Understanding the Methods: Diagnostics, Assessments, and Open Dialogue

Open Dialogue

At Prakash Ellenhorn, we view each client as our partner in the treatment process, rather than a passive recipient of services. A client’s active role in their own treatment starts at the very beginning, as they choose the style of initial assessment and goal-setting that best suits their needs.  Clients choose between two methods of assessment: (a) our Whole-Person Diagnostics and Assessments; and (b) our Open Dialogue process.

Diagnostics & Assessments

To provide us with necessary information on themselves, many clients choose to use our in-depth holistic assessment. In reality, this consists of many assessments, each addressing a facet of a complex individual.  Included are neuropsychological and psychological tests, psychiatric and neurological exams, and assessments of physical wellness, family dynamics, substance use, spirituality, social/developmental issues, and educational and vocational experiences.  When necessary, a patient consults with specialists in particular areas.

Our assessment helps a client and his or her family reach a greater understanding not only of the client’s clinical picture, but of their social situation as well, that is, how they function in the world.

Too often, consumers of mental health care receive varied and even conflicting diagnoses. By contrast, our multi-faceted assessment provides a stable, thoughtful and holistic picture of their situation. Indeed, it reflects the person so thoroughly, that it provides a base from which they can seek and receive the right kinds of interventions throughout their lives.

Our assessment guides us in planning treatment.  Once it is complete, the client’s team meets and develops a comprehensive, multidisciplinary treatment plan based on multiple factors drawn from the assessment.  We call this plan, “The Roadmap to Recovery.”  The Roadmap to Recovery forecasts life-goals the team feels they can achieve with the client.

Open Dialogue process

While our Whole Person Assessment relies somewhat on the input of clinicians, the Open Dialogue process is an alternative to formal assessments. Over several weeks, as a new client participates in weekly discussions with their team, they gain self-understanding about their challenges and dreams.  Ultimately, this self-knowledge enables a client to design their own treatment plan, called Roadmap to Recovery.  Thus, through Open Dialogue, the client has a large and empowering role in determining the nature of their treatment and in establishing life goals.

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    • Testimonial

      Dr. Madhavi Prakash and Dr Ross Ellenhorn have organized a strong, flexible, multidisciplinary team. Their team fills a need for care in the private/public sectors which has been unmet until now for patients transitioning from the hospital, or requiring outpatient evaluation and treatment, attempting to resume their education or vocations, seeking stabilization, or placement.