Psychosexual Evaluation
Psychosexual
Evaluation
Free initial consultation for attorneys looking for
an expert witness for a psychosexual evaluation.
Free initial consultation for attorneys
looking for an expert witness for a psychosexual evaluation.
If you are an attorney, Schedule your Free Initial Consultation
If you are an attorney, Schedule your Free Initial Consultation
Can I schedule an initial consultation
without an attorney?
Yes, you can schedule an initial consultation directly if you do not have an attorney, however you will have to pay an initial consultation fee.
There are generally two types of psychosexual evaluation:
- Psychosexual evaluation for clinical treatment (No court order)
- Psychosexual evaluation for court
A Psychosexual Evaluation for Clinical Treatment may be requested for the following reasons
- An individual is having sexual thoughts that are disturbing or upsetting to them.
- An individual is having sexual fetishes or behaviors that are affecting their relationships and ability to experience sexual pleasure
- A person is experiencing asexuality or loss of sex drive
- An individual or couple is seeking sex therapy.
Typically, people with worrying sexual thoughts or behaviors do not break the law or harm others, but themselves feel distress or relationship disturbance.
Psychosexual Evaluation for Court
You may need a psychosexual evaluation for court if you have been charged with the following crimes.
Types of sexual offenses:
Public Lewdness
Indecent Exposure
Looking at child pornography
Pedophilia
Having a consensual sexual relationship with an adolescent, or someone over the age of 13 but under the age of 18.
Revenge porn
Inappropriate touching of a minor ( individual under the age of eighteen)
Inappropriate touching of an adult
Rape
Grooming a minor
Violent sexual assault
Sexual Trafficking
Soliciting a prostitute
Charges for sexual crimes vary a lot in severity, and the purpose of an evaluation is to determine intent, dangerousness, and risk of re-offending.
Every situation is different. Consequences of having an evaluation completed by an inexperienced, unqualified, or untrained interviewer can lead to longer sentences and excessive monitoring for minor, non-violent crimes.
Ideally, a psychosexual evaluation for court should be completed by a Board Certified Psychiatrist with forensic experience. It is important that the interviewer does not conduct an insufficient or incomplete report due to negative countertransference or feelings towards the client.
A psychosexual evaluation requires
an approach that is:
Thorough
Professional
Clinical
Objective
Non Judgemental
Considers treatment and rehabilitation
Board Certified Psychiatrists at Gaba Telepsychiatry are experienced conducting psychosexual evaluations For court
When pleading not guilty, the purpose of the evaluation is to determine:
Risk factors for dangerousness
Intent
Evaluate other psychiatric illnesses
Screen for brain injury
Screen for autism and vulnerability to exploitation
Whether your story is believable
Whether your story is consistent
Whether your story is consistent with the evidence.
Risk of repeat arrest or reoffending.
Whether you are a danger to the community
Psychosexual Evaluation for Court
There are several reasons why you may need a psychosexual evaluation for court
You have been accused of a crime and want to tell your side of the story and attempt to demonstrate your innocence
Learn more about psychosexual evaluation for criminal defense
You have been charged excessively for a relatively minor crime
Examples of minor crimes can include exhibitionism, masturbation, public lewdness, lewd comments, making unwanted advances, but not forcing oneself, misinterpreting signals, but not forcing oneself on another.
If your crime is not violent and you do not feel you are a candidate for monitoring or sex offender groups, this may be a reason to have a psychosexual evaluation.
Learn more about how to Negotiate Monitoring and treatment
You intend to plead guilty to a crime and want to demonstrate that you are not a danger to the community prior to a plea deal. You want to explain mitigating circumstances with a request for a more favorable plea.
Psychosexual evaluation for plea-bargain
- You want to demonstrate you are able to follow the conditions of probation or parole.
- You want to demonstrate that you have received treatment for substance abuse .
- You want to demonstrate that you have received treatment for concurrent mental illness.
- You want to demonstrate that you have sufficient insight and impulse control to avoid re-offending.
- You want to be assessed for medical conditions such as traumatic brain injury or psychosis, which may have contributed to impaired judgment or disinhibition.
