Testing and Evaluation Therapists in Indianapolis, IN

Photo of Indiana Neuropsychology Group (Dr. Garry Wright), Psychologist in Indianapolis, IN
Indiana Neuropsychology Group (Dr. Garry Wright)
Psychologist, PhD, HSPP
Verified Verified
1 Endorsed
Indianapolis, IN 46290
In addition to medical referrals, I also perform Independent Educational Evaluation (IEE) and forensic/legal evaluations.
I am a pediatric neuropsychologist with extensive experience in providing culturally sensitive and trauma informed developmental and neuropsychological evaluations to children and adolescents with a wide range of concerns, including neurodevelopmental conditions (e.g., attention-deficit/hyperactivity disorder, autism spectrum disorder, learning disorder), acquired brain injuries, and emotional and behavioral challenges (e.g., mood and impulse control disorders).
In addition to medical referrals, I also perform Independent Educational Evaluation (IEE) and forensic/legal evaluations.
I am a pediatric neuropsychologist with extensive experience in providing culturally sensitive and trauma informed developmental and neuropsychological evaluations to children and adolescents with a wide range of concerns, including neurodevelopmental conditions (e.g., attention-deficit/hyperactivity disorder, autism spectrum disorder, learning disorder), acquired brain injuries, and emotional and behavioral challenges (e.g., mood and impulse control disorders).
(317) 699-8738 View (317) 699-8738
O'Brien Psychological Services, Inc
Psychologist, PsyD, HSPP
Verified Verified
Indianapolis, IN 46203
Clients come for help for a variety of reasons, including (but not limited to) the following: Autism Evaluations, ADHD Evaluations, Academically Gifted Child Assessment, Academic Testing for Accommodations, Learning Disability Evaluations, Developmental Delay Assessment, International Adoption Interviews, Memory Testing Personality Testing, Psychological Evaluations for Bariatric Surgery Candidates, Vocational Placement Testing / Career Change.
Since 2000, O'Brien Psychological Services has provided psychological evaluations. He currently has two locations (Indianapolis and Kokomo). Dr. O'Brien is particularly interested in psychological evaluations and consultation but, from time to time, he will accept clients for psychotherapy services. His assessment clients have included, but are not limited to, the following: psychiatric hospitals, bariatric surgery patients, international adoption clients, juvenile courts, medical practices, autism treatment centers, other mental health professionals, and various state and federal agencies. I am also very honored and humbled by the many professionals in the field of human services who could have gone anywhere for psychological services but who trusted me to provide assessments and consulting services for their own family members.
Clients come for help for a variety of reasons, including (but not limited to) the following: Autism Evaluations, ADHD Evaluations, Academically Gifted Child Assessment, Academic Testing for Accommodations, Learning Disability Evaluations, Developmental Delay Assessment, International Adoption Interviews, Memory Testing Personality Testing, Psychological Evaluations for Bariatric Surgery Candidates, Vocational Placement Testing / Career Change.
Since 2000, O'Brien Psychological Services has provided psychological evaluations. He currently has two locations (Indianapolis and Kokomo). Dr. O'Brien is particularly interested in psychological evaluations and consultation but, from time to time, he will accept clients for psychotherapy services. His assessment clients have included, but are not limited to, the following: psychiatric hospitals, bariatric surgery patients, international adoption clients, juvenile courts, medical practices, autism treatment centers, other mental health professionals, and various state and federal agencies. I am also very honored and humbled by the many professionals in the field of human services who could have gone anywhere for psychological services but who trusted me to provide assessments and consulting services for their own family members.
(317) 659-8114 View (317) 659-8114
Photo of Jason Hankee, Psychologist in Indianapolis, IN
Jason Hankee
Psychologist, PsyD, HSPP
Verified Verified
1 Endorsed
Indianapolis, IN 46220
I see adults for individual psychotherapy and also provide psychological testing for children, adolescents, and adults. I work from the psychoanalytic tradition, where I emphasize the role of a patient's early attachments in the development of his/her sense of self and others. I appreciate the importance of the patient-therapist relationship and understand that trust is a necessary part of the treatment process, which includes maintaining a confidential and safe place where each patient is able to explore and work through the presenting concerns.
