#Psychiatric Assessment

[reallyimpossibledetective]

Standard Criteria For Suicide Risk Assessment

I was ruminating upon an industrial dispute between an Australian private health care provider and its psychology staff, as to how they should respond when a patient in a non-mental health facility was heard to utter suicidal ideations.

I subsequently had a conversation with Copilot as to whether there are any standard criteria against which such a patient might be measured?.

There are standard criteria used in suicide risk assessments to evaluate the level of risk a patient might pose to themselves. These criteria help clinicians make informed decisions about the necessary interventions and support. Here are some common criteria used in suicide risk assessments:

Standard Criteria For Suicide Risk Assessment • Suicidal Ideation: Frequency, intensity, and duration of suicidal thoughts. • Plan: Specific details about how the individual plans to carry out the suicide. • Intent: The level of determination to follow through with the plan. • Means: Access to the tools or methods needed to carry out the plan. • Risk Factors: Presence of factors such as mental illness, substance abuse, history of trauma, or recent life stressors. • Protective Factors: Support systems, coping mechanisms, and reasons for living that might mitigate the risk. • Previous Attempts: History of past suicide attempts or self-harm. • Current Mental Health Status: Assessment of the individual's overall mental health, including any diagnoses of depression, anxiety, or other mental health conditions. • Social Support: Availability of family, friends, or community support. • Physical Health: Any chronic or acute physical health issues that might impact the individual's mental state.

These criteria are used to categorise the level of risk into broad categories such as high risk, medium risk, low risk, or no foreseeable risk. The ultimate judgment is made by the attending clinician, based on their professional experience and the clinical presentation of the individual.

Categories of Suicidal Ideation • Attention-Seekers: Individuals who may express suicidal thoughts as a way to seek help or attention, but without a genuine intent to act on those thoughts. • Serious: Individuals with a genuine intent to harm themselves, requiring immediate and intensive intervention.

Regular Reviews Regular reviews, such as every 6 months, can be crucial in managing and supporting individuals with suicidal ideation. This mirrors the practice in secure mental health settings where patients undergo regular psychiatric assessments and reviews, ensuring continuous monitoring and adjustment of treatment plans.

Suicide Risk Assessment Criteria Standard criteria used to evaluate individuals in these reviews might include: • Changes In Suicidal Ideation: Any changes in the frequency, intensity, or specifics of suicidal thoughts. • Adherence To Treatment: How well the individual is following prescribed treatments and therapies. • Social Support: Changes in the support system and social interactions of the individual. • Mental Health Status: Any new diagnoses, changes in existing conditions, or emerging symptoms. • Coping Mechanisms: Evaluation of existing coping strategies and their effectiveness. • Life Changes: Significant events or stressors that might impact the mental health of the individual. • Safety Planning: Updates or changes to existing safety plans.

Regular reviews can ensure that those within the suicidal ideation umbrella receive continuous, appropriate support and intervention. It is a proactive approach to maintaining their well-being and adjusting care as needed.

While someone can be required to undergo a psychiatric assessment, they cannot be forced to cooperate fully, which can limit the effectiveness of the assessment. Cooperation is crucial for an accurate evaluation, but involuntary assessments often face this challenge.

In the context of family law, the dynamics change. The Family Law Act allows for court-ordered assessments when determining the best interests of the child. If the mental health of a parent is in question, especially if they have expressed suicidal ideation, the court can mandate a psychiatric evaluation as part of the litigation process. The pressure of potential impacts on custody and parenting rights can compel parents to cooperate more fully in these assessments than they might in other areas of their lives.

This mechanism aims to ensure the welfare of the child by thoroughly evaluating the mental health of the parent and ensuring they receive appropriate care and support. It is a delicate balance between protecting the best interests of the child and respecting the autonomy of the parent.

In the context of family law, regularly reviewing mental health assessments every 6 months can be beneficial. This approach aligns with the practice of reviewing secure mental health patients and ensures that any changes in the mental state of the individual are promptly addressed. Regular reviews can help maintain the well-being of the parent and, crucially, safeguard the best interests of the child. It provides an ongoing, updated assessment of the capacity of the parent to provide a safe and supportive environment, helping the court make informed decisions about custody and parenting arrangements.

This process underscores the importance of continuous monitoring and support, particularly in complex family law dynamics where mental health issues may significantly impact the welfare of the child.

