Can I get telepsychiatry care in Honolulu?

Yes — telepsychiatry services are available throughout Honolulu, East Honolulu, Waikīkī, and nearby Oʻahu communities.

Do telepsychiatry visits feel like in-person visits?

Yes — telepsychiatry uses secure video technology that provides the same clinical standards as in-person care for evaluation and medication management.

Can psychiatric medication be prescribed through telehealth in Hawaii?

Yes — when clinically appropriate, psychiatric medication can be prescribed and monitored through telepsychiatry in accordance with Hawaii regulations.

Telepsychiatry & Psychiatric Medication Management in Honolulu, Hawaii

Honolulu is Hawaii’s capital and by far its largest city, anchoring an urban core of roughly 350,000 people on an island of nearly a million. Hawaii carries the highest cost of living of any U.S. state, and Honolulu feels that pressure most acutely — groceries, rent, and gas regularly run 60-90% above the national average. Add in legendary H-1 freeway congestion and a limited pool of local psychiatric providers, and fitting a traditional in-person appointment into daily life becomes its own kind of stressor.

Valiant Mental Health provides licensed telepsychiatry and psychiatric medication management to Honolulu and greater O’ahu by secure video, so cost, traffic, and scheduling don’t have to stand between you and care.

Why Honolulu Residents Are Choosing Telepsychiatry

Honolulu’s cost of living is a daily reality for most households here, and financial stress is one of the most common contributors to anxiety and depression we see in patients. On top of that, getting across town for an in-person appointment often means navigating some of the worst traffic corridors in the country, particularly along the H-1 during commute hours.

Despite being home to most of the state’s psychiatric providers, Honolulu still doesn’t have enough of them to meet demand — waitlists for new-patient psychiatry appointments are common even in the state’s largest city.

A secure video visit removes the drive, the parking, and the wait. Same evaluation, same medication management, same follow-up care — from wherever you are on the island.

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 Honolulu 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 Honolulu-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 Honolulu and the Surrounding Area

We see patients throughout urban Honolulu, including Waikīkī, Kaimukī, Mānoa, Kalihi, Hawaiʻi Kai, and Salt Lake. Our licensure covers the entire state — visit our Hawaii telepsychiatry hub for the full list of communities we serve, including Pearl City and Kailua.

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 Honolulu

Do I need to live in urban Honolulu 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 Honolulu proper, Pearl City, Kailua, or elsewhere on O’ahu.

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.

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 Honolulu?

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.