Concierge integrative & addiction psychiatry · By appointment · The Presidio, San Francisco Licensed in CA · CO · NY · CT · FL   Call or Text (424) 432-0452
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Worldwide · Second Opinion & Consultation

A second opinion, anywhere in the world.

An expert, integrative perspective on a diagnosis or treatment plan — for patients and families navigating a difficult moment, wherever you are. A focused advisory consultation, by secure video.

Request a Consultation (424) 432-0452

When you need clarity, not just another appointment

A complex diagnosis. A treatment plan that isn't working. A loved one who seems stuck in a system that treats them in fragments. These are the moments when a single, expert perspective can change everything — and when geography shouldn't stand in the way of getting it.

The global second opinion is a focused consultation in which I review your history and records, listen closely, and offer an honest, integrative read on the situation: what the picture looks like across mind, body, brain, and spirit, what options exist, and what I would consider next. You can bring that perspective back to your own treating physicians, anywhere in the world.

What a consultation includes

  • Records review — careful study of the history, notes, and reports you provide in advance
  • Extended video consultation — an unhurried conversation with you, and with family when appropriate
  • An integrative perspective — impressions across the full spectrum of care, not a single narrow lens
  • A clear summary — direction and options you can share with your own treating clinicians

Who it's for

Patients and families worldwide who want a sophisticated, whole-person perspective — especially when conventional care has stalled, when the situation is complex or high-stakes, or before making a major decision about treatment, hospitalization, or a change in direction.

An important note on scope

A global second opinion is an advisory consultation only. It does not establish a physician–patient relationship, does not constitute ongoing psychiatric treatment, and does not include prescriptions, the ordering of tests, or emergency care. It is designed to inform and guide you, your family, and the clinicians already caring for you. Establishing ongoing care is possible only where I am licensed to practice.

How It Works

Simple, and entirely confidential.

01

Reach out

A brief, confidential inquiry describing the situation and what you're hoping to understand.

02

Share records

You securely provide the relevant history, notes, and reports ahead of the consultation.

03

Consultation

An extended, unhurried video conversation with you — and with family, when helpful.

04

Clear direction

A summary of impressions and options you can bring to your own treating physicians.

Dr. Raghu Appasani
Your Physician

One physician. The full spectrum of you.

Dr. Raghu Appasani is a board-certified psychiatrist, fellowship-trained in addiction psychiatry and integrative-medicine focused — one of the very few physicians who hold the entire spectrum of mental health in a single, integrated relationship.

Board-Certified Psychiatrist · ABPNFellowship-Trained · Addiction PsychiatryIntegrative MedicineKeck School of MedicineUCSF
More about Dr. Appasani
Questions

Good to know.

Does a second opinion establish a physician–patient relationship? +
No. A global second opinion is a one-time advisory consultation. It does not establish a physician–patient relationship, does not constitute ongoing treatment, and does not include prescriptions or the ordering of tests. It is intended to inform you, your family, and your treating clinicians.
Who is it for? +
Patients and families anywhere in the world who want an expert, integrative perspective on a diagnosis or treatment plan — particularly when conventional care has stalled, when the picture is complex, or before making a significant decision about care.
Can family members request a consultation? +
Yes. Consultations can be requested by the individual or, with appropriate consent, by family members seeking guidance on how best to support a loved one.
What do I receive? +
A thorough review of the records and history you provide, an extended video consultation, and a clear summary of impressions and options you can bring to your own treating physicians. It is perspective and direction — not a prescription or a treatment order.
Is it available outside the United States? +
Yes. Because it is an advisory consultation rather than ongoing medical treatment, the global second opinion is available to patients and families worldwide, by secure video.

An expert perspective, wherever you are.

Confidential, for patients and families worldwide. No obligation.