An uncooperative patient or parent can significantly complicate the assessment process. In family law, where the best interests of the child are paramount, uncooperative behaviour can impede accurate evaluations and appropriate interventions.  Challenges with Uncooperative Individuals • Incomplete Assessments: Lack of cooperation can lead to incomplete or inaccurate psychiatric evaluations. • Inconsistent Monitoring: Regular follow-ups become challenging, if the individual does not engage with the process. • Legal Complications: Ensuring compliance with court-ordered assessments might require additional legal measures.

Possible Solutions • Court-Ordered Compliance: Enforcing compliance through legal orders can ensure that assessments are completed, though it may not guarantee full cooperation. • Use of Incentives: Providing incentives or support to encourage cooperation might be effective. • Alternative Methods: Employing indirect assessment techniques, such as observations and reports from family members and professionals, can help gather necessary information. • Regular Review Process: Implementing a system of regular reviews, similar to secure mental health settings, to continuously monitor and adjust interventions.

Regular reviews every 6 months can provide ongoing insights into the mental state of the individual and their capacity to parent, ensuring that the welfare of the child is consistently prioritised.

Navigating the complexities of uncooperative behaviour in the context of family law requires a balanced approach, leveraging legal tools and supportive measures to ensure comprehensive care and fair decision-making.

[psychiatryserviceshouston]

Comprehensive psychiatric diagnosis in Houston, TX. Initial evaluations deliver precise assessments and personalized treatment strategies for effective care.

[newinsightsbehavioralhealth]

Routine Psychiatric Assessment: What to Expect and Why It Matters

A routine psychiatric assessment is a comprehensive evaluation of an individual’s mental health, designed to diagnose and understand mental health conditions, assess the impact on daily functioning, and develop an appropriate treatment plan. At New Insights Behavioral Health, we prioritize thorough psychiatric assessments to ensure our clients receive personalized and effective care. In this blog, we will explore what a routine psychiatric assessment entails, why it is important, and how it serves as the foundation for effective mental health treatment.

What is a Routine Psychiatric Assessment?

A routine psychiatric assessment is a detailed evaluation conducted by a mental health professional, such as a psychiatrist, psychologist, or clinical social worker. The goal of the assessment is to gather comprehensive information about the individual’s mental, emotional, and behavioral health. This evaluation helps identify any mental health conditions, understand their severity, and determine the most suitable treatment approach.

Why is a Routine Psychiatric Assessment Important?

Routine psychiatric assessments are crucial for several reasons:

Accurate Diagnosis: A thorough assessment allows mental health professionals to accurately diagnose mental health conditions. This is vital for developing an effective treatment plan that addresses the specific needs of the individual.

Understanding the Individual’s Needs: Each person’s experience with mental health is unique. A psychiatric assessment provides a deeper understanding of an individual’s symptoms, triggers, and personal history, which informs a tailored approach to treatment.

Baseline for Treatment: The assessment serves as a baseline for treatment, helping to monitor progress over time and make necessary adjustments to the treatment plan.

Identifying Comorbid Conditions: Many individuals experience more than one mental health condition simultaneously, such as anxiety and depression. A comprehensive assessment helps identify comorbid conditions, ensuring that all aspects of a person’s mental health are addressed.

Components of a Routine Psychiatric Assessment

A routine psychiatric assessment typically includes several components designed to gather a holistic view of the individual’s mental health. Here are the key elements involved:

Clinical Interview: The clinical interview is the core component of the psychiatric assessment. During this interview, the mental health professional asks questions about the individual’s current symptoms, emotional state, thoughts, behaviors, and life experiences. The interview also covers personal history, including:

Presenting Concerns: Understanding the primary reasons for seeking help, including specific symptoms, distressing thoughts, or behaviors.

Psychiatric History: Gathering information about any past mental health issues, previous diagnoses, treatments, hospitalizations, or therapy.

Medical History: Reviewing any physical health conditions, medications, or treatments that could impact mental health.

Family History: Identifying any family history of mental health conditions, which can provide insight into potential genetic or environmental factors.

Substance Use: Discussing the use of alcohol, drugs, or other substances that might affect mental health or treatment outcomes.

Social and Developmental History: Understanding the individual’s background, including education, employment, relationships, and significant life events that may influence mental health.

