de Ruh (de_ruh) wrote in little_details,
de Ruh
de_ruh
little_details

Adult Psych Evaluation - Details Needed

Search terms already used: "adult psych evaluation," "adult psych evaluation in hospital," "psych evaluation in hospital," "psychology exam Canada"

Setting: BC, Canada in the year 2017 (I wasn't going for that year per-say, but doing the math from my MC's birth date makes it that year).

Background information:
-The character has been admitted to hospital following a medical (physical health) emergency and is now staying for an unknown length of time while the cause of his illness is identified. (It will be determined that he has hyperinsulinism)
-He is also struggling with PTSD, and he has told the attending doctor this. He has never received an "official" diagnosis because the only person helping him with this so far is his wife. She is a psychologist, but it would be unethical for her to make an official diagnosis due to the personal connection. (I believe it would also be illegal?) The doctor knows at the start of the investigation into his physical illness that it has something to do with hypoglycemia, and since both hypoglycemia and PTSD can cause anxiety/panic symptoms, she wants the PTSD officially documented for the benefit of anyone else working on his case. The character has agreed to speaking with the psychologist/psychiatrist on staff.
-When the interview with this psych doc takes place, he has already been in the hospital over night. His wife stayed with him all night and has now gone home for a nap, but his brother is present.
-This is not an emergency psych evaluation (which is why my searches have disappointed me). This is completely voluntary, and the purpose is more or less to simply confirm the PTSD diagnosis and "make it official." He is willing, and he is an adult. [Edit: I'm intimately aware of the diagnosis requirements for PTSD, I'm not looking for help with that. I'm just not familiar with the process of confirming a diagnosis that was made "unofficially" by a professional. I've also seen the DSM V draft of the PTSD criteria, so I know that what I'm writing should still be considered accurate for the time setting of this piece.]


My questions:
1. Is it a psychologist or a psychiatrist? [Edit: I know the difference between the two, and I do not want the character medicated right now, so it doesn't need to be a psychiatrist. I'm asking which of the two would most likely be on staff and be conducting this interview.]

2. Would the brother be allowed to stay in the room, or asked to leave regardless of the character's wishes? Would the brother be asked a few questions by the psych doc before/during/after? Would the psych doc want to consult with the wife (especially being that she's a psychologist herself)?

3. What sort of questions would be asked? What sort of questions would not be asked that might be asked if it were an emergency situation?

4. How likely is it that the character would be able to refuse medication for his depression & anxiety symptoms at this point?

--
[Edit: For those wondering, the specific hospital he'll be in is Surrey Memorial, and yes, they do have a fully-functioning psych ward. I've known people admitted to both their psych ward and the one at Langley Memorial. Reminder, though, he isn't ending up there.]
Tags: canada (misc), ~psychology & psychiatry (misc), ~psychology & psychiatry: institutions, ~psychology & psychiatry: ptsd
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