An evaluation of an adult is made based on behaviors present and in relation to physical, genetic, environmental, social, cognitive (thinking), emotional, and educational parts that may be affected as a result of these behaviors.
During the evaluation, your provider will review your chief complaint (i.e. "Anxiety") and ask you a series of questions related to most recent stressors, symptoms, past medical history, past psychiatric history, social history, and when/how symptoms or behaviors began and how they have impacted your quality of life.
An objective mental status exam is performed to test for things such as, but not limited to, memory recall, mood, affect, thought process, thought content, and fund of knowledge.
Towards the end of the exam, all differential diagnoses are presented, and a treatment plan is made between patient and provider. This may include discussing a patient's diagnosis/prognosis, developing a safety plan, identifying risk factors and protective factors for suicide, discussing risk and benefits of psychotropic medications, insight oriented and supportive counseling, and giving additional resources such as referrals for counselors or other health care providers. Routine lab work may also be ordered if appropriate.
After the psychiatric evaluation is completed, if the provider believes medications may be appropriate to treat a condition, medication treatment options are presented to the patient and medication may be initiated on the first visit if appropriate. Non-pharmacological modalities such teaching/counseling about stress reduction, symptom recognition, exercise, nutrition, and sleep hygiene are usually discussed.
The first visit/evaluation is uaully 60 to 90 minutes depending on the complexity of the visit.
The rate for the initial visit is $280.