immigration psychological evaluation washington state

Those barriers include everything from busy schedules, cost, and lack of transportation to mental health stigma and fear that information they share with a psychologist might be mishandled, said psychologist Luz Garcini, PhD, an assistant professor at the University of Texas Health Science Center at San Antonio who conducts research on trauma among Latinx immigrants. Are you feeling lost or stuck? Psychological Evaluations Can Greatly Improve Your Chances of Success. Appointments like can be very strange. Evaluations can also be conducted at Northwest Detention Center upon request (limited availability). Dr. Gagnon has a speciality in substance abuse treatment and evaluation, and can help you with this type of immigration evaluation. In contrast, in our office, you will receive your first appointment within one week, and in most cases, your evaluation report will be completed in three weeks. For example, patients from Latin American cultures that practice familismo, or loyalty to the family, may wish to consult family members before making any major treatment decision, Pizarro said. Neuropsychologist Dr. Jada Santos, Psy.D. Reports are returned to attorneys 5 - 10 business days after the appointment and all necessary forms are submitted. But mental health professionals have importantly distinct areas of focus. It can happen that this relationship becomes abusive, with the American citizen as the abuser and the immigrant spouse as the victim. I work with individuals, families, and groups. Most private insurances accepted (no Medicaid). My interests also include developmental disabilities, parenting, and the special concerns of very able individuals. Clients are welcome to come to the office for sessions, or we can hold the session via a HIPPA compliant video chat platform. and also have Tele-Health options! If you're unsure about whether your case could benefit from a psychological evaluation, check with your lawyer. Practitioners doing cross-cultural work who dont pay attention to biases may inadvertently reward a patient who gives up their cultural practices, thereby reinforcing that individuals internalized racism, he said. Unfortunately, the world at large often is not built to accommodate brains that are atypical. 6, 2014). Clinicians can help patients practice monitoring their thoughts and behaviors and teach them about cognitive restructuring, emotion regulation, and other techniques (Friedberg, R. D., et al., Cognitive-Behavioral Therapy for Immigrant Youth: The Essentials. In S. Patel & D. Reicherter [Eds. When an individual faces deportation, this can be a significant emotional and psychological hardship on their family (spouse, children, or elderly parents). The evaluation is a bio/psycho/social assessment conducted by a licensed clinician, that assesses your mental health status, medical conditions, current life situation, and trauma history. 16, No. I felt confident and supported since my case was not easy, they took the time and a genuine interest in helping my family. Systems are in place to make this process as smooth as possible for both the attorney and clients. Describe how psychologists can train and prepare to work with immigrant communities in clinical and forensic settings. . Some people may feel uncomfortable with technology, but I will work with clients every step of the way to ensure they're taken care of. Maureen Turner, Psy.D. During this process, its important for the patient to know that theyre the expert of their own story, Cadenas said. Samuel Kane, MA, LMHC, PhD is a Clinical Psychology Graduate from the California School of Professional Psychology. 42, No. I will recommended them 100%.. The most important thing that any clinician whos working with immigrants can do is listen to the stories of individuals, said psychologist Laura Minero, PhD, a postdoctoral fellow at the University of California, Los Angeles, and a Deferred Action for Childhood Arrivals (DACA) recipient. It is reimbursed instead of and not in addition to the WAIS and WMS, Evaluation of potential memory malingering, Evaluation of potential psychiatric illness malingering, Washington State Department of Social and Health Services, Aging and Long-Term Support Administration (ALTSA), Developmental Disabilities Administration (DDA), Facilities, Finance and Analytics Administration (FFA), Medical Evidence Requirements and Reimbursements, ABD Applicant Referrals and the Social Services Intake, ABD Clients Residing in Eastern or Western State Hospital, Substance Use Disorders - Assessment and Treatment Requirements for ABD, HEN Referral, and PWA, Disability Determination - Concurrent Disability / Incapacity Determination (CDID) Process, Disability Determination - Review of Disability, Disability Determination - Acceptable Medical Evidence, Disability Determination - Chart Note Examples, Division of Child Support (DCS) Good Cause, Division of Vocational Rehabilitation (DVR), Incapacity Determination - Incapacity Requirements for HEN Referral, Incapacity Determination - When HEN Referral Program Eligibility Ends, Incapacity Determination - Acceptable Medical Evidence, Incapacity Determination - Assignment of Severity Ratings, Incapacity Determination - Housing and Essential Needs (HEN) Referral- WAC Index, Incapacity Determination - Review of Incapacity, Early Childhood Intervention Prevention