Psychiatric Evaluation vs. Psychological Assessments

When it comes to mental health care, two terms often cause confusion: psychiatric evaluation and psychological assessment. While they sound similar, they serve different purposes and involve different types of professionals. Understanding these differences can help you make informed decisions about your mental health treatment or guide you in supporting a loved one.

In this guide, we’ll explore what each process involves, who performs it, when it’s needed, and how it can help you move toward better mental health.

A psychiatric evaluation is a medical assessment performed by a psychiatrist, who is a licensed medical doctor specializing in mental health.

Key Features:

Focus: Diagnosing mental health disorders (e.g., depression, anxiety, bipolar disorder, schizophrenia).

Methods Used: Reviewing medical history, discussing symptoms, performing a mental status exam.

Duration: Usually 30–60 minutes.

Outcome: A diagnosis and, if appropriate, a medication treatment plan.

👉 Example Search Query: “psychiatric evaluation for anxiety near me”

This type of evaluation is ideal if you’re experiencing severe symptoms, require medication, or need medical management for an ongoing condition.

A psychological assessment is a comprehensive evaluation conducted by a psychologist (doctoral or master’s level). Unlike psychiatrists, psychologists do not prescribe medication. Instead, they use standardized tools to measure cognitive, emotional, and behavioral functioning.

Key Features:

Focus: Understanding how your mind works and identifying underlying conditions.

Methods Used: Interviews, questionnaires, behavioral observations, and standardized psychological tests.

Duration: Several hours across multiple sessions.

Outcome: A detailed report with personalized recommendations for therapy and support.

👉 Example Search Query: “psychological assessment for ADHD in Ontario”

This type of assessment is especially useful for diagnosing learning disabilities, ADHD, trauma-related difficulties, and other behavioral or emotional challenges.

Choose a Psychiatric Evaluation If:

You need a diagnosis for mental health medication.

You’re experiencing severe symptoms impacting daily life.

You require medical treatment for ongoing psychiatric conditions.

Choose a Psychological Assessment If:

You need clarity on learning difficulties or attention issues.

You want to understand behavior, memory, or emotional challenges.

You’re seeking tailored therapy recommendations.

Many people ask: “How much does a psychological assessment cost in Ontario?”

Psychiatric Evaluations are often covered under OHIP when referred by a physician.

Psychological Assessments are usually not covered by OHIP, but may be partially reimbursed through extended health insurance, workplace benefits, or private payment.

Both evaluations and assessments play a critical role in mental health care. By choosing the right option:

You gain clarity on your condition.

You receive tailored recommendations.

You can start the right path toward therapy, medication, or combined treatment.

If you need diagnosis and medication, a psychiatric evaluation is the right step.

If you need in-depth testing and therapy guidance, a psychological assessment is the best choice.

At Town Psychological Services, we provide comprehensive psychological assessments for children, teens, and adults. Our assessments are personalized, evidence-based, and designed to give you clear answers and effective treatment plans.

👉 In-Person Sessions: Available in Oakville and the GTA.
👉 Online Therapy: Secure and accessible across Ontario.