Telepsychiatry & Psychiatric Medication Management Across Hawaii

Hawaii’s own physician workforce report found a 42% shortage in adult psychiatry services and a 45% shortage in child psychiatry — and on the neighbor islands of Hawai’i (the Big Island), Kaua’i, and Maui, shortages for some mental health services run higher than 70%. Being surrounded by ocean means you can’t just drive to the next state for care the way people can on the mainland.

Valiant Mental Health provides licensed telepsychiatry and psychiatric medication management across Hawaii by secure video, so island geography doesn’t have to limit your access to care.

Telepsychiatry and psychiatric medication management across Hawaii, Valiant Mental Health

Why Telepsychiatry Works So Well in Hawaii

Even Oahu, home to most of the state’s psychiatric providers, has long waitlists and heavy traffic between communities. On the neighbor islands, the shortage is far more severe, and some residents have historically had to fly to Oahu just to see a psychiatric specialist in person.

A secure video visit removes that barrier entirely. Same evaluation, same medication management, same follow-up care — from wherever you are in the islands.

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 Hawaii 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 wherever you are.
  • If medication is appropriate, your provider walks through the options with you and sends the prescription electronically to your Hawaii pharmacy.
  • You return for regular follow-ups to check how things are working and adjust as needed — the same way you would in person.

Hawaii Communities We Serve

We have dedicated pages for the communities where we see the most patients, each shaped by what’s actually different about life there:

  • Honolulu — the state capital, with the nation’s highest cost of living and the daily stress that comes with it.
  • Pearl City — a Central Oahu community closely tied to Joint Base Pearl Harbor-Hickam and military family life.
  • Kailua — a Windward Oahu beach town dealing with real commuting stress over the Pali and Likelike highways.

If you live elsewhere in the islands, our licensure covers the entire state — reach out and we’ll confirm availability.

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 Oahu, 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 Hawaii

Do I need to live on Oahu to use telepsychiatry services?

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 regardless of which island you’re on.

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.

Ready to Begin?

👉 Request an Appointment »
👉 Learn More About Medication Management »
👉 Explore How Telehealth Works »

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.

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