Clinical Psychiatric Evaluations for Attorney-Referred Clients

Attorneys often encounter clients whose legal situation is complicated by mental health symptoms, psychiatric history, substance use concerns, emotional distress, or difficulty engaging consistently in care. In these situations, a timely referral to a psychiatrist can help the client better understand their symptoms, begin appropriate treatment, and receive ongoing clinical support.

Neal & Garrard provides psychiatric evaluations and treatment for adults throughout Washington through secure telehealth. Our role is clinical: we evaluate, diagnose, treat, and coordinate care. We do not provide forensic evaluations, competency evaluations, criminal responsibility opinions, or expert witness services.

Our goal is to provide excellent psychiatric care, a positive patient experience, and clear communication for attorneys, patients, and care teams.

Services We Provide

Neal & Garrard offers clinical psychiatric services for attorney-referred adults who need evaluation, medication support, or ongoing treatment.

Diagnostic Assessment

We provide careful psychiatric evaluations to better understand a patient’s symptoms, history, current functioning, treatment needs, and goals. When appropriate, we assess for conditions such as mood disorders, anxiety disorders, ADHD, trauma-related symptoms, substance use concerns, psychosis, insomnia, and other psychiatric conditions.

Medication Management

For patients who may benefit from medication, we provide individualized medication recommendations and ongoing medication management. Treatment plans are tailored to each patient’s symptoms, preferences, medical history, and goals.

Ongoing Psychiatric Treatment

Many attorney-referred clients benefit from more than a one-time evaluation. Neal & Garrard can provide ongoing psychiatric care, follow-up appointments, medication adjustments, and clinical support over time.

Clinical Risk Assessment

As part of psychiatric care, we assess relevant clinical risk factors and recommend an appropriate treatment plan or level of care when needed. This may include safety planning, coordination with other providers, or referral to a higher level of care when clinically appropriate.

Coordination With Attorneys and Care Teams

With proper patient authorization, we can coordinate with attorneys, therapists, primary care providers, family members, or other members of the patient’s support network. We aim to communicate clearly and promptly while protecting patient privacy and maintaining appropriate clinical boundaries.

When an Attorney May Refer a Client

A referral to Neal & Garrard may be appropriate when a client needs psychiatric care but does not require a forensic evaluation or expert witness opinion.

Attorneys may refer clients who need help with:

• A clinical psychiatric evaluation

• Diagnostic clarification

• Medication management

• Treatment planning

• Ongoing psychiatric care

• Mental health stabilization

• Support engaging in care

• Coordination with an existing therapist or treatment team

• Assessment of clinical risk as part of psychiatric treatment

This service may be especially helpful when a client has untreated or undertreated psychiatric symptoms that are affecting their daily functioning, communication, decision-making, relationships, work, housing, or ability to participate constructively in their legal matter.

What We Do Not Provide

Neal & Garrard provides clinical psychiatric care. We are not a forensic psychiatry practice.

We do not provide:

• Competency to stand trial evaluations

• Criminal responsibility evaluations

• Insanity defense evaluations

• Forensic psychiatric opinions

• Independent medical examinations

• Court-ordered forensic evaluations

• Expert witness testimony

• Depositions or litigation support

• Legal opinions

Our work is focused on patient care. We evaluate and treat psychiatric conditions, provide medication management when appropriate, and coordinate care with authorized parties.

Why Choose Neal & Garrard

Thoughtful, Responsive Psychiatric Care

Neal & Garrard is a boutique psychiatry practice serving adults throughout Washington. We focus on careful evaluation, individualized care, and clear communication.

Clinical Expertise

Our psychiatrists are medical doctors trained in the evaluation, diagnosis, and treatment of mental health conditions. We provide evidence-based psychiatric care tailored to each patient’s needs.

Secure Telehealth Throughout Washington

Appointments are available virtually, allowing patients to receive care from the privacy and convenience of home.

Individualized Treatment

We do not take a one-size-fits-all approach. Each treatment plan is based on the patient’s symptoms, goals, preferences, and clinical needs.

Clear Communication

We understand that attorneys need timely and professional communication when coordinating care for a client. With proper authorization, we aim to be accessible, responsive, and clear.

Patient-Centered Experience

Legal stress can be overwhelming. We strive to make psychiatric care straightforward, respectful, and focused on helping patients move toward stability and meaningful improvement.