A second set of eyes.

You’re taking medications, which seems fine, but you’re still anxious, flat, and not sleeping well. You’d love to explore supplements, labs, and integrative options, but aren’t sure who to talk to. We can help.

Questions first? Call (415) 231-6100

A thoughtful person reviewing health information at a clean desk by a bright window

A psychiatric second opinion is an independent review of your current diagnosis, medications, and treatment plan, with added guidance on integrative options like supplements, nutrition, and lab work. Pacific Integrative Psychiatry offers this to adults in California as a one-time consultation or periodic check-in while you keep prescription management with your existing psychiatrist or primary care physician.

Reviewed by Nishi Bhopal, MD. Last reviewed July 2026.

What to expect

Maybe you already have a psychiatrist, but they can’t guide you on supplements, nutrition, or other integrative treatments for mental health. It would help to get a second opinion on your diagnosis and treatment, and to learn which holistic options might optimize your plan.

We work collaboratively with you and your current treating physician. This can be a one-time consultation or a periodic check-in while you maintain prescription management with your psychiatrist or primary care physician.

What we help with

  • Reviewing your current diagnosis
  • Optimizing your medications
  • Exploring supplements & lab work
  • Nutrition and gut-health support
  • Drug-free options for insomnia
  • Root-cause investigation

“I thought it would be easier just to see a psychiatrist in-network, but it wasn’t the same. I felt so much better working with you, it’s so worth it.”

Read patient testimonials

The whole-person model

What you walk away with.

You’ll leave with a clear, written second opinion: our read on your diagnosis, specific ideas for where your medications and labs could be optimized, and integrative options, from lifestyle changes to supplements compatible with your existing treatment, that you can bring back to your own physician.

T Thoughts &Emotions H Healthy Habits& Eating R Rest &Relaxation I Interactions &Social Connection V Values E Exercise &Environment

How it works

A clear path, from first call to lasting change.

  1. 1

    Schedule a phone consultation

    A no-pressure call to see if our approach is a good fit for what you’re looking to optimize.

  2. 2

    Root-cause discussion

    We discuss possible root causes for your symptoms and where your current plan may be falling short.

  3. 3

    Medication & lab review

    We review your medications for areas to optimize and order or review any necessary lab work.

  4. 4

    Integrative recommendations

    We explore lifestyle and drug-free options, nutrition and gut health, and supplements compatible with your existing treatment.

  5. 5

    Collaborative follow-through

    We work alongside your current physician, as a one-time consultation or a periodic check-in while they manage your prescriptions.

Common questions

Good to know

No. We work collaboratively with you and your current treating physician. You can keep prescription management with them while we provide integrative guidance.

Ready to feel like yourself again?

Start with a consultation. We'll listen, answer your questions, and help you find the right next step.

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