I see adults for individual psychotherapy and also provide psychological testing for children, adolescents, and adults. I work from the psychoanalytic tradition, where I emphasize the role of a patient's early attachments in the development of his/her sense of self and others. I appreciate the importance of the patient-therapist relationship and understand that trust is a necessary part of the treatment process, which includes maintaining a confidential and safe place where each patient is able to explore and work through the presenting concerns.
(317) 376-4841 View (317) 376-4841
Photo of Integrated Psychological Center of Indiana, Psychologist in Indianapolis, IN
Integrated Psychological Center of Indiana
Psychologist
Verified Verified
1 Endorsed
Indianapolis, IN 46240
IPCI is a psychology practice that integrates therapy & testing services for children, teenagers, & adults into one location. As doctoral-level providers, our therapists have completed extensive training and supervision (5+ years before becoming licensed) to provide quality and effective therapy & counseling for children, adolescents, adults, & couples from all walks of life. We provide our patients with effective coping skills to provide symptom relief but also work on getting to the root of the problem to provide long-lasting change. We are also well-versed in comprehensive evaluations to solidify diagnoses & guide intervention.
IPCI is a psychology practice that integrates therapy & testing services for children, teenagers, & adults into one location. As doctoral-level providers, our therapists have completed extensive training and supervision (5+ years before becoming licensed) to provide quality and effective therapy & counseling for children, adolescents, adults, & couples from all walks of life. We provide our patients with effective coping skills to provide symptom relief but also work on getting to the root of the problem to provide long-lasting change. We are also well-versed in comprehensive evaluations to solidify diagnoses & guide intervention.
(317) 659-7928 View (317) 659-7928
Photo of Kimi Walker in Indianapolis, IN
Kimi Walker
MS, EdS
Verified Verified
Indianapolis, IN 46256
As a practicing school psychologist, I offer psychological testing, psychoeducational assessments, advocacy, and coaching services. I place a special focus on conducting assessments for children and adults regarding the following: early childhood services, ADHD/Executive Functioning, behavioral concerns, school-based and vocational disability services (IEP, 504 Plans, Higher Ed Disability Evaluations, SSI/SSDI evaluations), and testing accommodations (SAT, ACT, GRE, LSAT).
As a practicing school psychologist, I offer psychological testing, psychoeducational assessments, advocacy, and coaching services. I place a special focus on conducting assessments for children and adults regarding the following: early childhood services, ADHD/Executive Functioning, behavioral concerns, school-based and vocational disability services (IEP, 504 Plans, Higher Ed Disability Evaluations, SSI/SSDI evaluations), and testing accommodations (SAT, ACT, GRE, LSAT).
(317) 207-5588 View (317) 207-5588
Photo of Maria Papachrysanthou Hanzlik, Psychologist in Indianapolis, IN
Maria Papachrysanthou Hanzlik
Psychologist, PsyD, HSPP
Verified Verified
4 Endorsed
Indianapolis, IN 46240
Whether I'm working with children, adolescents, or adults, my goal is to create a safe and accepting therapeutic space. It is within the context of interpersonal safety that the healing process can freely occur. Although I work with a variety of concerns and individuals of all ages, I specialize in trauma treatment, couples therapy, perinatal mood disorders, & sex therapy, serving the Indianapolis area. I provide psychological testing to clarify diagnoses (ADHD, anxiety, mood disorders, autism, & learning disorders). I also provide bilingual (Spanish) evaluations, immigration/extreme hardship evaluations, & FAA airman evaluations.
Whether I'm working with children, adolescents, or adults, my goal is to create a safe and accepting therapeutic space. It is within the context of interpersonal safety that the healing process can freely occur. Although I work with a variety of concerns and individuals of all ages, I specialize in trauma treatment, couples therapy, perinatal mood disorders, & sex therapy, serving the Indianapolis area. I provide psychological testing to clarify diagnoses (ADHD, anxiety, mood disorders, autism, & learning disorders). I also provide bilingual (Spanish) evaluations, immigration/extreme hardship evaluations, & FAA airman evaluations.
(317) 550-3221 View (317) 550-3221
Photo of Quratulain Khan, Psychologist in Indianapolis, IN
Quratulain Khan
Psychologist, PhD , HSPP
Verified Verified
Indianapolis, IN 46260
This may be through testing, psychotherapy, or both.