Ultimately, the purpose of the evaluation is to demonstrate that you are not a danger to the community, which may lead to a lighter sentence or probation for minor crimes.
Call 1833-312-4222 and ask to speak to a ‘forensic consultant’ to schedule your evaluation.
Learn more about how a Psychosexual Evaluation can help your Plea
You have served your sentence and want to demonstrate that you are able to follow the conditions of parole
Psychosexual evaluation for parole
- You want to demonstrate that you have completed any mandatory courses or group therapy.
- You want to demonstrate that you are not suffering from a psychiatric disorder or substance abuse disorder that may increase your risk of reoffending
- You want to demonstrate that you have sufficient life goals and want to avoid reoffending.
- You want to demonstrate that you have sufficient community support or responsibility to family and others to avoid reoffending and are motivated not to be reincarcerated.
- You want to demonstrate that you have demonstrated sufficient impulse control since the offense and are not a repeat offender.
- You want to demonstrate, and you have sufficient insight to take the steps needed to avoid reoffending.
You want to make sure you are not subjected to excessive monitoring
Common questions:
How are convicted sex offenders monitored
Will I need sex offender monitoring?
How long will it take to need monitoring as a sex offender?
Will I have to wear an ankle bracelet?
After being convicted of a sex offense, you may be mandated to participate in community monitoring.
Types of monitoring include:
Level One Monitoring
Level one monitoring means you must notify the relevant authorities of your location.
You also may not be allowed to work in certain places, like schools. However, you do not have to wear an ankle bracelet, and your name is not listed online as a sex offender.
Level Two Monitoring
Level two monitoring means that you are listed online as a sex offender. Your neighbors can look you up and see that there is a convicted sex offender living in your residence.
Level Three Monitoring
Level three monitoring means you may have to wear an ankle bracelet and be listed online as a sex offender. Level three monitoring is typically reserved for violent sexual crimes, crimes involving children, and repeat offenders.
SORAG
How is the level of monitoring of convicted sex offenders determined?
The level of monitoring of sex offenders is determined by a psychiatric evaluation and also the SORAG. However, the SORAG has multiple limitations.
- It may not be scored by a qualified person.
- It is not appropriate for crimes such as viewing child pornography.
- It is not appropriate for crimes such as public lewdness.
If you and your attorney feel the level of monitoring recommended is excessive for the crime, it may be worth getting a second opinion, as in many cases, there are errors in the manner in which the SORAG is scored and administered.
Consequences of excessive monitoring
- Prisoners are unable to move forward with their lives after serving their sentence.
- Family and children may be subject to verbal and physical attacks as well as humiliation.
- Community resources are spent monitoring individuals who are at very low risk of reoffending or have been convicted of non-violent crimes. This means those convicted of serious sexual crimes such as rape, grooming of minors, and violent sexual crimes, as well as repeat offenders, are not monitored.
Schedule an appointment for a second opinion if your level of monitoring is excessive
Be Realistic
If you have been convicted of a relatively minor, non-violent crime, then it is worth getting a second opinion.
If you are a repeat offender or have been convicted of serious, violent, or exploitative sex crimes, you may not be entitled to a lower level of monitoring. The focus may be on rebuilding your life.
Psychotherapy is an important part of rehabilitation, as those convicted of sexual offenses face prolonged stigma, difficulty gaining employment, and difficulty forming new relationships. If you meet the criteria for prolonged level two or three monitoring, focus on rebuilding your life.
The purpose of the initial screening appointment would be to give you an idea of the likelihood that your application will be successful. We may advise you not to go forward with the application if you meet the criteria for prolonged level two or three monitoring.
You have served your period of monitoring
Can I stop being monitored as a sex offender?
If you have completed your recommended period of monitoring or you feel you are eligible to reduce your level of monitoring, you will need a psychosexual evaluation to demonstrate that you are not a danger to the community. This usually includes:
- Demonstrating that there have been no subsequent charges or arrests
- Demonstrating insight
- Demonstrating adherence to treatment
- Demonstrating that years and age have contributed to maturity
- Demonstrate that you understand the consequences of re-offending.