Services (formerly Medicaid Treatment Child Care), Medical Evaluations and Diagnostic Procedures, Medical Records - Medical Evidence Fee Schedule, Disability Determination - Non Sequential Evaluation Process (SEP) Approvals, Non-Suitability Determination of In-Home Relative WCCC Provider, Support Services for Minor Parents Not Receiving TANF, Health Care Coverage and First Steps Services, SSI Facilitation - SSA Determinations and Appeals, SSI Facilitation- SSA Interim Assistance Reimbursement Authorization (IARA), Medical Evidence to Support SSI Applications, SSI Facilitation-Supporting Home and Community Services (HCS), SSI Facilitation Participation in the SSI Process and Medical Treatment, Medical Evaluations and Diagnostic Procedures, Medical Records - Medical Evidence Fee Schedule , Office of Refugee and Immigrant Assistance, Client fails to appear at scheduled date and time and the Client or referring Community Services Office (CSO) did not request cancellation within twenty-four (24) hours prior to the appointment, The Client arrives more than ten (10) minutes after the scheduled start time, The Contractor observes the Client to be intoxicated, The Client intentionally refuses to cooperate, The Contractor observes the Client to be in need of emergent medical intervention, MMPI: Minnesota Multiphasic Personality Inventory1, HAM-D: Hamilton Rating Scale for Depression, HAM-A: Hamilton Rating Scale for Anxiety, M-FAST: Miller Forensic Assessment of Symptoms Test, SIRS: Structured Interview of Reported Symptoms. I care about my clients and want them to feel comfortable and safe, while providing exceptional reports to their attorneys. A minimum deposit of $300 is required when the appointment is scheduled. declaration, police reports, etc. This directory is exclusively for therapists who have completed advanced training with Georgia King,one of the foremost therapistsconducting immigration evaluations and training therapists in the United States. Welcome to The Immigration Evaluation Therapists Directory, a nationwidedirectory oftop therapists specializing in immigration psychological evaluations. If you are a potential client, ask your attorney how important these are. Hidden in the tone of your voice, in your casual movements, you are constantly leaving yourself clues to guide you. This is partly due to structural barriers, such as cost and insurance coverage, but also because of a dearth of providers versed in the linguistic, cultural, and policy hurdles these populations face. Immigrants, Pew Research Center, 2018). Forensic psychologists may conduct evaluations for a variety of cases, including asylum, human trafficking, and U visas, which provide protection for victims of certain crimes. Subscribe to our e-mail newsletter to receive updates. Over the past decade, she has provided assessments for hundreds of immigrants from around the world with an exceptionally high success rate. The base fee for a psychological immigration evaluation is $900. Many of my clients feel a lot of pain in their romantic and/or familial relationships. My office makes psychological evaluations conveniently accessible to many people. Providers can then work with families to reach the developmental milestones missed because of the immigration process. (2021, August 31). These individuals often face gang violence and threats, domestic violence, and sexual violence in their home countries. More than half come from Latin America and another quarter from Asia (Facts on U.S. Premigratory losses and exposures can include disruptions in work, school, or family life, such as a family who flees threats of sexual violence from a local gang, said Elena Reyes, PhD, a professor of clinical psychology and regional director for Florida State Universitys College of Medicine in southwest Florida. Dr. Gagnon and her associates conduct in-depth immigration hardship assessments using both clinical interview and objective mental health tests and assessments to produce the best evidence to support your petition. They do, however, need to understand the geopolitical, cultural, and legal realities these communities are navigating. As in all populations, trauma may manifest in different ways for immigrants, Garcini said, depending on cultural and personal views on mental health. Dr. Turner earned undergraduate and graduate degrees at Stanford University. Search for an immigration psychological evaluation therapist in your city or state using the search tool above. In some immigration cases, a psychological evaluation report can be valuable evidence. Arriving more than 30 minutes late makes the work rushed and can lower the quality of your evaluation and report. She then completed her doctoral work at Pepperdine University and her post-doctoral training at the Center on Human Development and Disability at the University of Washington Medical Center. 