Are you looking for a psychotherapist who understands your difficulty with attention, memory, slowed thinking, or organization? Maybe you are experiencing brain fog or noticing that you are not thinking clearly. You may be noticing that it is harder for you to function the way that you used to. You may be feeling frustrated, overwhelmed, or sad because things just seem harder now. You have come to the right place. I will help you understand what is happening and help you find ways to function better so you don’t feel so frustrated, stressed, and overwhelmed.
This may be through testing, psychotherapy, or both.
Are you looking for a psychotherapist who understands your difficulty with attention, memory, slowed thinking, or organization? Maybe you are experiencing brain fog or noticing that you are not thinking clearly. You may be noticing that it is harder for you to function the way that you used to. You may be feeling frustrated, overwhelmed, or sad because things just seem harder now. You have come to the right place. I will help you understand what is happening and help you find ways to function better so you don’t feel so frustrated, stressed, and overwhelmed.
(317) 647-4816 View (317) 647-4816
Photo of Dr. April Krowel, Psychologist in Indianapolis, IN
Dr. April Krowel
Psychologist, PhD, HSPP
Verified Verified
4 Endorsed
Indianapolis, IN 46256
I enjoy working with adults from all backgrounds for a variety of mental health concerns, including anxiety, depression, grief, and testing services. I have great passion for working with the geriatric population. My goal is to keep individuals as independent as possible for as long as possible. Additionally, I am a US Army combat veteran and enjoy working with military and first responders. I enjoy helping caregivers and loved ones best handle behaviors that often accompany dementia, as well as end of life issues and concerns. I provide C&P examinations for veterans in process of appealing the VA.
I enjoy working with adults from all backgrounds for a variety of mental health concerns, including anxiety, depression, grief, and testing services. I have great passion for working with the geriatric population. My goal is to keep individuals as independent as possible for as long as possible. Additionally, I am a US Army combat veteran and enjoy working with military and first responders. I enjoy helping caregivers and loved ones best handle behaviors that often accompany dementia, as well as end of life issues and concerns. I provide C&P examinations for veterans in process of appealing the VA.
(317) 526-4954 View (317) 526-4954
Photo of Jennifer Horn, Psychologist in Indianapolis, IN
Jennifer Horn
Psychologist, PhD, HSPP
Verified Verified
Indianapolis, IN 46240
I AM ACCEPTING NEW PATIENTS FOR PSYCHOLOGICAL TESTING ONLY.
As a licensed clinical psychologist, I work exclusively with children/adolescents and their families to help youth reach their fullest potential. To reach this goal, my practice is limited to providing testing to define diagnostic issues and treatment planning. I also work closely and cooperatively with community service providers such as schools and physicians/medical providers during the testing process and afterwards. On a very limited basis, I also provide supportive treatment progress monitoring to children and their families. I
I AM ACCEPTING NEW PATIENTS FOR PSYCHOLOGICAL TESTING ONLY.
As a licensed clinical psychologist, I work exclusively with children/adolescents and their families to help youth reach their fullest potential. To reach this goal, my practice is limited to providing testing to define diagnostic issues and treatment planning. I also work closely and cooperatively with community service providers such as schools and physicians/medical providers during the testing process and afterwards. On a very limited basis, I also provide supportive treatment progress monitoring to children and their families. I
(317) 942-4020 View (317) 942-4020
Photo of Emily Brumfield in Indianapolis, IN
Emily Brumfield
EdS, NCSP
Verified Verified
2 Endorsed
Indianapolis, IN 46201
I offer a robust knowledge of psychoeducational assessment to support the development of children and adolescents from ages 2-18. This includes evaluation for Autism, Learning Disabilities including Dyslexia, Dysgraphia, and Dyscalculia, Intellectual Disabilities, attention difficulties, emotional and/or behavioral difficulties, and Developmental Delays. I am trained in administration of the ADOS-2 allowing for a more thorough assessment of ASD. I am also passionate about being a resource for families navigating the special education processes in their schools.
I offer a robust knowledge of psychoeducational assessment to support the development of children and adolescents from ages 2-18. This includes evaluation for Autism, Learning Disabilities including Dyslexia, Dysgraphia, and Dyscalculia, Intellectual Disabilities, attention difficulties, emotional and/or behavioral difficulties, and Developmental Delays. I am trained in administration of the ADOS-2 allowing for a more thorough assessment of ASD. I am also passionate about being a resource for families navigating the special education processes in their schools.
