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South East Eating Disorders Scotland NHS Lothian | Our Services

Initial Assessment

What does an initial assessment appointment involve?

An initial assessment involves an appointment with one of the clinicians within the team. They could be a psychologist, psychological therapist, a psychiatrist or a nurse – they will share information about their professional background when you meet them.

Photogaph of staircase in assessment builing

This appointment may be over the telephone, or via the NHS video link called “Near Me”, or in person at the Cullen Centre. A first appointment usually lasts between 30-90 minutes. You are always welcome to bring a friend/partner/parent with you for all or part of the session if that would be helpful.

We call the first appointment a “screening assessment” because we will be trying to work out with you:

  1. Are we the best service to help you?
  2. If we are the best service what do you need from us? Is it psychological therapy? What kind? Do you need a medical check up or dietetic advice? Would medication help or do you need further tests? Would it help to involve your family?
  3. If there is likely to be a further wait to start treatment what advice can we give that may help you start making progress straight away?
  4. What do you think will work best for you – what have you tried before?

For us to work this out with you, we will ask about your eating, your current situation, your mood, your physical health, key difficulties growing up and any previous treatment. You know yourself best, so we always try and leave space for you to tell us what you think are the most important things for us to know. If some things are difficult to talk about, especially at a first meeting then its fine to tell us that: it’s OK to say you have a problem with “X” but you don’t feel ready to discuss it today. 

At the end of the appointment, we will make a plan about the next steps, how long you might need to wait and any self help or other services that might be useful. You will be welcome to ask any questions.  We will also write a letter to your GP to let them know the plan and ask if you would like a copy of the letter.