The below are some frequently asked questions regarding what to expect from an assessment at The Giaroli Centre and what to expect from any ongoing treatment. Further details can be discussed during a phone call with our Referral Manager to discuss your enquiry, please visit www.dr-giaroli.org/enquiries to discuss your enquiry and to arrange a first appointment.

 

What does The Giaroli Centre specialise in?

 

Our centre specialises in neurodevelopmental psychiatric conditions (such as ADHD and Autism) in children, adolescents and adults. Our team are medical doctors whom may suggest medication as part of a patient's ongoing treatment plan. We centre does not offer ongoing talking-based therapies or educational assessments as part of our psychiatric assessments.


 

What does the doctor assess for?

 

Our doctors assess for whether there is the presence of any psychiatric condition(s) in a patient, and to provide an outline of a suggested treatment plan, which may or may not involve medication. Most assessments are completed over two separate appointments, however depending on a patient's prior history provided, and the case's complexity, an assessment may take place over one appointment, two appointments, or multiple appointments. Under NICE guidelines, for formal assessments of Autism, several different clinicians may be involved in providing an assessment over several appointments, involving the diagnostic tools of ADI-R, 3di or ADOS-2. Please speak to us during your initial phone call to discuss your enquiry so that we may provide more relevant information in your particular case.

 

An assessment may lead to one or more psychiatric conditions being diagnosed, or potentially no psychiatric condition being diagnosed if in the doctor's opinion there are no psychiatric conditions present in the patient.

Are there any differences between each doctor?

Please see here for the team pages for further information on your particular doctor. Our doctors are able to tailor each assessment and treatment approach depending on the particular clinical circumstances of each patient. Each doctor in our team has their own different approach to assessment and ongoing treatment, and that therefore one patient's experience with one doctor of our team may differ from the steps and stages of your child's assessment process with another doctor from our team. Similarly, our doctors see many patients from within the same family, and that the same doctor may approach the assessment (or ongoing treatment) in a different manner for one patient from the family to another patient (e.g. a sibling) within the same family. 

 

Might I be re-assigned to a different doctor?


Please be kindly advised that there may be circumstances outside of The Giaroli Centre's control whereby the doctor whom you have booked the assessment appointments with may potentially be no longer able to offer the assessment appointments on the same day, time or modality (face to face or online) or potentially may not be able to offer the assessment at all.

Were this to occur, you would be entitled to a full refund of any monies pre-paid. The Giaroli Centre would also make every reasonable effort to ensure that the assessment appointments can be re-arranged with another clinician within our centre. Please be kindly advised that it would not necessarily be possible to accommodate your preferred date, time, doctor, or modality (face-to-face or Zoom) were this event to occur.

Alternatively, our office may provide you with contact details for other psychiatrists at other clinics whom you would be welcome to contact to arrange an assessment (or ongoing treatment) with. As our centre is an outpatient service we are unable to assist in any emergency, in the event of any emergency (including self harm or suicidal attempt) to please take the patient directly to the nearest Accident & Emergency (A&E) Hospital, attend your Local GP for an emergency appointment or dial '999'.

How do I book an assessment?

A phone call will first need to be held with you to ascertain our centre's suitability for the patient concerned, please visit www.dr-giaroli.org/enquiries to arrange a date/time convenient to you, whereby our Referral Manager will phone you to discuss the patient's history, their presenting issue(s) and the desired outcomes. Slots for these phone calls are extremely limited, therefore please follow the instructions on that booking page if you do not see any free slots available.

Do I have to prepare anything before the assessment appointments?

  • Any relevant material that you wish the doctor to consider for review must be emailed into us at least 5 business days before any appointment. Failure to do this will mean that the material may not be considered by the doctor for review, or may be considered for review by the doctor, but not yet actually read yet. If you have material you wish a doctor to consider for review, then you will need to book an appointment that is further than 5 business days in advance from the date of booking or emailing us such material.

  • Please ensure that with any material that you send, to only send the most relevant/recent material of any reports that you wish the doctor to consider for review. For example, if your child has had several Educational Psychologist assessments previously, then we kindly advise you to send just the most recent one for the doctor to consider for review.

