Patients can often benefit from a second opinion, the initial consultation with all patients entails a 90 minute to two-hour evaluation. During the appointment a thorough and detailed history will be obtained and at the conclusion of the meeting a comprehensive plan will be suggested. The specific type of treatment along with a plan for duration and frequency of appointments will be jointly decided upon the completion of the initial assessment. This suggested plan can be with the evaluating psychiatrist, or an export clinician who specializes in the specific condition being treated.