Psychiatric Second Opinions
An independent, unhurried review of your diagnosis and treatment — with no obligation to change providers.
When you want a careful, independent look
A second opinion is reasonable whenever a diagnosis does not fit, treatment has stalled, opinions from different providers conflict, or a significant decision is pending — such as starting a long-term medication or being told no further options exist.
It is for adults who want an independent perspective before making a change, not necessarily a new permanent provider.
A fresh look, without anchoring
The value of a second opinion is independence. The review begins from your history rather than from the previous conclusions, which makes it possible to notice what a familiar picture can hide.
Sometimes the honest finding is that the original diagnosis and plan were sound — which is itself useful information. Other times, the review surfaces a different formulation worth considering.
History, records, and a written formulation
The evaluation includes a thorough longitudinal history, a review of prior records when available, validated measures where appropriate, and a clearly-explained formulation. On request, that formulation can be provided in writing in a form you can share with your existing providers.
Not adversarial, not a guarantee
A second opinion is not a promise of a different answer, and it is not a contest with your current provider. The goal is accuracy and clarity, arrived at collaboratively.
Designed to coordinate
If you wish to continue with your current provider, the written summary is meant to support that relationship — giving your existing team a second, independent formulation to consider.
Common questions
Will you contradict my current provider?
The goal is an accurate, independent formulation — not disagreement for its own sake. Often the prior diagnosis is reasonable; sometimes a different view is worth weighing.
Do I have to leave my current provider?
No. Many people seek a second opinion specifically so they can keep their current provider and bring back an independent perspective.
Can I get the opinion in writing?
Yes. On request, the formulation can be summarized in writing for you to share with your providers.
Do I need a referral?
No referral is required to schedule.
Is this available by telehealth in both states?
Yes, for adults in California and Hawaiʻi, with in-person visits available in Honolulu when appropriate.
Schedule a consultation
California Patients
Aetna, Cigna, United Healthcare, Anthem Blue Cross, and others accepted through Headway.
Schedule in CaliforniaHawaiʻi Patients
In-network with HMSA and AlohaCare; self-pay available. Coverage varies — verify your benefits.
Schedule in Hawaiʻi