  • The doctor will not necessarily read any or all material that you send before an appointment, as it is at the doctor's discretion as to which document(s) are most medically relevant from a clinical perspective. You are however welcome to discuss any particular document during an appointment with the doctor.

  • Depending on instructions given to you at the time of booking the assessment appointment(s) you may be required to email us specific previous reports for the patient.

  • You must complete our online Client Registration Form, failure to do this may mean that one or all of the assessment appointments are cancelled. A link to this will be sent to you after you book the assessment appointments.

What happens during the assessment appointments?

  • Each doctor at our centre has their own approach to assessments, and may tailor their approach depending on the patient's clinical presentation.

  • What happens at the assessment appointments depends on the age of the patient, whom accompanies them to the assessment appointments and what background information that has been provided to the doctor.

  • During assessment appointments the doctor will be observing the social interactions between the patient, doctor and anyone else present. The doctor will also be asking various questions around the patient's prior medical history (both physical health and mental health), their presenting issue(s) and desired outcome(s). These questions may be directed to both the patient and/or their caregiver(s) present during appointments. Any questions asked directly of a patient will be age-appropriate.

  • If you (or your child) wish to speak privately with the doctor, please indicate this to the doctor at the start of the appointment.

  • There are not necessarily any specific tests/questionnaires or activities that you (or your child) may be asked to complete during an assessment, the assessment appointment(s) are mostly conversational in style.

  • Some vital measurements, such as height, weight, blood pressure and pulse rate, may be taken by the doctor. If your assessment is online, then the doctor may request that you arrange them for the patient (if you are comfortable), or for you to arrange them to be taken at the patient's General Practitioner (GP) or you may visit your local pharmacy to obtain them.

Who attends the assessment appointments?

The patient themselves must attend. If the patient is a child, then they must attend regardless of how young they are. If you wish to discuss anything private with the doctor during any appointment, please indicate this to the doctor at the start of the appointment and please ensure that there is someone else accompanying you whom is able to safely mind your child outside of the consulting room (if the appointment is held in-person), or whom can safely mind the child in another room away from the computer screen (if the appointment is being held online).

 

In addition to the patient, you are welcome to bring any other family member, relative or friend for support. Please be mindful that their attendance at the appointment may result in them being privy to sensitive information that the doctor may discuss with you. If the patient is under 18 years of age, they must be accompanied by a parent or guardian, and failure to adhere to this may result in an assessment appointment being cancelled and the full appointment fee being due.

Do I need to complete anything after a first appointment of an assessment?

As part of an assessment, the doctor may request via email for some questionnaire(s) to be completed after the first appointment. The doctor may request these questionnaire(s) to be completed yourself, the patient (depending on their age) and potentially 3rd parties, such as the patient's school teacher(s). If the doctor would like any 3rd parties to complete such questionnaire(s) then please be kindly advised that you are responsible for onforwarding any such questionnaires and ensuring their timely completion. If you do not believe that such questionnaire(s) will be completed in time for the patient's next appointment of the assessment then you are welcome to contact our office to move the patient's next appointment to a later date, however please ensure we receive at least 3 clear business day's notice prior to that appointment, as otherwise that assessment appointment's full fee will still be due.

What happens after receiving a diagnosis?

 

For any part of the treatment plan that involves medication, our centre is able to provide ongoing review appointments to monitor the patient's progress, wherein any suitably required prescriptions may be provided.

For any part of the treatment plan that does not involve medication, our centre can provide the contact details for other clinicians at other clinics whom may be able to offer any such non-pharmacological aspects of the treatment plan. If so, please be advised that you will need to arrange any such (separate) treatments directly with those other clinics and clinicians outside of our centre and to enquire with these other clinicians and clinicians as to their fees and insurance coverage.

What factors inform a diagnosis?

Depending on the particular psychiatric condition(s) involved, a diagnosis may be formed from many factors, with each factor's weighting on the impact of the outcome of the assessment depending on the particular circumstances of the patient and the particular condition(s) involved.

