Our Services

Psychiatric Evaluation

Psychiatric illnesses are biological disorders brought on by an imbalance of neurotransmitters. A psychiatric assessment, or psychological screening, is a process of gathering information about a person within a clinical setting, with the purpose of making a diagnosis and gaining a clear picture of the individual’s problems, in order to formulate a treatment plan.

The assessment is usually the first stage of a treatment process and includes biographical, psychological and social information, direct observations, and data from specific psychological tests.

When evaluating a patient, we consider three major aspects of a patient’s psychological profile.

Biological aspect:  Mental health problems like depression or anxiety disorders are likely to run in families and to be inherited by a person. Dr. Umugbe will discuss family psychiatric history as well as your medical history. Some medical problems are likely to affect mood, sleep, energy, concentration and focus, and can contribute to psychological disorders like depression and anxiety. Sometimes a physical exam, blood work, and other medical tests are ordered to rule out medical illness.

Psychological aspect: Each person has a unique personality and set of challenges in life. Some people are optimists, some pessimists; some are confident, while others have poor self-esteem. It is critical to understand how a person views the world and their place in it, how the person communicates with others, and what interpersonal and relationship issues a person is facing within the context of their family and support system.

Social aspect:  Establishing a social support system that includes family, friends, colleagues or other like-minded people is crucial to dealing with stressful events in life. Some patients’ problems with stress are worsened by poor or non-existent support systems. Life-altering social events such as divorce, the death of a spouse or parent, birth of a child, revelation about being adopted, or losing a job often play a significant role in a person’s ability to cope with symptoms of a psychiatric illness. Other important social factors include any form of abuse or bullying.

During a first office visit, we provide an extensive psychiatric evaluation in order to determine the patient’s life circumstances and current mental status, and complete a comprehensive psychiatric review of systems and a treatment plan. Dr. Umugbe uses the most up-to-date and widely recognized psychiatric tests and rating scales for quantitative evaluation of the patient’s condition.

Medication Management/ Follow Up visit

Medication management is usually discussed at a follow-up visit. During a medication management visit, Dr. Umugbe and the patient discuss each medication the patient is taking to confirm its effectiveness for the illness being treated. This usually involves a conversation about symptoms, improvement, medication regimen and the patient’s overall condition. Based on the patient’s progress, it may be necessary to make adjustments in the medication regimen or switch medications. Dr. Umugbe will discuss necessary steps, progress and treatment plan with you before making any prescription changes. Lab work may be ordered as well. Depending on the condition and which medications are being taken, the follow-up visits may be scheduled one week to three months apart. Please note that if a medication management appointment is missed, we will provide a refill with pill quantity sufficient to last until the new appointment time, which will be scheduled to occur as soon as possible (usually within seven days).

Psychiatric Testing

Dr. Umugbe’s innovative approach to diagnosis involves collecting a patient’s clinical data through the use of psychiatric rating scales. Psychiatric rating scales and tests Dr. Umugbe uses include AIMS (Abnormal Involuntary Movement), KATZ ADL scale, pain scales, Geriatric Depression scale, PHQ-9, the Clinical Dementia scale, Alzheimer screening, Cognitive Recognition scales, MMSE, PTSD (both Civilian and the United States Army version), and the Hamilton Depression scale.