Telepsychiatry & Psychiatric Medication Management in Reno, Nevada
Reno has transformed over the last decade from a gaming town into a logistics and manufacturing hub, with the Tesla Gigafactory and a growing warehouse corridor east of the city drawing thousands of new workers and families to the area. That rapid economic growth has outpaced the region’s psychiatric provider supply, and the University of Nevada, Reno adds another layer of demand from students needing care.
Valiant Mental Health provides licensed telepsychiatry and psychiatric medication management to Reno residents by secure video, so the Biggest Little City’s growth doesn’t outpace your access to care.
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Why Reno Residents Are Choosing Telepsychiatry
Reno’s population growth, driven largely by the Tahoe-Reno Industrial Center and companies like Tesla, Google, and Switch, has brought new residents faster than local mental health infrastructure could expand. New-patient waitlists at Reno-area psychiatric clinics are common, and shift work at warehouses and manufacturing facilities doesn’t always align with standard clinic hours.
University of Nevada, Reno students face their own version of the same problem — campus mental health resources are stretched thin, and many students don’t have an established provider off campus.
A secure video visit works around all of that. Same evaluation, same medication management, same follow-up care — without adding a drive across town or a wait for the next opening.
Conditions We Treat
We provide psychiatric medication management for the conditions we see most often in Reno adults and adolescents:
- Depression & Mood Disorders
- Generalized Anxiety Disorder
- Panic Disorder
- ADHD
- Bipolar Disorder
- PTSD
- OCD
- Autism Spectrum Disorder
- Agoraphobia & Specific Phobias
- Social Anxiety
- Adjustment disorders and life stress
Many patients pair medication management with talk therapy — see our Counseling & Therapy page if that’s part of what you’re looking for.
What a Telepsychiatry Visit Actually Looks Like
- You request an appointment online. No referral needed.
- Your first visit is a full evaluation — your history, symptoms, and goals, done by secure video from home, work, or wherever you have privacy.
- If medication is appropriate, your provider walks through the options with you and sends the prescription electronically to your Reno-area pharmacy.
- You return for regular follow-ups to check how things are working and adjust as needed — the same way you would in person.
Serving Reno and Washoe County
We see patients throughout the Reno-Sparks metro area, including Sparks, Spanish Springs, and the UNR campus community. Our licensure covers the entire state — visit our Nevada telepsychiatry hub for the full list of communities we serve, including Las Vegas, Henderson, and Carson City.
Meet Your Provider
Care is provided by Randy Goleman, MSN, APRN, PMHNP, a board-certified Psychiatric Mental Health Nurse Practitioner with experience across military, acute behavioral health, and residential treatment settings, in addition to private practice. Read more about his background.
Insurance & Getting Started
Many private insurance plans cover telepsychiatry in Nevada — coverage varies, so we recommend verifying your specific benefits before your first visit. Cash-pay pricing is also available if you’d rather skip insurance altogether. See current plans and cash-pay rates.
Ready to Begin?
👉 Request an Appointment »
👉 Learn More About Medication Management »
👉 Explore Counseling & Therapy Options »
This page is intended for educational purposes and does not replace a professional psychiatric evaluation.
What Our Patients Are Saying
Valiant Mental Health is rated 5.0 stars on Google based on patient reviews.
Posted on Google Kyleigh FarrellTrustindex verifies that the original source of the review is Google. I was able to get in the same day and he was very kind, I would absolutely recommend! :)
Owner's reply
Thank you so much for your kind words! We’re glad you had a positive experience. While we can’t always accommodate same-day appointments, we always do our best to get patients scheduled as quickly as possible. We appreciate your recommendation!Posted on Google A LTrustindex verifies that the original source of the review is Google. I've been seeing Randy for probably a year now. His style of counseling is right up my alley: No bs and no coddling. I can speak directly and openly with no judgement (and sometimes I even get a laugh out of him.) Anyone who thinks he's dismissive or claims he said he can't help them obviously needs to do some introspection. If he said he can't help, I guarantee the entire statement was "I can't help you if you're unwilling to help yourself." Therapy is about wanting to be there and wanting to improve mental health. Anyone unwilling to face the ugly in their lives won't be successful in therapy, *regardless* of the therapist.
Owner's reply
Thank you for taking the time to share this thoughtful review. I truly appreciate your perspective and your encouragement of personal accountability in the therapeutic process. Therapy works best when individuals are willing to engage honestly with themselves, and your insight into that is powerful. I’m grateful for your support and wish you continued growth and success on your journey.Posted on Google Jackson McAllisterTrustindex verifies that the original source of the review is Google. Took to long to write this,, i have never had a problem with randy, he is understanding and encouraging and i am happy to be under his care.
Owner's reply
Thank you so much for taking the time to leave this review. I’m truly grateful for your kind words. I’m glad to hear you’ve felt supported and encouraged during our work together. It’s an honor to be part of your care, and I’m here whenever you need anything.Posted on Google Grace Van EttenTrustindex verifies that the original source of the review is Google. Randy was very patient, addressing all my concerns, and he listens extremely well, clarifying misunderstandings instead of jumping to conclusions. He was also very clear about medications and the negative and positive side effects of each type, and how they interact with my medical history personally. He is a *very* good psychiatrist. Most of all, I appreciate the flexibility he offers in scheduling appointments at nighttimeor daytime, weekdays or weekends, and in person or online. This is incredibly helpful for shift work and unpredictable schedules. I have had bad experiences with psychiatrists in the past, and I recommend him as one of the best options around.