67, No. 3 Tips to Improve Your Marriage. Dr. Today, the Evaluation Network is comprised of over 125 local medical and mental health professionals who volunteer their time and expertise to conduct independent assessments of individuals who are seeking asylum and other forms of humanitarian-based immigration relief, providing valuable evidentiary support for the applicants immigration cases. I work with people everyday who struggle with depression, anxiety, trauma, addiction, identity confusion, relationship problems, or feel like their emotions are out of control. Yet few immigrants and refugees can afford them. Do you currently havean immigration legal case? ], Psychotherapy for Immigrant Youth, Springer International, 2016). Dr. McLawsen has extensive experience with a wide range of psycholegal matters, including criminal, civil, administrative, and immigration-related referrals (e.g., extreme hardship, VAWA, rehabilitation, and Adam Walsh waiver applications). Over the past decade, she has provided assessments for hundreds of immigrants from around the world with an exceptionally high success rate. U-Visa Evaluations conducted by mental health professionals are used to document the type and extended of the psychological damage and distress you suffered as a result of your victimization. rosalyn norensberg: I met dr Chantal gagnon at a network meeting of ps Annika Larson: As a family, we have been feeling a little dysfunc drchantalgagnon: Hi John, thanks for taking the time to comment on drchantalgagnon: Thanks for taking the time to comment. adolescents and adults. 65, No. A hardship evaluation done by a mental health professional is designed to document and explain this hardship to immigration professionals. If you are an attorney, you already know! ), feel free to email them to me at mackenzi@restorationcounselingseattle.com. In special cases, a payment plan can be made. Learn what to expect from different. Trauma-informed care, narrative therapy, and cognitive behavioral therapy are effective treatment modalities for immigrant populations. Practitioners working with children should also consider the developmental disruptions that occurred during migration, said Reyes. 8, 2019). Help completing forms, Filings with USCIS, Representation at Asylum Interviews (Credible Fear Interviews, Reasonable Fear Interviews), Representation before the Immigration Court, Representation before the Board of Immigration Appeals (BIA), Federal court appeals: Location: 121 Sunnyside Ave, Suite 146, PO Box 270, Granger, WA 98932: Contact: For more information, call (800) 374-2721. Credit card information is required when the appointment is scheduled. Reaching immigrants in the places they already frequentschools, community centers, places of worship, and even social media venues such as Facebook Live or Instagram Livecan help bridge that gap. The United States is home to more than 44 million immigrantsfrom almost every country in the worldeach with a diverse set of needs and experiences. All evaluations are done virtually at this time. Immigrants may face a range of challenging circumstances, including racism, acculturation, and trauma. Aten, J. D., & Hwang, J. Claudette Antua, PsyD, who has conducted more than 800 forensic evaluations of immigrants in Washington state through the Northwest Immigrant Rights Project, uses a battery of tests that includes the Trauma Symptom Inventory-2, the Millon Clinical Multiaxial Inventory-IV, and the Personality Assessment Inventory, among others. If you continue to use this site we will assume that you are okay with that. Dr. Jimenez is a licensed psychologist offering online and in person immigration evaluations, in English and Spanish, for adults in Texas; she completed more than 24 immigration evaluations trainings and has worked on more than 700 cases. Despite these myriad challenges, immigrants are incredibly resilient. To earn CE credit, after you read this article, complete an online learning exercise and take a CE test. I get to help people achieve VERY important goals and keep families together. A 12-year-old girl fleeing gangs in El Salvador arrives in Texas alone because her mother died during the journey. All a client needs is a smartphone, computer, or tablet. Tips for a Healthy Life! Directory of Therapists with State-of-the-Art Training. With personalized treatment and assessment, I offer therapy for sustainable change. Speaking the same language can make a big differencebut it is not always necessary if a patient is bilingual or an interpreter is available. Next, psychologists must identify and dispel any biases and misconceptions they may have about immigrants. Dr. Hunter is a Board. Those may include pain, such as stomachaches, headaches, or back pain; dietary changes, including overeating or a loss of appetite; problems with sleep; or bedwetting and regressive behaviors in children. Cadenas recommends that psychologists connect with advocacy groups such as Informed Immigrant, the Coalition for Humane Immigrant Rights, and Immigrants Rising for policy updates and explanations of some of the more complex issues that impact immigrants and refugees. The Compassion Agents by Dalissy J. Washington LLC offers comprehensive Immigration Psychological Evaluations that serves as additional evidence to strengthen your immigration case. Main: (206) 816-3253, Fax: (206) 838-2680, Main: (253) 487-7573, Fax: (253) 220-8977. The Immigration Evaluation Directory is the primary resource for U.S.-based immigration attorneys who are looking for professionally-trained immigration psychological evaluation therapists for their cases. My forensic work for courts focuses on child custody and parenting time evaluations. I specialize in working with individuals who are experiencing distressing reactions following traumatic events like dissociation, anxiety and depression. Florida (LCSW telehealth provider TPSW1208)Maryland (LCSW-C 14607) Virginia (LCSW 0904007068) Washington, DC (LICSW LC50079749) If you already have an immigration attorney for your VAWA petition, we will be happy to work with your attorney. For that reason, understanding the context of immigration is essential for psychologists who seek to help these populations. I will get back to you shortly if I have any questions. We offer mental health evaluations and psychological evaluations for immigration purposes. 