(463) 583-1659 View (463) 583-1659
Photo of Carrie Brosmer, Psychologist in Indianapolis, IN
Carrie Brosmer
Psychologist, PsyD, HSPP
Verified Verified
Indianapolis, IN 46220
I provide individual psychotherapy and psychological testing or psychological evaluation. Common reasons for testing referral include evaluation of conditions such as AD/HD; learning disabilities; or other cognitive, academic, emotional, or behavioral concerns as well as clarification of psychiatric diagnosis or diagnoses. At the conclusion of the evaluation process, I provide written and verbal feedback to the person or agency requesting the evaluation regarding test results, diagnoses, and individualized treatment recommendations based on evaluation findings as well as each person's unique strengths and needs.
I provide individual psychotherapy and psychological testing or psychological evaluation. Common reasons for testing referral include evaluation of conditions such as AD/HD; learning disabilities; or other cognitive, academic, emotional, or behavioral concerns as well as clarification of psychiatric diagnosis or diagnoses. At the conclusion of the evaluation process, I provide written and verbal feedback to the person or agency requesting the evaluation regarding test results, diagnoses, and individualized treatment recommendations based on evaluation findings as well as each person's unique strengths and needs.
(317) 560-2798 View (317) 560-2798
Photo of Susie Galford, Psychologist in Indianapolis, IN
Susie Galford
Psychologist, PhD, NCSP, HSPP
Verified Verified
Indianapolis, IN 46227
Dr. Susie Galford offers assessment and therapeutic mental health services for children, teens, and young adults. She is a licensed psychologist (HSPP), nationally certified school psychologist (NCSP), and licensed teacher (grades K-6) in Indiana. Dr. Galford has specialized training in the evaluation of Autism Spectrum Disorders, ADHD, learning disabilities, intellectual and executive functioning, developmental challenges, anxiety, depression, and behavioral difficulties. Her clinical work is grounded in evidence-based research and employs a primarily cognitive-behavioral approach to assessment and therapy.
Dr. Susie Galford offers assessment and therapeutic mental health services for children, teens, and young adults. She is a licensed psychologist (HSPP), nationally certified school psychologist (NCSP), and licensed teacher (grades K-6) in Indiana. Dr. Galford has specialized training in the evaluation of Autism Spectrum Disorders, ADHD, learning disabilities, intellectual and executive functioning, developmental challenges, anxiety, depression, and behavioral difficulties. Her clinical work is grounded in evidence-based research and employs a primarily cognitive-behavioral approach to assessment and therapy.
(317) 593-9993 View (317) 593-9993
Photo of Jennifer Ritchie, Psychologist in Indianapolis, IN
Jennifer Ritchie
Psychologist, PsyD
Verified Verified
Indianapolis, IN 46202
Call or email me for a free consultation to find out more about our evaluation process and how it can help you.
Virtual Assessments Available! You know life can be tough but everything seems harder for you. Relationships are like another language you don’t speak. You miss or don’t understand things that are obvious to others. It’s exhausting masking things others don’t find socially acceptable. Plus there’s the constant noise and stimulation. You eventually snap and shut down. You feel intense guilt and shame because you can’t do things that come so easily for others. You tell yourself something must be wrong with you but there’s a little voice that tells you there has to be a reason you struggle. If only you knew what that is!
Call or email me for a free consultation to find out more about our evaluation process and how it can help you.
Virtual Assessments Available! You know life can be tough but everything seems harder for you. Relationships are like another language you don’t speak. You miss or don’t understand things that are obvious to others. It’s exhausting masking things others don’t find socially acceptable. Plus there’s the constant noise and stimulation. You eventually snap and shut down. You feel intense guilt and shame because you can’t do things that come so easily for others. You tell yourself something must be wrong with you but there’s a little voice that tells you there has to be a reason you struggle. If only you knew what that is!
(314) 819-9790 View (314) 819-9790
Photo of Pia Nathani, Psychologist in Indianapolis, IN
Pia Nathani
Psychologist, PhD, HSPP
Verified Verified
1 Endorsed
Indianapolis, IN 46202
I also offer ADHD and psychological testing for adolescents and adults.
