Clinical assessments • Medico-legal reporting • Specialist referrals
Conditions We Assess & Support
Explore trauma, mood, anxiety, neurodevelopmental and related conditions. Each page explains what we assess, typical referral questions, and how we support solicitors, clinicians and individuals.
Comprehensive medico-legal assessment of trauma and stress-related disorders, including PTSD, Complex PTSD, acute stress disorder, adjustment disorders and related conditions, involving detailed evaluation of the index traumatic event(s), causation, symptom severity, pre- and post-incident functioning, psychiatric diagnosis per DSM-5-TR and/or ICD-11 criteria, psychological impact, disability quantification, treatment needs, prognosis and recommendations for quantum and rehabilitation.
Post-Traumatic Stress Disorder (PTSD)
TraumaEvaluate re-experiencing, avoidance, hyperarousal and day-to-day impairment after trauma.
Complex PTSD
TraumaAssess prolonged trauma effects including emotional regulation, self-concept and relationships.
Acute Stress Disorder
EarlyEarly assessment of trauma symptoms within the first month and recommended next steps.
Adjustment Disorder
StressUnderstand distress and functional problems following a significant life change or stressor.
Reactive Attachment Disorder
ChildAssess attachment difficulties linked to early neglect, caregiving disruption or trauma.
Disinhibited Social Engagement Disorder
ChildReview overly familiar social behaviour and safeguarding / developmental context.
Prolonged Grief Disorder
BereavementAssess persistent grief reactions, functioning and differential diagnosis from depression.
Trauma-Related Dissociative Disorders
DissociationExplore dissociation, memory gaps, identity symptoms and trauma history coherently.
Expert medico-legal psychiatric assessment of mood disorders including major depressive disorder, persistent depressive disorder (dysthymia), bipolar affective disorder (Type I & II), cyclothymia and secondary mood disorders, evaluating causation, pre-existing vulnerability, symptom severity, functional impairment, treatment response, prognosis and recommendations for quantum in personal injury and clinical negligence claims.
Major Depressive Disorder
MoodAssess symptoms, duration, risk factors and functional impairment across domains.
Bipolar Affective Disorder
MoodReview hypomanic/manic episodes, depression pattern and medication considerations.
Persistent Depressive Disorder (Dysthymia)
ChronicAssess long-term low mood, coping patterns and impact on relationships/work.
Cyclothymic Disorder
MoodEvaluate fluctuating mood symptoms that don’t meet full bipolar criteria.
Postnatal Depression
PerinatalAssess postnatal mood symptoms, bonding concerns and safeguarding context.
Seasonal Affective Disorder
PatternIdentify seasonal mood changes and evidence-based supports and treatments.
Comprehensive medico-legal evaluation of anxiety disorders including generalised anxiety disorder, panic disorder, social anxiety disorder, specific phobias, agoraphobia and mixed anxiety-depressive disorders, determining psychological injury causation, exacerbation of pre-existing conditions, functional impact, prognosis and treatment needs for civil litigation and employment tribunal proceedings.
Generalised Anxiety Disorder (GAD)
AnxietyAssess persistent worry, physical symptoms, sleep and concentration impacts.
Panic Disorder
AnxietyEvaluate panic attacks, fear of recurrence and related avoidance patterns.
Social Anxiety Disorder
SocialAssess fear of scrutiny, social avoidance and performance-related anxiety.
Specific Phobias
PhobiaIdentify triggers, severity and functional limitation caused by phobic fear.
Agoraphobia
AvoidanceAssess difficulty leaving home, crowded spaces and safety behaviours.
Separation Anxiety Disorder
AttachmentEvaluate separation fears, distress and age-appropriate functioning concerns.
Independent psychiatric assessment of personality disorders (all clusters), emotionally unstable (borderline) personality disorder, and personality change following trauma or illness, addressing diagnostic clarity, causation, contribution of index events, functional consequences, risk, treatability and long-term prognosis in personal injury, family law and mental health tribunal contexts.
Borderline Personality Disorder (EUPD)
PersonalityAssess emotional instability, impulsivity, self-harm risk and relational patterns.
Antisocial Personality Disorder
RiskReview behavioural patterns, safeguarding concerns and risk management needs.
Narcissistic Personality Disorder
PersonalityAssess interpersonal functioning, vulnerability, coping and comorbid symptoms.
Paranoid Personality Disorder
PersonalityEvaluate distrust, interpretation biases and impact on relationships/work.
Mixed Personality Disorder
ComplexClarify overlapping traits, functional impairment and treatment considerations.
Specialist medico-legal assessment of schizophrenia, schizoaffective disorder, delusional disorder, brief psychotic disorder and substance/medication-induced psychotic disorders, providing expert opinion on causation, differential diagnosis, capacity, treatment adherence, insight, risk assessment and prognosis for criminal, civil and mental health act proceedings.