Learn more about whether you may qualify for release from monitoring or less restrictive monitoring
You want to appeal your sentence
How can I appeal my sentence for a sexual offense?
Sentences for sexual offenses can be both excessively harsh and excessively lenient. A lot depends on the emotional response of the Judge and jury, their view of the victim, the view of the defendant, and their own personal experiences. While severe sexual offenses usually require jail sentences, sometimes sentences are more severe than for murder.
If you have been found guilty of a crime, you may have to serve a jail sentence. However, if you and your attorney feel that the sentence is disproportionate to the crime, a psychosexual expert may help appeal your sentence. The goal of the evaluation would be to demonstrate:
- Remorse
- Level of insight
- Dangerousness
- Risk of reoffending
- Strategies to prevent the risk of repeat offenses
- Post-discharge monitoring plan
- Motivation not to be re-incarcerated
A thorough psychosexual evaluation may provide the judge and parole board enough information to allow them to feel comfortable reducing your sentence. Ultimately, the goal is to request that the sentence be proportionate to the crime and the level of an individual’s risk to the community.
Learn more about how acquiring a psychosexual to appeal your sentence
Once again, it is important to be realistic, and if you have committed a serious crime, an appeal may not be effective.
I am a repeat sexual offender
Psychosexual evaluations are rarely successful in assisting appeals and lenient sentences for repeat offenders who commit serious crimes. However, a psychosexual assessment may help identify Brian’s lesions, which could be contributing to the repeat offense. It such cases, an offender may be transferred to a forensic psychiatric facility.
Likewise, medications can be recommended to reduce aggression and impulsivity.
- Psychiatric Evaluation
• Screening for Schizophrenia, Bipolar disorder
• Screening for Autism
• Screening for Narcissistic personality, Borderline personality, and Antisocial personality - Psychosexual History
- Medical History, reviewing for evidence of seizures, stroke, and Traumatic Brain injury, etc
- Violence Risk Assessment
- SORAG ( Sex Offender Rating Instrument)
- Impulsivity Scales
- HARE psychopathy scale
- Cormier Lang
- Childhood Conduct Disorder Scale
- Childhood taxonomy scales.
- Treatment recommendations
- An opinion as to whether an individual can follow the conditions of probation or parole
- An opinion on whether the accused is likely to reoffend.
- An opinion on whether the accused is a danger to the community.
- Treatment recommendations, if applicable.
Learn how to schedule an appointment for a psychosexual evaluation for court or parole
How to prepare for a psychosexual evaluation?
- Try to obtain your medical records if possible.
- Provide evidence of completing mandated courses if applicable.
- See a therapist, demonstrate that you are working on yourself.
- Acknowledge responsibility where applicable.
- As your attorney, for copies of court motions and discovery.
- Try to maintain employment if possible.
- Obtain character references where applicable.
- Demonstrate adherence to substance abuse treatment.
- Demonstrate insight and what can be done to avoid the risk of future arrests or convictions.
Generally, the evidence is in the discovery. You cannot admit to something that you did not do. However, be as truthful as possible. The fact that your story is consistent with evidence and does not change is an important factor in determining whether you will be believed. Do not omit details even if embarrassing.
For example, if you were masturbating on the beach, admit that it is what happened. Explain the details, for example, that you were intoxicated and did not think anyone was watching or paying attention. Demonstrate that you did not intend to embarrass, hurt, or violate anyone else and that you have learnt your lesson. Do not deny that the event ever happened, even if your motive for lying is embarrassment. Not telling the truth during an evaluation, especially if the evidence against you is clear, has a negative impact on your credibility and does not demonstrate that you are at low risk of reoffending.
Instead, demonstrate an understanding of the precautions that you need to take to avoid further arrests, e.g., don’t drink in public, never assume you are not being watched, psychotherapy if needed. Sometimes, very benign medications like antidepressants can reduce sex drive. Show insight and demonstrate a desire not to let the same thing happen again. Also, demonstrate that you are able to follow through on steps that will prevent reoffending.
