Intake and Scales
You complete PHQ-9, GAD-7, and any condition-specific forms before the clinical interview begins.

The Assessment That Sets the Whole Plan
Diagnosis Before Prescription
Many patients arrive having already been treated, sometimes for years, without ever being properly assessed. A rushed appointment produces a label and a prescription, and when that medication does not help, the conclusion drawn is usually that the patient is treatment resistant. Often the real problem is the diagnosis. Bipolar depression treated as unipolar depression can worsen. ADHD read as anxiety leads nowhere. Trauma mistaken for a personality problem leaves the actual injury untouched.
A full evaluation is slower on purpose. We take a complete history: symptom timeline, every medication tried and what each one did, family psychiatric history, medical conditions and current prescriptions, substance use, sleep, and how symptoms actually affect your work, school, and relationships. We use standardized instruments so severity is a number that can be tracked rather than an impression. Then we explain the reasoning out loud, and you leave with a written plan you understand.
What Actually Happens in the Room
A psychiatric evaluation is a structured assessment combining a detailed interview, standardized rating scales, a review of your medical and medication history, and a mental status examination. Its purpose is diagnostic: to establish what is happening and why, and to rule out medical causes that imitate psychiatric conditions, such as thyroid disease.
You talk, and we listen and ask. Expect questions about when symptoms began, what makes them better or worse, sleep, appetite, concentration, and any thoughts of self-harm. Validated tools like the PHQ-9 and GAD-7 put a number on severity so change is measurable later. You leave with a diagnosis and a plan.
What you get that a rushed appointment cannot deliver
Time and structured tools instead of a 15-minute guess
Thyroid, deficiency and medication effects considered
PHQ-9 and GAD-7 scores you can be compared against later
You leave knowing the diagnosis and the next step
The clinician who assesses you continues your care
Conducted in English or Spanish, without an interpreter
Compare Your Options
| Assessment Route | Conducted By | Time Required | Diagnostic Depth | Can Prescribe | Insurance | Best For |
|---|---|---|---|---|---|---|
| Psychiatric Evaluation | Psychiatrist or PMHNP | 60-90 minutes | Full diagnosis with differential | Yes | Covered by most plans | Anyone needing a diagnosis and treatment plan |
| Primary Care Screening | Family physician | 10-15 minutes | Brief screening only | Yes, limited scope | Covered | First concern, mild symptoms, referral decisions |
| Psychological Testing | Clinical psychologist | 3-8 hours over visits | Detailed cognitive and personality profile | No | Varies, often partial | Complex or unclear diagnostic questions |
| Therapy Intake | Therapist or counselor | 45-60 minutes | Symptom and goal focused | No | Covered by most plans | Starting talk therapy without medication |
When an assessment is the right first step
An evaluation is the correct starting point for almost any mental health concern, and it is essential before beginning or changing psychiatric medication. It is appropriate for children, adolescents, and adults.
If you are in immediate danger, do not wait for an appointment. Call 988 or go to the nearest emergency department. For everything else, an evaluation leads directly into psychotherapy in Miami, FL or medication management, depending on what we find.
You complete PHQ-9, GAD-7, and any condition-specific forms before the clinical interview begins.
Dr. Carmona takes a full symptom timeline, medication history, family history, and functional impact.
Current prescriptions, medical conditions, and labs are reviewed to rule out physical causes.
You are told the working diagnosis and the reasoning behind it, in plain language.
You leave with a treatment plan, next steps, and a scheduled follow-up in two to four weeks.
Being straight about the boundaries
A psychiatric evaluation is a conversation and a set of questionnaires, so it carries no physical risk. What it does carry is emotional weight. Describing trauma, suicidal thoughts, or family history can be draining, and some patients feel worse for a day or two after finally saying things out loud. That is a normal response, not a setback, and we pace the interview accordingly. You are never required to disclose more than you are ready to in a first appointment.
An evaluation also has limits worth stating plainly. A first-visit diagnosis is a working diagnosis, and it can change as we see how you respond to treatment. Conditions such as bipolar disorder sometimes only declare themselves over time. An evaluation is not a substitute for emergency care: if you are in immediate danger, call 988 or go to an emergency department. Nor does it replace medical workup, so where a physical cause is possible we coordinate with your physician. The American Psychiatric Association publishes patient guidance on what assessment and treatment involve.