 

For example, some of these factors may include:

  • direct clinical observation of the patient during assessment appointments;

  • patient history (of a medical, social, educational or other nature) as informed by the patient's caregiver(s) or the patient directly during assessment appointments or other sources;

  • patient history provided by you to the doctor in written reports;

  • outputs from any questionnaire(s) completed during the assessment process, which may have had inputs from the patient's caregiver(s), 3rd parties (such as teacher(s)) and the patient themselves;

  • other relevant 3rd party information made available to the doctor during the assessment process.

How often will review appointments be needed?

 

For ongoing treatment plans, particularly those involving medication, the doctor will require periodic appointments in order to safely monitor and discuss the patient's progress and to adjust any aspects of the treatment plan as may be necessary. The frequency of such review appointments depends on the particular complexities of each individual patient's case, they may be as often as once a month (or more frequently) for several months during any particularly sensitive periods, such as when medication is being first started or a dosage is adjusted. Or a review appointment may be required only every 6 months (or potentially longer) if a patient is very stable on their medication.

 

The frequency of review appointments required depends on many factors, such as the patient's clinical needs, the diagnosis involved, the patient's level of risk and the patient's progress. Review appointment frequency may also depend on other risk factors for a patient, such as any cardiovascular conditions, other medications they may be taking (psychiatric or otherwise) and lifestyle factors of the patient and their support environment. Please speak to the doctor during an appointment for further information on the review appointment frequency that they will require in order to safely monitor the patient's progress. Our appointment fees can be found at www.dr-giaroli.org/fees.
 

Can my GP take over prescribing with a Shared Care Agreement?

If medication is part of the treatment plan, then once the patient has been stabilised on a particular medication programme (in terms of specific medications and dosages) you may request the doctor at our centre, to write to your General Practitioner (GP) to negotiate a Shared Care Agreement (SCA). It is up to the discretion of our doctor, and your GP as to whether they will agree to this. If an SCA is agreed between them, then your GP could take over the ongoing issuance of relevant prescriptions, however nonetheless your GP and our doctor, will both require the patient to still see our doctor for a review appointment at some specified frequency, this may be every 3 months, 6 months, 9 months or 12 months, or a different arrangement, depending on what your GP and our doctor are to agree too.

What reports or letters will I receive?

  • A bespoke letter will be written by the doctor following any appointment and sent to you via secure email. Please allow 3 to 4 weeks following an appointment to receive this.

  • 1st appointment of 60 minutes, the letter will be 1.5 to 3.0 pages long. All subsequent assessment appointments or review appointments: 1.0 to 1.5 pages long. Note, in cases of a formal diagnosis of Autism, whereby additional assessment(s) are required such as ADOS-2 and ADI-R or 3Di-sv, the resulting diagnosis letter will be substantially longer.

  • The patient's relevant medical history, presenting issues, and any diagnosis and treatment plan, will not necessarily be within the one letter from your doctor, but rather, will be across each letter from each stage of the assessment process, as our assessments are carried out over more than one appointment in the majority of cases.

  • Much more detailed advice on how to manage a diagnosis in you (or your child's) specific situation can be discussed during subsequent appointments to the assessment appointment(s), as can any further revisions of a treatment plan be discussed at subsequent appointments after the assessment appointments.

  • You are welcome to on-forward any of our letters or reports to any 3rd parties such as a school, university or employer. Due to data confidentiality, we will not be able to do this on your behalf.

 

What if I need to cancel an appointment?

  • As long as we receive at least 3 clear business day's notice, there will not be any charge. If we do not receive enough notice, then the full appointment fee is due. The time of day that your appointment is on does not matter, as our policy is 3 clear business days and not a "72 hour" policy.

    • ​If your appointment is on a Monday (regardless of time), we require notice by no later than 9am the previous Wednesday 

    • If your appointment is on a Tuesday (regardless of time), we require notice by no later than 9am the previous Thursday

    • If your appointment is on a Wednesday (regardless of time), we require notice by no later than 9am the previous Friday

    • If your appointment is on a Thursday (regardless of time), we require notice by no later than 9am the previous Monday

    • If your appointment is on a Friday (regardless of time), we require notice by no later than 9am the previous Tuesday

    • If your appointment is on a Saturday (regardless of time), we require notice by no later than 9am the previous Wednesday

    • If your appointment is on a Sunday (regardless of time), we require notice by no later than 9am the previous Wednesday

What if I forget an appointment?