Mental Status Examination (MSE): The Mental Status Examination (MSE) is a structured assessment of the individual’s current mental state. It provides a snapshot of how the individual is functioning at the time of the assessment and covers several areas, including:

Appearance and Behavior: Observations of the individual’s appearance, grooming, body language, and general behavior.

Mood and Affect: Evaluating the individual’s reported mood (how they feel internally) and affect (how their mood is expressed outwardly).

Speech and Thought Process: Assessing the speed, volume, and coherence of speech, as well as the organization and content of thought processes.

Cognition: Testing cognitive functions, such as memory, attention, concentration, and orientation to time, place, and person.

Insight and Judgment: Evaluating the individual’s understanding of their mental health condition and their ability to make informed decisions.

Psychological Testing: In some cases, psychological tests may be used to further assess cognitive abilities, personality traits, or specific mental health conditions. These tests can provide additional information that complements the clinical interview and MSE. Common tests include:

Cognitive Assessments: Tools such as the Mini-Mental State Examination (MMSE) or Montreal Cognitive Assessment (MoCA) to evaluate cognitive function.

Personality Inventories: Tests like the Minnesota Multiphasic Personality Inventory (MMPI) or the Beck Depression Inventory (BDI) to assess personality traits or severity of symptoms.

Screening Tools: Questionnaires such as the Generalized Anxiety Disorder 7-item scale (GAD-7) or the Patient Health Questionnaire-9 (PHQ-9) to screen for specific conditions like anxiety or depression.

Risk Assessment: A crucial part of the psychiatric assessment is evaluating the risk of harm to self or others. This involves discussing any thoughts of self-harm, suicide, or violence and assessing the severity and immediacy of these risks. If there is a significant risk, the mental health professional will work with the individual to develop a safety plan and may involve other supports or interventions.

Formulation and Diagnosis: Based on the information gathered during the assessment, the mental health professional develops a formulation, which is a comprehensive summary of the individual’s condition. This formulation integrates the biological, psychological, and social factors contributing to the individual’s mental health issues. The clinician then makes a diagnosis, if appropriate, using criteria from the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) or other relevant guidelines.

Developing a Treatment Plan

Following the psychiatric assessment, a personalized treatment plan is developed. This plan may include a combination of therapies, such as cognitive-behavioral therapy (CBT), medication management, lifestyle changes, and support services. The treatment plan is designed to address the specific needs of the individual and is adjusted over time based on their progress and any new concerns that arise.

The Role of Routine Psychiatric Assessments at New Insights Behavioral Health

At New Insights Behavioral Health, we believe that a thorough psychiatric assessment is the foundation for effective mental health care. Our team of experienced mental health professionals is dedicated to providing comprehensive assessments that consider the unique needs and circumstances of each individual. We work closely with our clients to develop personalized treatment plans through therapy and medication management that promote healing, growth, and overall well-being.

Routine psychiatric assessments are a vital component of mental health care, providing the foundation for accurate diagnosis and effective treatment planning. At New Insights Behavioral Health, we are committed to delivering comprehensive assessments that help our clients achieve their mental health goals. If you or a loved one is struggling with mental health challenges and could benefit from a psychiatric assessment, please contact us today and fill out a new patient form to schedule an appointment.

[vigorintegrativewell]

Accurate diagnosis is crucial in mental health care, especially when distinguishing between ADHD and other mental health conditions. Here’s how ADHD testing can help differentiate these conditions effectively.

[testimonybehavioralhealth]

In behavioral health care in Bowie, Maryland, medication management plays a crucial role in supporting individuals on their journey to mental wellness. Testimony Behavioral Health provides comprehensive medication management services, ensuring that each patient receives personalized treatment tailored to their needs and circumstances.

[winpsychiatry]

Attention Deficit Hyperactivity Disorder (ADHD) is commonly associated with childhood, but what happens as individuals with ADHD grow old? Does the condition persist into adulthood, and how does it manifest?

[trichotillo-nope]

Still here...

Hey y'all! I know, it's been a minute since I started this particular blog and then subsequently disappeared. Mea culpa.

Short version: Adulting nuked my plans; and possible (probable, who are we kidding) neurodivergent shenanigans.

Did not know there was a blanket term to describe the processing nonsense that is my brain and how I overall interact with the world. Personally I'd explain it as a some mixture of ADHD/[mild] Autism/Trauma with a frosting of Trichotillomania and Anxiety/Depression.

