Our Services
Psychiatric Second Opinions in California
Private-pay telehealth care from Harpal Singh, PMHNP-BC, with published fees and no insurance hassle.
Psychiatric Second Opinions by telehealth anywhere in California, with Harpal Singh, PMHNP-BC.
At a Glance
- Secure video visits anywhere in California
- Care in English, Punjabi, Hindi, and Spanish
- 90-minute second opinion $600, written report $150 more
- HSA and FSA cards accepted, superbills on request
Is treatment not giving you the results you hoped for? A psychiatric second opinion is an independent review of your diagnosis, medicines and treatment plan. It helps you make informed choices about your mental health care.
Mindful Sewa Psychiatry offers a thorough 90-minute psychiatric review by telehealth across California. It is a fresh, independent look when your care feels stuck. The time is set aside just for your history, so nothing has to be rushed.
A psychiatric second opinion online is a chance to pause and ask whether your treatment still makes sense. Maybe you have tried several medicines with little change. Maybe a label from years ago no longer seems to fit. A careful outside review can confirm your current path or point to a better one.
The review is 90 minutes by secure telehealth video for $600, available anywhere in California. A written report is available for $150 more. You keep full control over what happens next, whether that is staying with your current provider or making a change.
How Psychiatric Second Opinions Works
- Book the Review. Schedule online or call (888) 457-8124. Tell us it is a second opinion so the right amount of time is set aside.
- Send Records Ahead. Share past notes, test results and a full medication history if you have them. Records sent ahead leave more of the visit for discussion.
- Attend the 90-Minute Review. You talk through your history, symptoms and past treatments by secure telehealth video. There is time for every question you bring.
- Receive Recommendations. You hear an independent view and clear recommendations at the end of the visit. A written report can be added for $150.
- Choose Your Next Step. Take the findings back to your current provider or begin care here. The choice is yours.
Who Seeks a Second Opinion
Many people who ask for a review already have a psychiatrist or PMHNP. Some have taken medicines for years and still do not feel better. Others have been given several or conflicting diagnoses, feel overmedicated or doubt a past bipolar disorder diagnosis. Some want an independent ADHD check, or want to explore taking less medicine.
What the 90-Minute Review Includes
The review is structured and thorough. It covers your past diagnoses, a full medication review and what has and has not worked over time. You get an independent diagnostic view formed without leaning on old labels, plus clear recommendations you can take back to your provider or use to set a new course.
Why a Second Opinion Can Be Worth It
Treatment that does not match the right diagnosis can cost time, money and hope. One focused review may spot a missed diagnosis, an interaction, a dose problem or a medicine that simply does not fit. That can turn trial and error into a clear plan built on current evidence. Next to months or years on the wrong path, the cost of one careful review is small.
Questions a Psychiatric Second Opinion Can Answer
People bring many kinds of questions. Is my diagnosis right? Could two conditions overlap, such as anxiety and ADHD, or depression and bipolar disorder? Are my medicines working against each other? Is there a class of medicine I have not tried?
Some people want to know if they can safely take less medicine. Others want to know if their symptoms could be linked to sleep, a medical issue or life stress. The review looks at each question on its own merits, not at past labels.
How to Share the Findings With Your Current Provider
Many people bring the findings to their current prescriber. The written report is the easiest way to do this, since it lists the review and each recommendation in one place. With your consent, it can be sent directly to your provider.
Share the findings as new information to discuss, not as a challenge. Most clinicians welcome a fresh look. If you decide to change providers, you can start follow-up care here instead.
Who Should Consider a Second Opinion
A second opinion makes sense when treatment has stalled for months, side effects are hard to live with or different clinicians have given you different diagnoses. It can also help before a big decision, such as starting a new class of medicine or stopping one you have taken for years.
Families often ask for a second opinion for a teen or an older parent, where growth, aging and other health issues can change the picture. The review is available by telehealth from anywhere in California, including the Bay Area, Orange County and the Central Valley. The patient must be in California during the visit.
Conditions We Often Treat
See also: all fees · conditions we treat · how telehealth visits work.
FAQ
Frequently Asked Questions
How long is a psychiatric second opinion?
It is a dedicated 90-minute telehealth visit, much longer than a standard visit. That leaves time to go over your full history, medicines and past diagnoses without rushing.
What do I get after the review?
You get an independent diagnostic view and clear spoken recommendations during the visit. A formal written report that sums up the review and recommendations is available for $150 more.
Do I have to leave my current provider?
No. A second opinion is an independent review you can take back to your current psychiatrist or PMHNP. You can also use it to choose a new direction. The choice stays yours.
What does a second opinion cost?
The 90-minute review is $600. The optional written report is $150 more. This is a private-pay service, and superbills are available on request.
Do I need my current provider's permission to get a second opinion?
No. You can book a second opinion on your own. You decide whether to tell your current provider and whether to share the results.
What if I do not have my old records?
You can still have a second opinion. Records help, but your own account of what you tried and how it went is very useful. With your consent, records can also be requested from past providers.
Will you prescribe at the second opinion visit?
The main goal is an independent review and recommendations. If you choose to continue care here, prescribing can be part of that ongoing care when clinically appropriate. Your prescriber decides what fits your situation.
Can a family member join the second opinion?
Yes, with your consent. A spouse, parent or adult child can add useful details about how symptoms look from the outside. This is common for teens and older adults.