Shier Private Practice offers a comprehensive 60-90 minute psychiatric or psychological examination with a psychiatrist or psychologist. During the initial evaluation, your provider will actively listen to your presenting symptoms and seek to understand them in the context of your psychiatric, family, medical, developmental, personal, and social history. A biopsychosocial formulation is used to determine an initial diagnosis and treatment plan. Establishing an accurate diagnosis is an essential part of the process as it is relied upon to offer treatments that are evidence-based. It is important to keep in mind that although the initial evaluation is intended to establish or rule out a diagnosis with a high degree of accuracy, many mental health conditions follow a fluctuating course, and it is often necessary to have several follow up visits to be sure of a correct diagnosis and a positive response to treatment.