If you have been on the same medication for years without feeling better, if your diagnosis has never quite explained your feelings, or if no one has ever taken your full history — asking for a second opinion is not disloyalty to your current physician. It is ordinary medical practice, and it is often where the real answer comes from.
When can you request a second opinion?
- You have tried two or more medications without meaningful improvement.
- Your diagnosis has changed several times, or has never been explained to you clearly.
- You were diagnosed quickly, in a short appointment, and it has never sat right.
- Side effects are costing you more than the treatment is giving back.
- Nobody has reviewed your medical history, your labs or your other medications alongside the psychiatric picture.
- You want to understand your own treatment plan and want to be an active participant in the next steps in the management of your condition.
This service
| Length | Up to 90 min |
| Fee | see fees |
| Format | In person or video |
| Obligation | None |
Frequently asked
Will my current psychiatrist find out?
Only if you want them to. No information is shared with any other clinician without your written authorisation.
Do I have to switch to Tentie afterwards?
No. Many patients take the written impression back to their existing physician and continue care there. The point of a second opinion is information, not recruitment.
What if you agree with my current diagnosis?
That is a legitimate and useful outcome. Confirmation from an independent assessment, with the reasoning explained, is worth having — and it often makes the existing treatment easier to commit to.
Can this be done by telehealth?
Yes, anywhere in Texas.
What does it cost?
A second opinion is billed as an initial psychiatric evaluation of up to 90 minutes. All fees are published.