What follows is an overview of the usual assessment process when you come to Dundee. We would usually expect patients to be accompanied by friends/ relatives/ partners/ etc. and we will seek your consent to get additional information from them.
Before you are assessed we will have reviewed all available case notes so that we have as much information as possible on previous treatments. It also helps us to identify areas where there is uncertainty (e.g. diagnosis), and also issues that we should focus on (such as attitudes to treatment).
In the morning, you will meet with one of the psychiatrists (Dr David Christmas or Professor Keith Matthews) who will conduct a detailed psychiatric interview, focusing on current symptoms and impact of the illness upon your life. We will also spend time understanding more about you, your family, and your work. We routinely use rating scales in order to rate the severity of your illness.
In the afternoon, you will meet one of our experienced psychological therapists who will take a slightly different approach to understanding your difficulties. This session will include a review of the previous psychological therapies that you have received and looks at your experiences of these, so that we can offer advice on the likelihood that further psychological therapies (e.g. CBT) will be of benefit.
If you have OCD, we will also use this time to get more information about how your OCD works and get some additional info on how it has affected your family life.
In the afternoon, you will meet with all of the team that you have previously met over the course of the assessment. During this session we will offer feedback on what our views are and what treatment recommendations we are likely to make. This is an opportunity to ask questions and to clarify anything that hasn't been fully clear.
The purpose of this session is to come to a common understanding of your difficulties and to ensure that you go away with a sense of what might happen next in terms of treatment options.
We are changing our practice so that the assessment report goes directly to the you, the patient. We believe that this ensures that the person is at the centre of all decision making about future treatment. Copies will go to your local psychiatrist and your GP. Most people find it helpful to have the information when they next meet up with their psychiatrist.