Service

Complex Cases

Evaluation where both psychiatric and medical factors are considered together.

Who This Is For

For patients with overlapping or difficult-to-treat presentations that require both a psychiatric and a medical lens.

Some psychiatric presentations are genuinely complex - not because the patient is difficult, but because the clinical picture involves overlapping conditions, unusual treatment responses, or medical contributors that have not been fully explored.

What to Expect

The evaluation process

Complex case evaluations are 60 minutes and include a thorough review of your psychiatric and medical history. Because Dr. Casilang holds dual board certification in psychiatric-mental health and family medicine, medical contributors - thyroid dysfunction, sleep disorders, metabolic issues, neurological factors - are reviewed as part of the psychiatric evaluation, not as a separate referral.

The goal of the visit is not to immediately prescribe or change medications. It is to arrive at an accurate understanding of what is happening - and why - before any treatment decisions are made.

Schedule a consultation

California

California Patients

Aetna, Cigna, United Healthcare, Anthem Blue Cross, and others accepted through Headway.

Schedule in California
Hawai`i

Hawai`i Patients

Med-QUEST coverage accepted - HMSA and AlohaCare.

Schedule in Hawai`i