Welcome to my page! Act quickly, as I have limited therapy spots remaining! Are you ready to transform your emotional well-being and break old, unhealthy patterns? Whether you're feeling defeated in your current relationships or coping with the loss of a loved one, I'm here to guide you through your healing journey. If you find yourself grappling with painful and traumatic past experiences, consider me your dedicated therapist. I strive to create a welcoming, nurturing, and secure space where you can cultivate a profound sense of self-awareness and understanding. I am honored to support you.
I also offer ADHD and psychological testing for adolescents and adults.
Welcome to my page! Act quickly, as I have limited therapy spots remaining! Are you ready to transform your emotional well-being and break old, unhealthy patterns? Whether you're feeling defeated in your current relationships or coping with the loss of a loved one, I'm here to guide you through your healing journey. If you find yourself grappling with painful and traumatic past experiences, consider me your dedicated therapist. I strive to create a welcoming, nurturing, and secure space where you can cultivate a profound sense of self-awareness and understanding. I am honored to support you.
(765) 202-9632 View (765) 202-9632
Photo of Michael D Pisano, Psychologist in Indianapolis, IN
Michael D Pisano
Psychologist, PhD, HSPP
Verified Verified
Indianapolis, IN 46268
We provide individual and group psychotherapy, family therapy, psychological testing, and consultation.
I am a licensed clinical psychologist with extensive experience with a wide variety of adult patients. In both inpatient and outpatient practice I have endeavored to provide effective research-based therapy to patients with widely varying issues and needs. My mission is to help you reduce distress and pain by coping better with past troubling events and relationships, improving your current functioning and life satisfaction, and clarifying and reaching your goals. Your thoughts, feelings, and actions are our starting point as we focus on effective self-care, healthy relationships, and increased happiness.
We provide individual and group psychotherapy, family therapy, psychological testing, and consultation.
I am a licensed clinical psychologist with extensive experience with a wide variety of adult patients. In both inpatient and outpatient practice I have endeavored to provide effective research-based therapy to patients with widely varying issues and needs. My mission is to help you reduce distress and pain by coping better with past troubling events and relationships, improving your current functioning and life satisfaction, and clarifying and reaching your goals. Your thoughts, feelings, and actions are our starting point as we focus on effective self-care, healthy relationships, and increased happiness.
(317) 608-5189 View (317) 608-5189
Photo of Michael V Smith, Counselor in Indianapolis, IN
Michael V Smith
Counselor, MA, PhD, LMHC
Verified Verified
Indianapolis, IN 46256
Do you feel stuck, confused, and alone? My style/approach is unique in that it focuses on supporting individuals who desire to transform their lives and feel more empowered. I have extensive experience working with anxiety, stress, and trauma. I also support those struggling with grief and loss or life-threatening illnesses. I offer a warm and compassionate approach that encourages deep exploration. Our office also provides psychological testing services to finally resolve issues within yourself that have been difficult to solve.
Do you feel stuck, confused, and alone? My style/approach is unique in that it focuses on supporting individuals who desire to transform their lives and feel more empowered. I have extensive experience working with anxiety, stress, and trauma. I also support those struggling with grief and loss or life-threatening illnesses. I offer a warm and compassionate approach that encourages deep exploration. Our office also provides psychological testing services to finally resolve issues within yourself that have been difficult to solve.
(765) 571-4010 View (765) 571-4010
Photo of John F. Sharp, Psychologist in Indianapolis, IN
John F. Sharp
Psychologist, EdD
Verified Verified
Indianapolis, IN 46240
It is recommended you contact your insurance carrier to determine if psychological testing is covered, as some policies do not cover such procedures.
Having been a psychologist in practice for many years, I have developed a professional interest in assisting individuals with complete and thorough psychological testing and evaluations. Such evaluations are focused upon learning disabilities and Attention-Deficit/Hyperactivity Disorders
It is recommended you contact your insurance carrier to determine if psychological testing is covered, as some policies do not cover such procedures.
Having been a psychologist in practice for many years, I have developed a professional interest in assisting individuals with complete and thorough psychological testing and evaluations. Such evaluations are focused upon learning disabilities and Attention-Deficit/Hyperactivity Disorders
(317) 653-4178 View (317) 653-4178
Photo of Jessica Neukam-Helms, Psychologist in Indianapolis, IN
Jessica Neukam-Helms
Psychologist, PsyD, HSPP
Verified Verified
2 Endorsed
Indianapolis, IN 46260
I provide therapy and psychological testing, including the assessment of personality and emotional functioning.