Learn how to schedule an appointment for a psychosexual evaluation
How much does a
Psychosexual Evaluation cost?
- A psychosexual evaluation for clinical treatment is priced the same as a regular clinical intake, which is $400. A follow-up appointment is $250.
- Psychosexual evaluation for parole, without contesting, monitoring $2000.
- If you have pled guilty, are not contesting monitoring, or have already accepted a plea deal, a psychosexual evaluation is $3000.
- If you are contesting monitoring and have served your sentence of $5000. This evaluation involves repeating the SORAG and reviewing the discovery.
- If you are negotiating a plea deal and are contesting monitoring, this is a more detailed evaluation for $7500.
- If you are working to prove your innocence, this involves a review of collateral, risk assessment scales, and a review of all the evidence in detail, including inconsistencies in the court motions. Typically, such evaluations are priced at $12000.
Psychosexual evaluation for clinical treatment
The overwhelming majority of individuals with distressing sexual thoughts and behaviors do not commit crimes, but may require treatment due to distress or interference with relationships.
Asexuality
Means you are content not having sex frequently, however this may cause distress to your partner and may be causing problems in your relationship. You may be content just to read a book, watch a film, or have a conversation with your partner.
Loss of sexual desire
This is most commonly due to medical illness, stress, or relationship discord.
Sexual Paraphilias
A paraphilia is considered a persistent inability to be aroused by normal sexual intercourse. Instead of being exclusively aroused by sexual behaviors, which may seem strange to many. While many paraphilias, such as foot fetishes and role play, can be considered harmless, some can potentially get you into legal trouble, for example :
Voyeurism: (Peeping Tom) watching others have sex, who do not know they are being watched
Froteurism: Rubbing against others in the train, bus, or crowded space without their consent.
Exhibitionism: Exposing oneself in public.
Paraphilias may or may not be associated with childhood trauma
Goals of therapy include sublimating sexual desires without violating the rights of others.
OCD with sexually intrusive thoughts
Individuals with OCD and sexual intrusive thoughts do not act on them and do not become aroused by them. However, the thoughts can cause a significant degree of distress.
Examples of thoughts include:
- You are a rapist
- You are a dirty pedophile
- What if I am a rapist
If sufferers do have thoughts, they are typically ashamed and may not seek treatment due to fear of being arrested, not realizing a person cannot be arrested for having a thought.
Violent intrusive thoughts usually subside with medication, and OCD with violent intrusive thoughts is usually treatable with a combination of medication and therapy.
Dr. Tony Issac
Board Certified Psychiatrist in New York & New Jersey (MD)
Licensed in: New York & New Jersey
Dr. Tony Issac is a highly experienced double-board-certified psychiatrist who specializes in evaluating and treating a broad range of mental health conditions, including insomnia, panic attacks, depression, anxiety, OCD, bipolar disorder, and schizophrenia.
Dr. Issac focuses on addiction recovery and medication management. He employs a balanced approach, integrating psychotherapy with careful medication titration to create personalized treatment plans.
Dr. Issac’s patients admire him for his kindness, empathy, and attentiveness. He provides a safe, supportive space for them, and is especially skilled in conducting suicide assessments and acute stabilization. In these critical situations, he collaborates closely with the patient’s family and, when needed, their employer, to ensure comprehensive care and support.
Medical School
St. George’s University: School of Medicine
Psychiatry Residency Training
Richmond University Medical Center: affiliate of Mount Sinai Health Network
Bachelors of Science (B.S.) in Psychobiology
Binghamton University – State University of New York
Board Certification
American Board of Preventative Medicine – Addiction Medicine, Board Certification
American Board of Psychiatry & Neurology – Psychiatry, Board Certification
Registered State Licenses
- NJ – 25MA10472200
- NY – 296251
Dr. Gundu Reddy
Board Certified Psychiatrist
with Multiple State Licenses MBBS (MD)
Licensed in: NY, NJ, California, Florida, Tennessee, Illinois, North Carolina and South Carolina
Dr. Gundu Reddy is a board-certified psychiatrist with over 15 years of clinical psychiatry experience and a decade of expertise in forensic psychiatry. She is well-versed in medication management, psychodynamic psychotherapy, and cognitive behavioral therapy.