  • Depending on your preferences, our system may send an appointment confirmation email and an appointment confirmation text to the registered email and mobile phone number we hold for the patient. Our system may also send a courtesy appointment reminder email and a courtesy reminder text prior to the appointment too. The doctor and our office are not responsible for these confirmations being blocked by any Spam/Junk filters or denied by your mobile phone provider. Please kindly ensure you check your Junk/Spam email folders.

  • If the patient fails to attend an appointment, it will result in the full appointment fee still being due.

How does the patient receive medication?

  • Should medication be a suitable part of a patient's treatment plan, then the doctor at our centre may provide you with a prescription for the relevant medication(s) as and when safely required. Any prescription may be either handed to you during an in-person appointment, or posted to your nominated local pharmacy, or alternatively the medication itself may be delivered to you via our central London partner pharmacy, Zen Pharmacy. Our centre receives no incentives (financial or otherwise) from Zen Pharmacy.

  • As we are a private health provider (and not part of the NHS), you will need to directly pay the relevant pharmacy for the cost of any medications pertaining to prescriptions written by our doctors.

  • All repeat prescriptions must only be submitted via our website at: www.dr-giaroli.org/prescriptions and incur a £25 administrative charge.

 

What are your opening times?

 

Our admin office is open from 9am to 5:30pm from Monday to Friday, excluding Bank Holidays. Our team of doctors hold appointments in-person at our clinics in Harley Street in Central London as well as remotely via online technologies. Our doctors offer appointments ranging from approximately 8am to 8pm from Mondays to Saturdays. Please enquire if you require further specifics for your particular doctor.

Will my child's school be involved?

  • School feedback can be important during an assessment for a young person, though this depends on each patient's particular circumstances and which diagnosis the doctor may be screening for.

  • However, due to data confidentiality, our centre will not directly interact with your child's school during an assessment, though the doctor may ask you to onforward to you child's teacher(s) some questionnaire(s) that they may want your child's teacher(s) to complete.

  • You are also welcome to email the doctor any other school reports or school material that you wish the doctor to consider for review regarding your child. The doctor will not necessarily read any or all documents that you provide, though you are welcome to arrange an appointment if there are any particular documents you wish to discuss in detail.

  • You are welcome to on-forward any of the doctor's letters or reports to any 3rd parties such as a school, university or employer. Due to data confidentiality, we will not be able to do this on your behalf.

My child is applying for an Education Health & Care Plan (EHCP)
 

  • Our doctors are professionally and ethically bound to only provide material in a letter or report that is factual and specific to the doctor's clinical opinion of a patient. You are welcome to request any particular information be amended or added to a doctor's letter, however any amendments are at the doctor's sole and final discretion.

  • Our centre does not specialise in medico-legal reporting for EHCP tribunals, hence you may wish to engage the services of another centre if your child is under an EHCP, seeking an EHCP, or challenging an EHCP outcome.

Will I be able to speak to or email my doctor at anytime?
 

  • Many of our doctors work within both the National Health Service (NHS) and The Giaroli Centre. Therefore, please be advised that your doctor will not be able to immediately respond to any particular email you may send them. Our doctor's diaries are organised by their Personal Assistant, whom you are welcome to email (email details will be provided to you upon an assessment being booked) or telephone on our main number.

  • If you wish to hold a telephone call with the doctor, please kindly contact our administrative office to arrange a review appointment.

What happens if there's an emergency?

  • If the patient encounters an emergency situation, please be advised that as our centre is an outpatient service that we cannot provide any emergency service, and to please attend your nearest Accident & Emergency (A&E) Hospital, attend your local GP for an emergency appointment, or dial '999' within the United Kingdom.

Final Banner

Frequently Asked Questions

white-arrow-large