Owner's reply
Thank you so much for taking the time to share this thoughtful review. I’m truly glad to hear that you felt heard, supported, and informed during your visits. Clear communication and collaborative decision-making are very important to me, and I’m happy the medication discussions were helpful for you. I also understand how challenging shift work and unpredictable schedules can be, so I’m grateful to know that the flexible appointment options have made things easier. I’m sorry to hear you’ve had difficult experiences in the past, but I appreciate your trust in me and Valiant Mental Health. It means a lot that you would recommend my care to others. Please don’t hesitate to reach out anytime you need support.Posted on Google Ruth MorganTrustindex verifies that the original source of the review is Google. Randy is very detail oriented and he’ll pay attention to all your concerns. He cares abt his pts and is constantly there for them anytime day or night!
Owner's reply
Thank you so much for your kind words! I truly appreciate you taking the time to share your experience. I’m glad to hear you’ve felt supported and heard—that’s always my goal. Your feedback means a lot, and I’m grateful for the opportunity to be part of your care. If you ever need anything, don’t hesitate to reach out.Posted on Google TransientSapienTrustindex verifies that the original source of the review is Google. Randy is an expert in his field and he walked me through a critical time in my life and helped me quit alcohol use. He goes out of his way to ensure his patients well being
Owner's reply
Thank you so much for sharing this. I’m truly glad to hear you’re doing well and making progress. It takes real strength to step forward during a difficult time, and I’m grateful you trusted me to support you through it. If you ever need anything in the future—whether it’s maintaining progress, managing stress, or navigating new challenges—we're here to help.Posted on Google Natalia TTrustindex verifies that the original source of the review is Google. Absolutely love coming here! My past experiences with other providers has been so-so, but Mr. Goleman actually cares and Im sincerely grateful. look forward to working with him. I appreciate the easy check in and everything else. Thank you for understanding and working with me. I look forward to better days!
Owner's reply
Thank you for your kind words. We are happy to help where we can.Posted on Google Brandon AndrusTrustindex verifies that the original source of the review is Google. I cannot recommend Valiant Mental Health enough! Randy truly cares about his patients and has his heart fully in this field. He is extremely prompt with communication and always gets back to you quickly when you need something. His professionalism, consistency, and compassion stand out, and he is very good at what he does. I highly recommend Randy and Valiant Mental Health to anyone seeking quality mental health care.
Owner's reply
Thank you so much for sharing this thoughtful review! I’m honored to hear that my communication and care have made a difference for you. At Valiant Mental Health, we strive to provide compassionate, consistent, and responsive support for every patient, and it’s wonderful to know that has been your experience. Your recommendation means a great deal — we truly appreciate your trust.Posted on Google Claire HansonTrustindex verifies that the original source of the review is Google. Randy Goleman is the best in the area. He is timely and professional, and it is evident how much of a passion he has for helping others and providing the best possible care.
Owner's reply
Thank you so much for your kind words! It truly means a lot to hear that my passion for helping others shows through in the care I provide. I’m grateful for the opportunity to support you and the community, and I’ll continue striving to offer the best possible care for every patient I serve.Posted on Google Laura FlanneryTrustindex verifies that the original source of the review is Google. Randy at Valiant Mental Health is outstanding. He communicates clearly, is reliable and consistent, and truly cares about his clients. He’s even gone out of his way to fit someone in during a medication emergency, which speaks volumes about his dedication. Highly recommend!
Owner's reply
Valiant Mental Health appreciates your kind words! Randy is dedicated to providing compassionate, reliable care, and we’re grateful for the opportunity to support you and your team.Showing only 4-5 star reviews
Frequently Asked Questions About Telepsychiatry in Reno
I work shifts at a warehouse or manufacturing facility — can I still get an appointment?
Yes. Telepsychiatry is a good fit for shift-based schedules. Reach out and we’ll do our best to find a time that works around your rotation.
Do I need to live in Reno proper to use this service?
No. As long as you’re physically located in Nevada during your appointment and have a private space with a reliable internet connection, you can be seen — whether you’re in Reno, Sparks, Spanish Springs, or elsewhere in Washoe County.
Is telepsychiatry really as effective as an in-person appointment?
Yes. Research consistently shows telepsychiatry is equally effective for evaluation, diagnosis, and medication management for most psychiatric conditions.
Can telepsychiatry be used for ongoing medication management, or just a first evaluation?
Both. Most patients start with a full psychiatric evaluation and then continue with regular follow-up visits by video for medication monitoring and adjustments, the same way you would in person.
Does insurance cover telepsychiatry in Reno?
Many plans do. Coverage varies by plan, so we recommend verifying your specific benefits before your first visit.
Does Valiant Mental Health treat patients throughout Washoe County, not just downtown Reno?
Yes. Telehealth visits reach patients anywhere in Washoe County, including Sparks and the surrounding Truckee Meadows area, without requiring a trip into downtown Reno.
Can I schedule psychiatric care in Reno around a seasonal or tourism-industry job?
Yes. We offer flexible morning and evening appointment times so patients working seasonal, hospitality, or tourism-related schedules common in the Reno-Tahoe area can still get consistent care.