Telepsychiatry & Psychiatric Medication Management in Las Vegas, Nevada
Las Vegas runs on a schedule most cities don’t: casinos, hospitals, and hospitality venues operate 24/7, and a huge share of the Las Vegas Valley’s roughly 2.3 million residents work swing shifts, graveyard shifts, or irregular schedules built around tourism. A 9-to-5 psychiatric clinic simply doesn’t fit that reality for a large part of the workforce.
Valiant Mental Health provides licensed telepsychiatry and psychiatric medication management to Las Vegas residents by secure video, so a graveyard shift or a packed convention week doesn’t mean going without care.
Why Las Vegas Residents Are Choosing Telepsychiatry
Las Vegas is one of the fastest-growing metro areas in the country, and that growth has consistently outpaced the local psychiatric provider supply. New-patient waitlists are common, and if your work schedule doesn’t match standard clinic hours, finding an appointment that actually fits your life gets even harder.
The city’s shift-driven economy also means stress doesn’t follow a typical Monday-through-Friday pattern. Hospitality workers, dealers, nurses, and first responders often need care that can flex around rotating schedules rather than a fixed weekly slot.
A secure video visit adapts to that. Same evaluation, same medication management, same follow-up care — scheduled around your shift, not someone else’s business hours.
Conditions We Treat
We provide psychiatric medication management for the conditions we see most often in Las Vegas 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 or wherever you have privacy.
- If medication is appropriate, your provider walks through the options with you and sends the prescription electronically to your Las Vegas-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 Las Vegas and Clark County
We see patients throughout the Las Vegas Valley, including Summerlin, North Las Vegas, Spring Valley, and Enterprise. Our licensure covers the entire state — visit our Nevada telepsychiatry hub for the full list of communities we serve, including Henderson, Reno, 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.
Frequently Asked Questions About Telepsychiatry in Las Vegas
Can I book an appointment outside normal business hours?
Availability varies, but our scheduling is built with shift workers in mind. Reach out and we’ll do our best to find a time that fits your schedule, whether you work days, nights, or a rotating shift.
Do I need to live in Las Vegas 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 Las Vegas, Summerlin, North Las Vegas, or elsewhere in Clark 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 Las Vegas?
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.