We are in the office on Mondays and Fridays in Wailuku and Saturdays in Kihei. On other days, we provide care through telepsychiatry (HMSA Online Care and/or Doxy.me). Other in-person hours (including potential Lahaina appointments) sometimes can be arranged.
The most efficient way to reach us is via the Patient Portal as we check those messages regularly.
We aim to respond to all messages same day. However, there are times when it may take longer to return phone calls if Dr. Gladding is traveling.
Given that our practice is part time and Dr. Gladding is off island intermittently for conferences and trainings, our focus in the private practice is primarily on anxiety and depression.
Patients with intermittent/chronic suicidality, self-harm, psychosis or recent psychiatric hospitalizations likely need a higher level of care than what we can provide. In these cases, we can provide an evaluation/consultation back to your primary care physician but will not be able to see you on a long-term basis as the practice is not equipped to adequately care for these more complex situations.