30 minute evaluation. A diagnosis is reached, a medication is started, and follow-ups are brief. This approach works well for straightforward presentations - but it leaves a significant number of patients in a cycle of partial improvement, medication adjustments, and accumulated uncertainty about what's actually happening.
The MindCounsel is built around a different model: longer evaluations, structured review of prior history, and enough time to actually understand the clinical picture before any recommendations are made.
How this practice is structured
Evaluation before treatment
No medication is recommended without a thorough evaluation first. Treatment decisions are always made based on a full understanding of your history, your goals, and the available evidence - not a brief intake.
Medical and psychiatric integration
Dual board certification in psychiatric-mental health and family medicine means your evaluation includes a medical lens. Thyroid dysfunction, sleep disorders, metabolic issues, and neurological factors are reviewed as part of the psychiatric workup - not as a separate referral.
Structured medication review
Every prior medication is reviewed - what it was, at what dose, for how long, and what happened when it was stopped or changed. This history often explains more than a new evaluation can, and it shapes every recommendation going forward.
Collaborative decision-making
Treatment recommendations are explained fully - the rationale, the expected benefits, what to watch for, and what the alternatives are. You should understand the reasoning behind every decision, not just follow a prescription.
Why dual board certification matters
Reginald Casilang, DNP, is dual board certified in psychiatric-mental health nursing (PMHNP-BC) and family medicine (FNP-BC). The DNP - Doctor of Nursing Practice - is the terminal clinical degree in nursing, equivalent in level to other doctoral clinical programs.
In practice, dual certification means that a psychiatric evaluation at The MindCounsel is not limited to psychiatric symptoms in isolation. Medical contributors - thyroid dysfunction, sleep disorders, metabolic issues, medication interactions, neurological factors - are reviewed as part of every evaluation. This matters because these contributors are frequently missed when psychiatry and medicine are evaluated by separate providers.
Dr. Casilang has built The MindCounsel specifically to offer the kind of thorough, careful evaluation that is difficult to find in high-volume outpatient settings - and that is, in many cases, the step that finally makes a patient's treatment make sense.
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Initial evaluations are 60 minutes. Select your state below.