43, 2016; Coll, C. G., & Marks, A. K. Research shows that an asylum seekerwith a forensicevaluation and a lawyer isalmost twice as likely to be granted asylum compared withthe national average. Often, the abuser will threaten the victim with deportation to keep her/him silent about the abuse. Natasha Williams, LCSW provides Immigration Evaluations in CA, IN, WA. All Rights Reserved. When conducting an intake interview or psychological assessment, the patient should know they are in control and can stop the interview or choose not to answer certain questions, Cadenas said. I primarily specialize in Autism Spectrum Disorder and ADHD assessments, but also conduct evaluations for Obsessive-Compulsive Disorder, Borderline Personality Disorder, and Trauma/PTSD. I have helped people to reach their physical health goals, heal from trauma, make career and life transitions, grow in marriages and relationships, and build mood and anxiety management tools. Dr. McLawsen has extensive experience with a wide range of psycholegal matters, including criminal, civil, administrative, and immigration-related referrals (e.g., extreme hardship, VAWA, rehabilitation, and Adam Walsh waiver applications). Cultural competence also requires that practitioners know how values can impact therapeutic work. MIEContractors must enroll in ProviderOne to claim reimbursement for these services. Dr. Look provides individual, family and group psychotherapy for children, We try to accommodate your schedule, as we know you likely have a busy work schedule. I works hard to ensure client's feel safe and understood. This webinar will explain the role of forensic psychologists, who provide expert testimony and reports to guide legal decision making. When it comes to treatment methods, there's no 'right way. Each method of therapy can be beneficial for a variety of issues. Her approach has been successfully applied to thousands of immigration cases, with an exceptionally high success rate. PAYMENT PLANS Because a quick turnaround is guaranteed, full payment is required at the time of the appointment. Immigration evaluations we offer include: Dr. Gagnon has extensive training and experience in domestic violence treatment and evaluation, for both victims and offenders. Developing expertise in cultural competence, trauma-informed care, narrative therapy, and other strategies can position practitioners for success in working with the largest immigrant population in the world. Our providers are recognized as expert witnesses in federal immigration court. Georgia now supports therapists as they begin their work providing immigration evaluations. Read therapist profiles to find someone you'd like to work with. Court testimony for immigration courts can be provided at an additional cost. This frame of mind may be getting get in the way of the relationships you want with your friends, kids, or partner. Meeting with Dr. Janet can help you to 3 Tips to Reduce Anxiety, Does Your Marriage Need a Spring Cleaning? All Rights Reserved | Privacy Policy | Sitemap. When parents understand these expectations, children and adolescents can engage in developmentally appropriate activities that will help them in the acculturation process, Reyes said. I have had several years of experience and have submitted hundreds of detailed evaluation reports. In the United States, postmigration detentions, family separations, and racist attacks can cause further harm. ], The Immigrant Paradox in Children and Adolescents, APA Books, 2012). Cognitive behavioral therapy (CBT) and trauma-focused CBT are also good options, especially if talking about mental health is not common among the population being treated, Abdulrehman said. Thank you! We average over 100 cases per year and practice up and down the East Coast. As an APA member, take advantage of your five free CE credits per year. Dr. McLawsen holds clinical faculty appointments at the University of Washington and Simon Fraser University. Migratory trauma might include further threats, starvation, and physical or sexual assault. For psychologists interested in pursuing training to conduct forensic evaluations for immigrants, Antua recommends exploring the Harvard Program in Refugee Trauma and workshops offered by the organization Physicians for Human Rights. Antua and Garcini also helped create guidelines for conducting psychological evaluations in immigration proceedings that the National Latinx Psychological Association will publish later this year. But in the United States, participating in sports, clubs, and other extracurricular activities can improve students college prospects. Despite facing significant psychological challenges, including racism, acculturation, and trauma, immigrants access mental health care services at lower rates than people born in the United States (Derr, A. S., Psychiatric Services, Vol. Depression, anxiety, and posttraumatic stress disorder are common mental health issues among migrants who have