Is telepsychiatry as effective as in-person care?

Yes — secure telepsychiatry provides the same clinical care standards as in-person visits for evaluation and follow-up medication management.

Can prescriptions be sent to local pharmacies in Kailua?

Yes — prescriptions can be electronically sent to pharmacies near Kailua.

Telepsychiatry & Psychiatric Medication Management in Kailua, Hawaii

Kailua is one of O’ahu’s most sought-after beach towns, but its Windward location comes with a real practical trade-off: getting to a psychiatric appointment in Honolulu means crossing the Ko’olau range through the Pali Highway or Likelike Highway, both of which regularly back up during commute hours and can close entirely after heavy rain or a rockslide.

Valiant Mental Health provides licensed telepsychiatry and psychiatric medication management to Kailua residents by secure video, so a highway closure or rush-hour backup never has to mean missing an appointment.

Why Kailua Residents Are Choosing Telepsychiatry

The Pali and Likelike highways are the only two routes connecting Kailua to Honolulu, and both are notorious commuter bottlenecks — a trip that takes 20 minutes with clear roads can stretch well past an hour during peak traffic or after a lane closure. For a scheduled psychiatric appointment, that unpredictability alone keeps people from following through on care.

Kailua’s population has also grown steadily as more people move Windward for the beaches and slower pace, but the town still has far fewer psychiatric providers than urban Honolulu, meaning most residents were already driving over the Pali for care before telehealth existed.

A secure video visit removes the highway from the equation entirely. Same evaluation, same medication management, same follow-up care — without gambling on traffic or weather.

An Important Note on Controlled Substances

Valiant Mental Health is licensed to provide psychiatric care in Hawaii, but because our providers are based outside the state, federal telehealth regulations limit our ability to prescribe certain controlled substances — including stimulant medications commonly used for ADHD — without an in-person evaluation. For ADHD and similar conditions, we’re able to offer evidence-based non-stimulant medication options instead. Your provider will walk through what’s available to you during your evaluation.

Conditions We Treat

We provide psychiatric medication management for the conditions we see most often in Kailua adults and adolescents:

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 Kailua-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 Kailua and the Windward Side

We see patients throughout Windward O’ahu, including Kaneohe, Lanikai, and Enchanted Lake. Our licensure covers the entire state — visit our Hawaii telepsychiatry hub for the full list of communities we serve, including Honolulu and Pearl 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 Hawaii — 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.

Local Crisis & Behavioral Health Resources

Telepsychiatry is not a crisis service. If you are experiencing a mental health emergency, please use one of these resources or call 911:

988 Suicide & Crisis Lifeline: dial or text 988 (routes to Hawai’i CARES from an 808 area code)
Hawaii CARES Crisis Line: 808-832-3100 on O’ahu, or 1-800-753-6879 statewide
Crisis Text Line: text ALOHA to 741741
NAMI Hawaii: peer support, education, and advocacy

Frequently Asked Questions About Telepsychiatry in Kailua

Does a Pali Highway closure affect my appointment?

No — that’s one of the main advantages of telepsychiatry for Windward residents. As long as you have internet access, a highway closure or rockslide that would derail an in-person trip to Honolulu has no effect on a secure video visit.

Can psychiatric medications, including controlled substances, be prescribed through telehealth in Hawaii?

Most psychiatric medications can be prescribed via telepsychiatry. However, because our providers are based outside Hawaii, federal rules limit us from prescribing certain controlled substances, including ADHD stimulants, without an in-person visit. We offer non-stimulant alternatives for these conditions instead.

Do I need to live in Kailua proper to use this service?

No. As long as you’re physically located in Hawaii during your appointment and have a private space with a reliable internet connection, you can be seen — whether you’re in Kailua, Kaneohe, Lanikai, or elsewhere on the Windward side.

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 Kailua?

Many plans do. Coverage varies by plan, so we recommend verifying your specific benefits before your first visit.

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.