Initial evaluations with adults typically occur over two visits. These visits allow the time and opportunity for an individual to express current concerns, any history of the difficulties that have led to the referral, and to allow an ongoing dialog between the patient and clinician to further explore background and current concerns. This approach is very important for correct diagnosis and treatment planning. As with any patient coming to Bartky Healthcare, a diagnostic impression, an agreed upon treatment plan, and discussion of how progress will be measured is key.