
Assessments
Gender Affirming Care Letters
A gender affirming care assessment letter is a document provided by a qualified mental health professional to support an individual's access to gender-affirming medical care, such as hormone therapy or surgery. This letter typically includes:
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Personal and identifying information (name, date of birth, gender identity).
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Summary of mental health assessment, confirming the individual's capacity to make informed decisions about their care.
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Diagnosis of gender dysphoria (if required by insurance or medical providers).
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History of gender-affirming treatments received, if applicable.
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Statement of informed consent, confirming the individual understands the risks and benefits of treatment.
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Support plan for ongoing care, such as counseling or community resources.
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Duration and nature of the therapeutic relationship between the provider and client
Typically, these appointments last 3 sessions, in addition to a consult(s) with your current providers.
Emotional Support Animal Assessments
An emotional support animal (ESA) assessment is a structured evaluation conducted by a licensed mental health professional to determine whether an individual qualifies for an ESA as part of their mental health care. The assessment is designed to ensure that the animal’s presence provides a demonstrable benefit for the individual’s emotional or psychological well-being. This letter typically includes:
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Information about the provider’s credentials
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Clinical Interview and Evaluation of individuals mental health and medical history to determine if a diagnosed mental health condition substantially limits one or more major life activities.
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Assessment of Need of an animal's ability to alleviates symptoms of the mental health condition.
Typically, these appointments last 1-2 sessions, in addition to a consult(s) with your current providers.
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Disability Assessment & Accommodation Letters
A disability assessment and accommodation letter is a formal document provided by a qualified mental health professional to support individuals in obtaining necessary accommodations at school, in the workplace, or when applying for Social Security Disability Insurance (SSDI). This letter helps verify your diagnosis, explains how your condition impacts your daily life, and outlines recommended supports tailored to your needs.This letter typically includes:
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Personal and identifying information (name, date of birth, relevant contact details)
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Summary of the mental health assessment, including a clinical diagnosis if appropriate
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Description of functional limitations—how your condition affects learning, work, or daily activities
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Recommendations for specific accommodations (e.g., extended test time, flexible work hours, assistive technology)
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Academic accommodations (such as extra time on exams, note-taking support, or quiet testing environments)
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Workplace accommodations (like modified job duties, remote work options, or ergonomic equipment)
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SSDI or other disability benefits (to document the impact of your mental health on your ability to work)
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History of treatment and relevant interventions
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Professional credentials and contact information for the provider
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Duration and nature of the therapeutic relationship between provider and client
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Typically, these appointments last 3-6 sessions, in addition to a consult(s) with your current providers.
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ADHD Assessments
An ADHD assessment is a comprehensive evaluation process conducted by a qualified clinician to determine whether an individual meets the criteria for Attention-Deficit/Hyperactivity Disorder (ADHD). The assessment involve interviews, questionnaires, and behavioral observations to ensure an accurate and thorough diagnosis. Key elements include:
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Initial screening interview to identify symptoms and their impact on daily life.
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Detailed history of symptoms, including onset, duration, and presence across different settings (home, work, school).
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Use of standardized diagnostic criteria (DSM-5), requiring:
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For adults: at least five symptoms of inattention and/or hyperactivity-impulsivity, present for at least six months.
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For children: at least six symptoms in each category.
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Collateral information from family members, teachers, or partners when appropriate.
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Assessment of co-occurring conditions (such as anxiety, depression, or PTSD).
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Review of developmental, medical, academic, and social history.
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Functional impairment evaluation to determine how symptoms affect daily functioning.
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Typically, these appointments last 3-6 sessions, in addition to a consult(s) with your current providers.
Looking for ADHD and Autism Assessment referral options?
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​Gateway Behavioral Health Consultants- Creve Coeur, MO Adults & Children- (accepts select insurances companies)