Psychiatric Second Opinion in Hawaiʻi

When you want to be sure

Some adults in Hawaiʻi have tried treatment and still do not feel right. A diagnosis never quite fit, medications helped only partway, or different providers have said different things. A second opinion gives you an independent view before you decide what to do next.

It is not a commitment to change providers. Many people bring the findings back to the clinician they already see.

Your history, then a clear formulation

The visit looks at your symptoms across your life, past diagnoses, each medication tried and how it went, medical and sleep factors, substance use, and how you are functioning day to day. Prior records are reviewed when available.

You receive a clearly explained formulation, and on request a written summary you can share with your current providers.

Telehealth on every island, in person in Honolulu

Visits are held by secure video from Oʻahu, Maui, Kauaʻi, the Big Island and the other islands, without a flight or a long drive. In-person visits are available at the Honolulu office when appropriate. The first appointment is 60 minutes.

The practice is in network with HMSA, AlohaCare and UnitedHealthcare (commercial and QUEST), and self-pay is available. Coverage varies by plan, so please verify your benefits first.

A medical and psychiatric lens together

Dr. Reginald Casilang is a Hawaiʻi-licensed nurse practitioner with prescriptive authority, dual board-certified in psychiatric-mental health (PMHNP-BC) and family practice (FNP-BC), with a Doctor of Nursing Practice. He speaks English and Tagalog. Read more about Dr. Casilang.

Not adversarial, not a guarantee

A second opinion is not a contest with your current provider, and it does not promise a different answer. Sometimes the finding is that the original plan was sound, which is useful to know.

Common questions