Schizophrenia
PsychosisEvaluate positive/negative symptoms, functioning, relapse patterns and support needs.
Schizoaffective Disorder
PsychosisAssess combined mood and psychotic symptoms and how they present over time.
Delusional Disorder
BeliefsEvaluate fixed false beliefs, risk issues and impact on decision-making and behaviour.
Brief Psychotic Episode
AcuteAssess sudden onset psychotic symptoms, triggers, and immediate care requirements.
Expert evaluation of neurodevelopmental disorders including autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), intellectual disability and specific learning disorders, assessing lifelong impact, diagnostic confirmation, functional limitations, reasonable adjustments, capacity and vulnerability in personal injury, education and employment disputes.
ADHD (Attention Deficit Hyperactivity Disorder)
NeurodevAssess attention, impulsivity and executive function impacts across settings.
Autism Spectrum Disorder (ASD)
NeurodevEvaluate social communication, sensory profile and support needs.
Foetal Alcohol Spectrum Disorder (FASD)
NeurodevAssess cognitive and behavioural effects and day-to-day functional difficulties.
Intellectual Disability
CognitionClarify cognitive functioning, adaptive skills and decision-making support needs.
Specific Learning Disabilities
EducationAssess dyslexia/dyspraxia-related impacts and reasonable adjustments.
Tourette’s Syndrome
TicsEvaluate tic patterns, comorbidities and functional impacts at home/work/school.
Developmental Coordination Disorder
MotorAssess coordination difficulties and their effects on daily tasks and participation.
Medico-legal psychiatric reports on substance use disorders (alcohol, opioids, stimulants, cannabis, novel psychoactive substances) and behavioural addictions (gambling, gaming, internet), addressing dependence severity, causation of psychological harm, contributory negligence, treatment prognosis and future risk in personal injury, criminal responsibility and occupational health cases.
Alcohol Use Disorder
AddictionEvaluate dependence severity, functional harm and recovery supports.
Drug Use Disorder
AddictionAssess substance pattern, risk, comorbidity and treatment planning.
Prescription Medication Dependence
MedicationReview dependence risk, withdrawal issues and safe management strategies.
Gambling Disorder
BehaviouralAssess loss of control, harms and recommended interventions.
Gaming Disorder
BehaviouralEvaluate compulsive gaming, functional impairment and comorbid anxiety/depression.
Dual Diagnosis
ComplexAssess co-occurring mental health needs alongside substance misuse.
Specialist assessment of anorexia nervosa, bulimia nervosa, binge eating disorder and other specified feeding or eating disorders (OSFED), evaluating physical and psychiatric complications, causation, treatment resistance, capacity to make decisions about care, prognosis and lifelong care needs in clinical negligence and personal injury litigation.
Anorexia Nervosa
EatingAssess restriction, weight risk, cognition and medical monitoring needs.
Bulimia Nervosa
EatingEvaluate binge/purge cycles, distress and physical complication risk.
Binge Eating Disorder
EatingAssess binge frequency, triggers, shame and functional consequences.
ARFID
EatingAssess restrictive intake not driven by weight concerns and nutritional impact.
Expert medico-legal opinion on insomnia disorder, hypersomnolence, circadian rhythm sleep-wake disorders, parasomnias and sleep-related movement disorders, determining the impact on psychiatric conditions, road traffic and workplace accidents, functional impairment, causation and treatment requirements in civil claims.
Insomnia
SleepEvaluate onset/maintenance insomnia and impacts on mood, cognition and work.
Parasomnia (Sleepwalking, Night Terrors)
SleepAssess unusual sleep behaviours, triggers and safety considerations.
Narcolepsy
SleepAssess excessive daytime sleepiness and functional impact, signposting next steps.
Comprehensive assessment of dementia (Alzheimer’s, vascular, frontotemporal, Lewy body), mild cognitive impairment, traumatic brain injury sequelae, post-concussion syndrome and other organic mental disorders, providing detailed analysis of cognitive deficits, capacity, prognosis, care needs and quantum for high-value personal injury and clinical negligence claims.
Dementia (Alzheimer’s, Vascular, Frontotemporal)
CognitionAssess memory, executive function, progression and care planning needs.
Acquired Brain Injury
NeuroEvaluate cognitive/behavioural change following injury and rehabilitation needs.
Delirium
AcuteAssess acute confusion, underlying causes and immediate safety considerations.
Mild Cognitive Impairment
CognitionEvaluate early cognitive changes and how they affect daily functioning.
Expert psychiatric evaluation of adjustment disorders, somatic symptom and related disorders, dissociative disorders, factitious disorder, gender dysphoria, paraphilic disorders, OCD and related conditions not elsewhere classified, delivering clear, evidence-based opinions on diagnosis, causation, functional impact and medico-legal implications across all areas of civil and criminal litigation.
Not sure which condition applies?
Describe the situation and referral question. We’ll recommend the most appropriate expert and report type.