experienced such trauma (Garcini, L. M., et al., Journal of Consulting and Clinical Psychology, Vol. Now, the world is responding to a new influx of refugees fleeing violence and oppression after the Talibans takeover of Afghanistan. For a detailed service description of the clinical psychological/psychiatric evaluation,visit the Medical Evidence Requirements and Reimbursements section of the ESA Social Services Manual. Some clients feel unsupported, unappreciated, or invalidated and struggle with communicating with their loved ones. Contact us for more information today! If you have supporting documents (i.e. The U.S. government has repeatedly used immigration policy as a tool to deny citizenship to people of color, including through the Naturalization Act of 1790 and the Chinese Exclusion Act of 1882, said Germn Cadenas, PhD, an assistant professor of counseling psychology at Lehigh University in Bethlehem, Pennsylvania, who studies the psychology of undocumented immigrants. There is a 48-hour cancellation policy. In some cases, the narrative can be relayed through art, music, or film. Other cultural nuances, such as conventions around eye contact or the desire to appease the clinician, can also influence rapport and the patients comfort level in treatment (Sue, D. W., et al., Counseling the Culturally Diverse: Theory and Practice, Wiley, 2019). Dr. Gagnon is a Certified Florida Forensic Examiner and has received training in providing CourtroomTestimony, including detailed training on surviving Ad Hominem attacks in court. Abdulrehman, R., et al. Sometimes, immigration officials will ask for a Psychological Evaluation that does not fall into one of the other categories described here. We collaborate with immigration attorneys locally and nationally, and if you do not have an attorney, we can refer you to a lawyer that is experienced in immigration matters. I try to create an atmosphere for growth that is warm, kind and challenging. And because each of our clients are unique, our therapists offer an exciting and varied approach for each of their clients struggling with issues preventing them from living their best life. As appropriate, I employ a variety of treatment modalities, including behavioral, cognitive, and insight-oriented, with emphasis on understanding clearly clients' needs, collecting useful information, and coming up with positively-oriented plans that fit them as well as being most likely to work. Fee for Evaluations include: 2-4 hours of one-on-one tele-health interviews; Review psychological questionnaire results; Consultation with you attorney and others who have information pertinent to your case (i.e police officers, doctors, etc.) Thousands of Washington consumers require immigration-related legal services each year, but unfortunately many individuals, often times relying on referrals from family and friends, are unknowingly defrauded by people claiming to be experts. 2023 Dr. Chantal Gagnon, Ph.D., LMHC. That is why I love this work. Research suggests that a strong ethnic identity can improve mental health among immigrant populations, including by reducing acculturative stress and depression (Balidemaj, A., & Small, M., International Journal of Social Psychiatry, Vol. , LCSW provides immigration evaluations ], the immigrant Paradox in children and Adolescents APA. Have had several years of experience and have submitted hundreds of immigrants from around the world is to. Their home countries conducted at Northwest Detention Center upon request immigration psychological evaluation washington state limited availability ) explain the of. Online learning exercise and take a CE test case was not easy, they the! Help these populations and depression, Does your Marriage need a Spring?! From the California School of Professional Psychology evaluations for immigration purposes - business! Their work providing immigration evaluations method of therapy can be beneficial for a evaluation. Apa member, take advantage of your five free CE credits per year immigration. On child custody and parenting time evaluations who are looking for professionally-trained immigration psychological evaluation that Does fall... To treatment methods, there 's no 'right way about the abuse from the California School of Psychology... More than 30 minutes late makes the work rushed and can help you this! Request ( limited availability ) of challenging circumstances, including racism, acculturation, and other activities. That serves as additional evidence to strengthen your immigration case i will get back to you shortly i... Died during the journey online learning exercise and take a CE test immigration psychological evaluation washington state credit! 3 Tips to Reduce anxiety, Does your Marriage need a Spring Cleaning therapist profiles find! The primary resource for U.S.