In today's world, people often find ourselves going from one day to the next by going through the motions, leaving them feeling unfulfilled and overwhelmed. When we encounter life's hurdles, we have difficulty understanding why or how to deal with them. Choosing a therapist to help you navigate obstacles is a personal and courageous choice. The therapy process is where you and I come together to help you on a journey of relief from distress and increased personal growth and happiness. I strive to build authentic, trusting, and long-lasting relationships with my clients.
I provide therapy and psychological testing, including the assessment of personality and emotional functioning.
In today's world, people often find ourselves going from one day to the next by going through the motions, leaving them feeling unfulfilled and overwhelmed. When we encounter life's hurdles, we have difficulty understanding why or how to deal with them. Choosing a therapist to help you navigate obstacles is a personal and courageous choice. The therapy process is where you and I come together to help you on a journey of relief from distress and increased personal growth and happiness. I strive to build authentic, trusting, and long-lasting relationships with my clients.
(317) 983-5798 View (317) 983-5798
Photo of Michael Jones, Psychologist in Indianapolis, IN
Michael Jones
Psychologist, PsyD, HSPP
Verified Verified
Indianapolis, IN 46240
My practice also includes testing/assessment to identify self-concept, ways of thinking and feeling, and typical ways of being with others, so-called "personality tests.
Are you going through difficult changes in your life? Divorce, relationship problems, illness, career uncertainty? Feeling depressed, anxious? Having age-related problems? Memory, fear, adjustment, grief? Have you had bad experiences you can't get over, that haunt you, or keep tripping you up? Do others notice that you're different? Do you feel different to yourself; feel that your life is just stuck, without direction, motivation? Does some of this sound like you? Then I can help. You and I can form a productive, helpful relationship through which to take on the issues that are holding you back.
My practice also includes testing/assessment to identify self-concept, ways of thinking and feeling, and typical ways of being with others, so-called "personality tests.
Are you going through difficult changes in your life? Divorce, relationship problems, illness, career uncertainty? Feeling depressed, anxious? Having age-related problems? Memory, fear, adjustment, grief? Have you had bad experiences you can't get over, that haunt you, or keep tripping you up? Do others notice that you're different? Do you feel different to yourself; feel that your life is just stuck, without direction, motivation? Does some of this sound like you? Then I can help. You and I can form a productive, helpful relationship through which to take on the issues that are holding you back.
(317) 793-2320 View (317) 793-2320
Photo of Nancy Henein, Psychologist in Indianapolis, IN
Nancy Henein
Psychologist, PsyD, HSPP
Verified Verified
Indianapolis, IN 46240
I conduct psychological and psycho-educational testing, if needed, to clarify and diagnose learning issues, problems with emotional/behavioral adjustment, attention regulation problems, problematic relational patterns, and other cognitive functioning concerns.
As a parent and psychologist, I enjoy supporting children as they grow and strive to be their best. At the same time, I realize that the maturation process is not always easy and both children and parents often need outside supports. Emphasizing a collaborative process with my clients and their relevant care providers, I value working together to establish goals, individualize treatment, and evaluate progress. My services include providing short and long-term therapy with children, adolescents, and young adults to treat problems involving anxiety, depression, mood disorders, relational/social concerns, ADHD, adjustment problems, and family issues.
I conduct psychological and psycho-educational testing, if needed, to clarify and diagnose learning issues, problems with emotional/behavioral adjustment, attention regulation problems, problematic relational patterns, and other cognitive functioning concerns.
As a parent and psychologist, I enjoy supporting children as they grow and strive to be their best. At the same time, I realize that the maturation process is not always easy and both children and parents often need outside supports. Emphasizing a collaborative process with my clients and their relevant care providers, I value working together to establish goals, individualize treatment, and evaluate progress. My services include providing short and long-term therapy with children, adolescents, and young adults to treat problems involving anxiety, depression, mood disorders, relational/social concerns, ADHD, adjustment problems, and family issues.
(317) 606-2237 View (317) 606-2237

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Testing and Evaluation Therapists
Psychological testing and evaluation consists of a series of tests that help determine the cause of mental health symptoms and disorders, to determine the correct diagnosis and follow up with the appropriate course of treatment.