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What Does an Initial Evaluation Look Like?

Children and Young Adults

First, you submit the initial contact form. After reviewing the information, we may communicate further about the problem and if I may be able to help. If we agree to an evaluation, I will send some forms to be filled out in advance.

Comprehensive Evaluation

A comprehensive evaluation is two meetings scheduled approximately one week apart.

Session 1 (two hours): In this initial meeting, we first meet all together for 10–15 minutes. I then meet with the parents alone and the young person alone. Who goes first and how this time is divided varies, depending on the situation. In this meeting I learn as much as I can about the young person and get started building a relationship with him/her.

After this first meeting, I spend time on my own formulating and conceptualizing the case, and building a set of treatment recommendations. This includes reviewing any additional screening instruments I may request to be completed, reading through any records you provide, contacting authorized parties who can add additional context, and perhaps researching information pertinent to the case.

Session 2 (50–60 minutes, one week later): This meeting sometimes includes all parties and sometimes is just the parents meeting with me. In this meeting, I clarify any outstanding information, solicit noteworthy updates, and present my impressions and treatment recommendations. These usually involve some parental/patient decision-making, some of which may be made after the meeting is completed. In this meeting, though, I provide all the information I can to help in that decision-making and remain available to consult until a clear path forward is evident.

If treatment is appropriate and desired, we agree to work together and initiate our plan.

Traditional Evaluation

A Traditional Evaluation is one meeting lasting approximately 2 hours. This single meeting aims for the same high quality, but in a more compressed timeframe. This format is typically reserved for when people are seeking medication management in less complex cases. Usually, this is when a single diagnosis is occurring where treatment algorithms are fairly well-established and patient information is readily available. For example, uncomplicated ADHD, especially after a psychoeducational assessment has already been completed and a report is available; or depression/anxiety alone while there is already a high quality psychotherapist delivering the therapy; or continuing medication started by another clinician in a stable case.

If a Traditional Evaluation is requested in a case where I don’t believe I can deliver care to excellence, I will let the inquiring party know that a Comprehensive Evaluation is necessary.


Adults

First, you submit the initial contact form. After reviewing the information, we may communicate further about the problem and if I may be able to help. If we agree to an evaluation, I will send some forms to be filled out in advance.

Comprehensive Evaluation

A comprehensive evaluation is two meetings scheduled approximately one week apart.

Session 1 (80 minutes): In this initial meeting, I learn as much as I can about you.

After this first meeting, I spend time on my own formulating and conceptualizing the case, and building a set of treatment recommendations. This includes reviewing any additional screening instruments I may request to be completed, reading through any records you provide, contacting authorized parties who can add additional context, and perhaps researching information pertinent to the case.

Session 2 (50–60 minutes, one week later): In this meeting, I clarify any outstanding information, solicit noteworthy updates, and present my impressions and treatment recommendations. These usually involve some decision-making together, some of which may be made after the meeting is completed. In this meeting, though, I provide all the information I can to help in that decision-making and remain available to consult until a clear path forward is evident.

If treatment is appropriate and desired, we agree to work together and initiate our plan.

Traditional Evaluation

A Traditional Evaluation is one meeting lasting 80–90 minutes. This single meeting aims for the same high quality, but in a more compressed timeframe. This format is typically reserved for when people are seeking medication management in less complex cases. Usually, this is when a single diagnosis is occurring where treatment algorithms are fairly well-established and patient information is readily available. For example, uncomplicated ADHD, depression/anxiety alone while there is already a high quality psychotherapist on the case, or continuing medication started by another clinician in a stable case.

If a Traditional Evaluation is requested in a case where I don’t believe I can deliver care to excellence, I will let the inquiring party know that a Comprehensive Evaluation is necessary.

 

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