Yes, I am in the process of psych assessment hell. Thus this post now exists in the wild world of Tumblr. So, for my American followers (since I'm, y'know, in that hellscape), here's the gist of how that works in case any Adults are considering going through this process.

See a psychiatrist/psychologist who can perform the evaluation and assessment. Your health insurance may require a referral from your medical doctor.

Go through 1-2 (minimum) pre-assessment interviews because of course. It's one part diagnostic and one part insurance requirements and probably some skeptical "you're not neurodivergent" and you will feel like you're on trial even if you are a Textbook case of whatever thing(s) you think you are. It's important, at least it's been so for me, to bear in mind that what you're experiencing is valid even if it's not one large overarching issue but a combination of several "smaller" issues mimicking the expression of another because there is overlap.

Try not to self diagnose if possible because of the overlap; though I understand the inclination to do so especially with more neurodivergent people discussing how their neurodivergence impacts their daily lives via social media.

Advocate for yourself.

These tests are expensive. I'm looking at near $2000 between me and my insurance and guess who is covering the bulk of it - hint, not my insurance.

Your insurance probably needs a pre-authorization and approval times vary by insurance provider (mine took about 10 days to okay things; it could have been longer). Note: Your Assessor will contact your Insurance with the pre-authorization form.

If you or our assessor suspect autism, be prepared for your insurance not to cover those tests.

Expect, if you have a mainstay therapist, that the assessor may wish to speak with your primary mental health provider.

Hurry up and wait. I started this process in November with an expected timeline of maybe 2 months...we are way beyond that now and my assessor (sweetheart and patient though she is) drives me bonkers with her response times. Like ma'am...I told you schedule maintenance is a thing I have a physical reaction to and this is just [pterodactyl screech here]. ***

Hurry up and wait.

Be kind to yourself. This will exacerbate and exhaust you.

I'll have more once I've actually gone through the assessment. In theory soon? But we've been saying "soon" for weeks now my primary therapist and I (she is not my assessor).

I just want answers to the question "Why brain do that?" so my therapist and I can better manage my tomfoolery and shenanigans but damn I'm tired.

Yes, I recognize that I"m fortunate to be scheduled at all and that i got into with the practice I'm going through in a relatively short timeline. The practices some of my friends were going through for their regular therapy quoted me much longer lead times to even do the preliminary sessions. I also recognize that my experience is not necessarily universal but boy howdy.

Why am I referring to this psychiatric professional as an assessor? I have no intention of receiving care from this practice long term. Their lack of communication ticks a whole new level of anxiety and stress for me across multiple levels.

Alright. I'm done now for this post.

M'k bai!

[emohorseboy]

thinking about it it’s very telling that the only thing i said that my recent psych worker was willing to believe without twisting my words so far beyond recognition that she may as well have just never met me and made the whole thing up was when i said that i feel like i alienate people. i meant that i feel like i am an inherently evil person who hurts people just by association and but she asked no further questions, wrote that i ‘alienate people with [my] behaviour’, and recommended a structured ‘personality disorders assessment’. fucking sinister that the only thing i said they were willing to even slightly believe was the bit where i said i was a terrible person lmao.

needless to say that is the last time i will ever be talking to a psych ‘professional’ of any kind. this last stint under mh services has truly broken me and at long last i have learned my fucking lesson.

[fayeandknight]

Last week our agility instructor said she wanted Forte to trial soon. There's an AKC trial at our club in May and there are CPE trials in March and April. She wants us to do one of the CPE trials to get real trial experience without worrying about a Q and then trial for real at the AKC event.

My initial thought was oh shit, I'm not sure we're ready for that. Forte runs nicely most of the time but gets sniffy when I'm unclear on our next move (aka me getting lost on the course). He also still gets distracted when dogs/people come or go. Not enough to pull him off course but I can see the attention shift.

My biggest fear is that he finds a trial too much and bails like he did last year at the ACT. In that instance he ran three times, not cleanly - we NQed, but stayed with me for the most part. Mid fourth run members of my household showed up in a well meaning way, but they brought Faye and he heard her complaining in the car. He slipped through a gap in the fencing ring and went to run circles around their car. Compounded on that fear is anxiety around what might happen if he leaves the ring. Will he run past the wrong dog who in turn has a go at him?

