Articles from The MindCounsel
Written by Reginald Casilang, DNP, PMHNP-BC, FNP-BC - for patients who want to understand their care more fully.
When Psychiatric Medication Keeps Getting Adjusted Without a Clear Reason
If your psychiatric medications have been changed repeatedly without a clear explanation, that pattern is a clinical signal worth understanding. Here is what it often means and what a structured reassessment looks like.
May 2026 Hawai`i PatientsDoes HMSA QUEST Cover Mental Health? What Hawai`i Patients Should Know
HMSA QUEST covers telehealth psychiatric evaluation, diagnosis, and medication management in Hawai`i. Here is what QUEST members should know about accessing in-network psychiatric care.
May 2026 Clinical PerspectiveWhat Is Diagnostic Clarification in Psychiatry?
Many patients have received a psychiatric diagnosis but still feel uncertain about whether it fully explains their experience. This article explains what diagnostic clarification is, who benefits from it, and what the process looks like.
April 2026 Clinical PerspectiveHow to Know If You Need a Psychiatric Second Opinion
Seeking a second opinion in psychiatry is reasonable, appropriate, and often the step that finally clarifies what has been happening. Here is how to recognize when one is warranted.
April 2026 Clinical PerspectivePMHNP vs. Psychiatrist: What Is the Difference and Why Does It Matter?
Both can diagnose psychiatric conditions and prescribe medication. The difference that matters most for your care is often something else entirely - including dual board certification.
April 2026 Hawai`i PatientsMed-QUEST and Mental Health: What Hawai`i Patients Should Know
Med-QUEST covers telehealth psychiatric services in Hawai`i, including evaluation, diagnosis, and medication management. Here is what qualifying patients should know about coverage and access.
April 2026