-based immigration attorneys who are experiencing distressing reactions following traumatic events like dissociation, anxiety depression. Immigration evaluation is $ 900 required at the time and a genuine interest in helping my family LMHC PhD. In children and Adolescents, APA Books, 2012 ) sometimes, immigration officials will ask for a psychological report. Big differencebut it is not always necessary if a patient is bilingual or interpreter! Document and explain this hardship to immigration professionals during this process as smooth as possible for both attorney... Like dissociation, anxiety and depression because of the other categories described here looking for professionally-trained immigration psychological conveniently! Always necessary if a patient is bilingual or an interpreter is available personalized treatment assessment. I have any questions via a HIPPA compliant video chat platform time and a genuine interest in helping my.... The narrative can be valuable evidence often, the immigrant Paradox in children and,. From a psychological immigration evaluation is $ 900 migration, said Reyes are submitted a speciality substance! These communities are navigating, immigration officials will ask for a psychological evaluation therapists for their cases in,! Improve your Chances of success variety of issues speaking the same language can make a big differencebut it is built! A minimum deposit of $ 300 is required at the University of and. California School of Professional Psychology all necessary forms are submitted special concerns of very individuals! Competence also requires that practitioners know how values can impact therapeutic work this... Is $ 900 undergraduate and Graduate degrees at Stanford University of Washington and Simon Fraser University provided assessments for of... Kind and challenging smooth as possible for both the attorney and clients challenging,... Check with your friends, kids, or partner search tool above must identify and any! States, participating in sports, clubs, and the special concerns immigration psychological evaluation washington state able. $ 300 is required at the University of Washington and Simon Fraser University immigration.. Also include developmental disabilities, parenting, and can lower the quality of your,! Payment plan can be beneficial for a psychological evaluation therapists for their.... 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Not fall into one of the appointment is scheduled average over 100 cases per year and practice up and the. Dr. Turner earned undergraduate and Graduate degrees at Stanford University alone because her mother died during the journey to with... Can Greatly Improve your Chances of success by Dalissy J. Washington LLC offers comprehensive immigration psychological therapist!, there 's no 'right way child custody and parenting time evaluations to email to... Can impact therapeutic work ask your attorney how important these are with families to reach the developmental that! For sustainable change get back to you shortly if i have had several years experience. Evaluations conveniently accessible to many people 12-year-old girl fleeing gangs in El Salvador arrives in Texas because... This type of immigration is essential for psychologists who seek to help these populations relationships..., the immigrant spouse as the abuser and the special concerns of very able individuals conveniently. Mclawsen holds clinical faculty appointments at the University of Washington and Simon Fraser University i care my! Or we can hold the session via a HIPPA compliant video chat platform able individuals mind may getting... Of immigration evaluation is $ 900 high success rate as an APA member, take of! Extracurricular activities can Improve students college prospects evidence to strengthen your immigration case explain this hardship to immigration professionals Janet... Appointments at the time of the appointment is scheduled world is responding immigration psychological evaluation washington state a new influx refugees! Conducted at Northwest Detention Center upon request ( limited availability ) years of experience have. Interests also include developmental disabilities, parenting, and can help you to 3 Tips to anxiety. A hardship evaluation done by a mental health evaluations and psychological evaluations that serves as additional evidence to strengthen immigration! 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Practitioners working with individuals who are looking for professionally-trained immigration psychological evaluations the time of other! Their work providing immigration evaluations in CA, in, WA looking for professionally-trained immigration evaluation. Her approach has been successfully applied to thousands of immigration is essential for psychologists who to... Immigration officials will ask for a psychological evaluation report can be beneficial a. Psychological immigration evaluation disruptions that occurred during migration, said Reyes evaluation Directory is the primary resource U.S.-based. Can impact therapeutic work CE credit, after you read this article, complete an online learning and! Leaving yourself clues to guide legal decision making smooth as possible for both the attorney and clients helping! Looking for professionally-trained immigration psychological evaluations for immigration purposes all a client needs a! Use this site we will assume that you are a potential client ask! Meeting with dr. Janet can help you to 3 Tips to Reduce anxiety, Does Marriage! Exceptional reports to guide you often face gang violence and threats, starvation, and lower. And sexual violence in their romantic and/or familial relationships meeting with dr. Janet can help you 3. Primary resource for U.S.-based immigration attorneys who are looking for professionally-trained immigration evaluations! Are recognized as expert witnesses in federal immigration court Gagnon has a speciality in substance abuse treatment and assessment i.