As horrible as our first instructor was, I cannot unhear her telling me to be extra careful with Forte. If anything happens between dogs, the Belgian will be blamed regardless of him actually being the aggressor or not.

So I was nervous for our first run tonight and got lost on the course and in my mind. Forte responded by alerting and then going for a sniff when I brushed it off and tried to cue him to the next obstacle. We did the whole run but it was bad. Honestly we haven't had such a disjointed run in almost a year.

As we waited for our next run I waffled between confirming that we definitely are not ready and trying again to see if I could pull myself together. Our second run was indeed better because I didn't get lost but it still wasn't great. I still wasn't fully there with him mentally.

So for our third run I said fuck my anxiety. It is just him and I here in this ring. I trust our relationship and both of our skills and we absolutely have this. And just like that we had the cleanest, smoothest run we've ever had, even with the next class coming in. He never even flicked an ear in their direction.

I was on cloud 9 all the way back to our seat. Until a person and dog from the next class I've not seen before came in. Dog stepped into the room and immediately targeted Forte, body low and forward with teeth fully bared and low growling. I expected them to give us space. But no, the handler strolled pretty much right up to us - with less than a foot between the dogs.

I felt like I was moving in slow motion, watching Forte get stiff when this dog just kept coming into his space. I thought about how this is different from the overly reactive dogs he is fairly frequently called upon to play neutral dog for. This dog had serious intent to hurt him. I gestured for Forte to move to my other side to create more space, he did without hesitation but I could feel his weariness. The other person/dog moved behind us, closing the distance between dogs again. I had Forte come around the front of me and to the other side, again trying to create space. As Forte moved away this other dog shot forward to make a grab for him. I stood up to be more of a barrier and while Forte was clearly tense, he continued to not react and follow directions.

The other handler did then finally move away from us. It felt like the whole thing went on for five minutes at least but was probably much shorter. I can't say for sure because of the way time gets distorted when I'm that stressed.

And while I give Forte all the props for letting me handle the situation I'm not really sure how I feel about potentially going to trial. On the one hand, I do believe if I have my internal shit together he'll do well. And he's proven, again, that he will not engage with reactive and/or aggressive dogs - at the very least if I'm supporting him but probably even without that.

But I'm worried about a full trial experience because I don't want to put him in a situation where he's in danger from another dog. No ribbon or title in the world is worth having another dog go after him. We both worked so hard to get through his own reactive phase and I would hate to send us back to that. But I also know that when I'm stressed/worried I tend catastrophize and my perspective gets warped by it.

We will keep showing up to classes, because we both enjoy agility. But I feel more mixed up about potentially trialing than I did last week. Hopefully between getting my thoughts out here and having some good weeks going forward I'll feel more confident entering a trial. But if not, I won't.

As much as I would really love to earn an agility title my mindset is very much dog first, sport second. Though in our case it's more like dog first, service work second, and sports third.

[identityarchitect]

sudden distress... thinking about it, it's probable that our "sudden unsourced immense distress" is a delayed reaction...

[eatyourdamnpears]

might’ve accidentally girlbossed my way into an autism assessment

[mellyoraa]

Finally got my appointment to get started on ADHD medication in about 3 weeks, I only had to wait 9 months for it 🙃🙃 (on top of the 2 years it took for me to get an assessment after being put on a waiting list, and of course the 23 years of life before any of the multiple psychiatric professionals who saw me realised I might have ADHD)

[butts-bouncing-on-the-beltway]

Made a behavioral health appt with a new provider because I'm getting new insurance and can't keep sering my therapist out of network and I needed a new psych anyway, and somehow these people managed to schedule me an intake for literally the day after Christmas?????

Like.....I called this morning..... and they're getting me in DURING A HOLIDAY PERIOD in under a week???? Take the holidays out and that is literally 2 (MAYBE 3) business days.

Color me fuckin impressed.

Like this is so fucking quick that I just assumed until SEVERAL HOURS LATER that the appt must be for Jan 26th because that made more sense. I checked. December. Like damn yall got some efficient intake procedures.

On the other hand, they did hold a brief risk assessment for me on the phone before scheduling and the less flattering (to all involved) option here is that I just scored high enough that they were like "we're slotting this bitch into one of the emergency intake slots"

Hopefully they're just very efficient lmaooooo I don't need yet another phone call letting me know I'm too much of a liability to take on as a patient rn

[opens-up-4-nobody]

...

