Booking an Adult Assessment

How will an Assessment Benefit me as an Adult?

(Schizophrenia; Personality Disorders (e.g., Borderline Personality Disorder [BPD]); ASD; ADHD, Bipolar Disorder)

Many adults go through life sadly battling with the symptoms of a mental health disorder that has gone unnoticed, or misdiagnosed when they where a child or teenager. Often, as a younger child or teen they may have felt different to their friends or peers, felt they struggled immensely with things like emotion dysregulation (or big uncontrollable emotions), impulsivity, rigidity, compulsiveness, drug or alcohol addiction, self-harm, suicidality, psychosis, dissociation, lack of focus, drive, ambition, unstable sense of self, or identity, unable to concentrate at school or work, felt agitated, frustrated, angry, sad, or anxious all the time. Any of these types of issues can make it very distressing for a person, and inhibit their ability to function optimally and feel content within themself for who they are.

A comprehensive Psychological assessment is a wonderful way to not only feel validated for what you are going through, but finally receive some answers to why you may feel, think, and behave the way you do. There have been many adults who finally receive such answers in the way of a diagnosis, and feel immensely emotional (in a good way) because for the first time they ‘get it’, and can see all along there was a valid reason for why they have struggled in various areas, or found it hard to fit in for example.

The greatest gift that come from answers in a comprehensive assessment is when you understand how your brain works best, you then have the power to advocate for yourself as you go through life with work, university, other education, friends, family and romantic relationships. 

Common Assessments Used for Adults Undergoing a Psychological Assessment are:

A comprehensive Clinical interview

A comprehensive, standardised and structured interview will be used for assessing your entire historical background. 

The Structured Diagnostic Interview for Adult ADHD (DIVA-5)

The DIVA 5.0 which is a structured Diagnostic Interview for Adult ADHD. It provides a structured approached to investigating the presence of DSM ADHD symptoms criteria in adults as well as exploring whether impairment is present in five domains: – education, work, social relationships, social activities/leisure time, partner/family relationships and self-esteem. It is completed with a clinician over about 90mins.

The MINI International Neuropsychiatric Interview

The M.I.N.I. is a brief structured interview for the major psychiatric disorders in DSM-5 and ICD-10. The M.I.N.I. It is divided into modules identified by letters, each corresponding to a diagnostic category.

The Conners Adult ADHD Rating Scales (CAARS)

The (CAARS) measures the presence and severity of ADHD symptoms so that you can determine whether ADHD is a contributing factor to your clients’ difficulties. Suitable for clinical, research, rehabilitation, and correctional settings, the CAARS scales quantitatively measures ADHD symptoms across clinically significant domains, while examining the manifestations of those symptoms. The CAARS provides a multiple-informant assessment with self-report (CAARS–S) and observer ratings (CAARS–O). Both ratings address the same behaviours and contain identical scales, subscales, and indexes. Long, short, and screening versions are available for each. With the hand scored format, raw scores and T-scores are produced for each scale, subscale, and index and are then plotted on Profile Forms. With the online format, Profile Reports and Interpretive Reports can be instantly generated.

Clinician-Rated Dimensions of Psychosis Symptom Severity (CRDPSS) 

The Clinician-Rated Dimensions of Psychosis Symptom Severity (CRDPSS); an 8-item measure that assesses the severity of mental health symptoms that are important across psychotic disorders, including delusions, hallucinations, disorganised speech, abnormal psychomotor behaviour, negative symptoms (i.e., restricted emotional expression or avolition), impaired cognition, depression, and mania (irritability). The severity of these symptoms can predict important aspects of the illness, such as the degree of cognitive and/or neurobiological deficits. The measure is intended to capture meaningful variation in the severity of symptoms, which may help with treatment planning, prognostic decision-making, and research on pathophysiological mechanisms. The measure is completed by the clinician at the time of the clinical assessment. Each item asks the clinician to rate the severity of each symptom as experienced by the individual during the past 7 days.

Positive and Negative Syndrome Scale for Schizophrenia (PANSS)

The Positive and Negative Syndrome Scale for Schizophrenia (PANSS) which is the most widely used measure of symptom severity in schizophrenia. This 30-item scale is typically administered by trained clinicians who evaluate patients’ current severity level on each symptom (item) by endorsing 1 of 7 options (weights) numbered 1 through 7. The PANSS has demonstrated high internal reliability, good construct validity, and excellent sensitivity to change in both short term and long-term trials.

The Clinician-Administered PTSD Scale (CAPS)

The Clinician-Administered PTSD Scale (CAPS) is considered to be the gold standard for posttraumatic stress disorder (PTSD) diagnosis.  The 30-item structured interview corresponds to the diagnostic criteria for PTSD described in version 5 of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).  

Personality Assessment Inventory (PAI) – Clinical Interpretive Report

The PAI has been heralded as one of the most important innovations in the field of clinical assessment. It can be used for clinical diagnosis, treatment planning and screening for psychopathology.

Scales and Sub-scales

The 344 PAI items constitute 22 non-overlapping scales covering the constructs most relevant to a broad-based assessment of mental disorders: 4 validity scales, 11 clinical scales, 5 treatment scales and 2 interpersonal scales. To facilitate interpretation and to cover the full range of complex clinical constructs, 10 scales contain conceptually derived sub-scales.

The Eating Disorder Examination Questionnaire (EDE-Q)

The Eating Disorder Examination (EDE); the most widely viewed “gold standard” measure of eating disorder psychopathology. It provides a measure of the range and severity of eating disorder features. It can also generate operational eating disorder diagnoses. It is used in most treatment studies and in many other investigations of eating disorder psychopathology.

The Structured Clinical Interview for DSM-5 Personality Disorders (SCID-II PD)

The SCID-5-PD is the updated version of the former Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II). The SCID-5-PD name reflects the elimination of the multiaxial system in DSM-5. Although the DSM-IV Personality Disorder criteria are unchanged in DSM-5, the SCID-5-PD interview questions have been thoroughly reviewed and revised to optimally capture the construct embodied in the diagnostic criteria. In addition, a dimensional scoring component has been added to the SCID-5-PD.

The basic structure of the SCID-5-PD is similar to the other SCID-5 interviews (such as the Research Version, SCID-5-RV; and the Clinician Version, SCID-5-CV) that cover non–personality DSM-5 disorders. Features include the following: * Questions assessing the DSM-5 criteria for each of the 10 personality disorders: Avoidant Personality Disorder, Dependent Personality Disorder, Obsessive-Compulsive Personality Disorder, Paranoid Personality Disorder, Schizotypal Personality Disorder, Schizoid Personality Disorder, Histrionic Personality Disorder, Narcissistic Personality Disorder, and Antisocial Personality Disorder

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