An initial psychiatric evaluation is covered by most major insurers operating in Miami-Dade, including Medicare and the large commercial plans, and is generally billed as a diagnostic evaluation rather than a routine office visit. What you pay depends on your plan: a specialist copay, or the visit applied to your deductible if it is not yet met. Prior authorization is rarely required for the evaluation itself.
We verify your benefits before the appointment and tell you the expected cost, so the first thing you learn about your care is not a surprise bill. Self-pay pricing is available and quoted in writing. If treatment that follows needs authorization, such as TMS therapy in Miami, FL, our team handles that paperwork as part of the plan rather than leaving it to you.
Time, structure and continuity
60 to 90 minutes, not a 15-minute medication check
Validated scales at baseline and every follow-up
Children, adolescents and adults assessed by the same practice
Full psychiatric assessment in English and Spanish
Answers to what Miami patients ask most
Most patients pay a specialist copay, because initial psychiatric evaluations are covered by Medicare and most major commercial plans in Miami-Dade. If your deductible is unmet, the visit may apply to it instead. We verify your benefits and tell you the expected cost before the appointment. Self-pay pricing is available and quoted in writing beforehand.
Plan on 60 to 90 minutes for a first evaluation. That length is deliberate: a full symptom timeline, complete medication history, family history, medical review, and standardized rating scales cannot be done properly in 15 minutes. Follow-up appointments are shorter, usually 20 to 30 minutes, once the diagnosis and plan are established.
No. An evaluation is a conversation plus written questionnaires. There are no needles, scans, or physical procedures. We may review recent bloodwork or ask your physician to check thyroid function or vitamin levels, since those can mimic psychiatric symptoms, but that is ordinary lab work rather than part of the appointment itself.
Sometimes, but never automatically. If the diagnosis is clear and medication is the right step, it can be started that day and we explain the reasoning, the expected timeline, and the side effects to watch. If the picture needs more information, we say so and set a plan to clarify it rather than prescribing to fill the silence.
The evaluation itself is diagnostic, so relief comes from the treatment it points to. Most antidepressants take four to eight weeks for full effect, therapy builds over weeks, and some interventions work faster. What changes immediately is direction: you leave knowing what you are treating and what the next step is.
Usually every two to four weeks after starting or changing treatment, then every one to three months once you are stable. We repeat the same rating scales at each visit so progress is measured rather than estimated. If scores have not moved by the point they should have, the plan is revised instead of continued.
No. A psychiatric evaluation is a clinical interview with rating scales, takes 60 to 90 minutes, and results in a diagnosis and a treatment plan that can include medication. Psychological testing is conducted by a psychologist over several hours and produces a detailed cognitive or personality profile. Testing is added when the diagnostic question stays unclear.
Yes. We assess children, adolescents, and adults. A child or teen evaluation includes parent or guardian input, school information where relevant, and developmental history, so it often runs longer than an adult appointment. Bring report cards, prior evaluations, or teacher notes if you have them, as they materially improve the assessment.
Bring a list of every psychiatric medication you have tried, with doses and what each one did, plus your current prescriptions including non-psychiatric ones. Add recent bloodwork, prior psychiatric records, and your insurance card. If you cannot assemble the medication history, we can request records for you, though that takes longer.
Yes. Your evaluation is protected health information under HIPAA and is not shared without your written authorization, with narrow legal exceptions such as imminent danger to yourself or others. For minors, parents or guardians are appropriately involved. If you need documentation released to an employer, school, or attorney, that requires your explicit consent.
Yes, for most patients. Initial evaluations can be conducted by secure video anywhere in Florida, which spares you the drive across Miami-Dade. Certain situations are better in person, including some child assessments and cases where physical examination or in-office treatment will follow. We tell you which applies when you book.
Yes. R&C Psychiatry is a bilingual practice, and your full evaluation can be conducted in Spanish by a clinician who speaks it rather than through an interpreter. That matters in an assessment, because diagnosis depends on nuance in how you describe your own symptoms. Tell us your preference when you book.