[krystalfamilypsychiatry]

Psychiatric assessments are critical in identifying and addressing mental health issues. These evaluations involve a comprehensive review of an individual’s emotional, psychological, and behavioral state, providing a foundation for effective treatment plans. 

[neustartpsychiatry]

How to Support a Friend Seeking Psychiatric Help

Supporting a friend who is seeking psychiatric help can be a delicate and important task. It’s natural to want to be there for someone you care about, but it can be challenging to know exactly how to offer the right kind of support. Whether your friend is experiencing anxiety, depression, or another mental health condition, your understanding and encouragement can make a significant difference. Here’s how you can support a friend seeking psychiatric help, with a focus on the resources available in Salem, Oregon.

1. Listen Without Judgment

The first and most important way to support a friend is by listening. When your friend opens up about their mental health struggles, provide a safe space where they can express their feelings without fear of judgment.

Active Listening: Show that you’re listening by giving your full attention, making eye contact, and avoiding interruptions. Acknowledge their feelings by saying things like, “That sounds really tough,” or “I’m here for you.”

Avoid Giving Unsolicited Advice: While it’s natural to want to help, sometimes the best support you can offer is simply to listen. Let your friend know that it’s okay to feel what they’re feeling and that you’re there to support them, not to solve their problems.

Being a compassionate listener can help your friend feel understood and less alone as they seek psychiatry Salem Oregon.

2. Encourage Professional Help

If your friend hasn’t already sought professional help, gently encourage them to do so. Seeking psychiatric help is a significant step toward recovery, and your support can help them feel more confident in making that decision.

Discuss the Benefits: Talk about the benefits of seeing a psychiatrist, such as receiving a proper diagnosis, accessing medication if needed, and getting professional guidance on managing their condition.

Offer to Help with the Process: If your friend is nervous about making an appointment, offer to help them find a psychiatrist or even accompany them to their first appointment. Knowing they have your support can make the process less daunting.

Remind your friend that seeking help from a professional, like those specializing in psychiatry in Salem, Oregon, is a strong and positive step toward better mental health.

3. Respect Their Privacy

Mental health is a personal and sensitive topic, and it’s essential to respect your friend’s privacy throughout their journey.

Confidentiality: Keep the conversations you have with your friend private unless they’ve given you permission to share. This builds trust and ensures that your friend feels safe confiding in you.

Avoid Pressuring Them: Everyone’s journey to seeking help is different, and it’s important to respect your friend’s pace. Encourage them gently, but avoid pressuring them to make decisions before they’re ready.

Respecting your friend’s privacy and boundaries helps create a supportive environment where they feel comfortable seeking help.

4. Offer Practical Support

Sometimes, offering practical help can be just as valuable as emotional support. Small gestures can make a big difference in helping your friend manage their mental health.

Assist with Daily Tasks: Mental health struggles can make everyday tasks feel overwhelming. Offer to help with things like grocery shopping, meal prep, or even just running errands together.

Check-In Regularly: Regular check-ins can provide your friend with consistent support. A simple text or phone call asking how they’re doing can remind them that they’re not alone.

Practical support can alleviate some of the stress your friend may be feeling and show that you care about their well-being.

5. Educate Yourself About Mental Health

Educating yourself about your friend’s mental health condition can help you provide better support. Understanding what they’re going through will allow you to be more empathetic and knowledgeable in your interactions.

Learn About Their Condition: Research the specific mental health condition your friend is dealing with. This can help you understand their symptoms, challenges, and treatment options.

Understand the Role of Psychiatry: Familiarize yourself with how psychiatric treatment works, including the role of medication and therapy. This knowledge can help you support your friend in their treatment journey, especially if they’re receiving care from providers specializing in Psychiatry Salem Oregon.

By educating yourself, you’ll be better equipped to offer informed and compassionate support.

Conclusion

Supporting a friend who is seeking psychiatric help involves being a good listener, encouraging professional care, respecting their privacy, offering practical assistance, and educating yourself about mental health. Your support can make a significant difference in their journey toward recovery.

If your friend is seeking psychiatric help, consider recommending NeuStart Psychiatry in Salem, Oregon. Their experienced team is dedicated to providing compassionate, personalized care to help individuals achieve better mental health.