Dr. Reddy has a strong interest in integrative psychiatry and adopts a holistic approach when evaluating and treating her patients. She considers a wide range of factors, including genetics, developmental history, medical conditions, nutrition, hormonal imbalances, and environmental influences to provide comprehensive care.
Dr. Reddy emphasizes the importance of understanding underlying psychodynamic conflicts and the root causes of symptoms when developing treatment plans. This nuanced approach enhances the effectiveness of medication management and therapy, whether it involves individual, family, or relationship counseling. Additionally, she has significant experience in managing treatment-resistant cases and incorporates her expertise in integrative psychiatry to address complex patient needs.
Medical School
The United Medical Dental Schools of Guys Kings and St Thomas’ at King’s College London
Psychiatry Residency Training
Mount Sinai School of Medicine, New York
Psychodynamic Psychotherapy Training
NYU Psychoanalytic Institute
Board Certification
American Board of Psychiatry Neurology
Same Day Psychiatrist Appointment
Registered State Licenses –
- NY – 260173
- TN – 58783
- NC: 2026-01787
- SC – MMD.81938
- SC – “DHEC South Carolina Department of Health and EnvironmentaL 2081938”
- IL – 036151599
- CA – 168663
- NJ – 25MA11183400
- FL – ME148850
Dr. Beena Saad
Triple Board Certified Psychiatrist
with Multiple State Licenses (MD)
Licensed in: California and New York
Dr. Beena Saad is a triple-board-certified child and adolescent psychiatrist holding fellowships in child psychosomatic medicine and child and adolescent psychiatry, making her one of the best online psychiatrists for children and adolescents.
With extensive expertise in child and adolescent mental health, Dr. Saad is dedicated to providing comprehensive online psychiatric care for young patients.
She specializes in diagnosing and treating a wide range of psychiatric disorders in children and teens, including:
- Anxiety disorders (Generalized Anxiety, OCD, Health Anxiety, Panic Disorders)
- Attention-Deficit/Hyperactivity Disorder (ADHD)
- Autism Spectrum Disorder (ASD)
- Mood disorders, including Childhood Bipolar Disorder and Depression
- PANDAS and Obsessive-Compulsive Disorder (OCD)
- Post-Traumatic Stress Disorder (PTSD)
- Tic Disorders
- Childhood Schizophrenia
- Sleep Disorders
- Learning Disabilities
- Substance Use Disorders
- Psychiatric symptoms related to chronic pain and long-term illnesses
Dr. Saad understands the unique emotional and developmental needs of children and adolescents. She believes in empowering young patients and their families through a personalized and collaborative treatment approach. She carefully assesses environmental influences, family dynamics, and developmental history to create tailored treatment plans for each child.
Her expertise in psychopharmacology allows her to provide safe and effective medication management when necessary.
Additionally, she is skilled in various evidence-based therapies, including:
- Cognitive Behavioral Therapy (CBT)
- Psychodynamic Psychotherapy
- Supportive Psychotherapy
- Childhood Therapy
- Family and Parent Counseling
As one of the best online psychiatrists for children and adolescents, Dr. Saad offers convenient and accessible telepsychiatry services that allow families to receive expert mental health care from the comfort of their homes. Her compassionate and patient-centered approach ensures that children receive the support they need to thrive socially, emotionally, and academically.
Languages Dr. Saad speaks:
English, Urdu, Hindi and Sindhi
Medical Education
M.B.B.S. – Sind Medical College, Pakistan
Postgraduate Training
Child Psychiatry Fellowship – University of New Mexico
Child Psychosomatic Medicine Fellowship – Albert Einstein School of Medicine
Registered State Licenses –
- NY – 284008-01
- CA – A 145498
Dr. Lynn Alison Bornfriend
Board Certified Psychiatrist
with Multiple State Licenses (MD)
Licensed in: Illinois, North and South Carolina, California, Pennsylvania, Tennessee, NJ and Hawaii.
Dr Bornfriend is a triple board-certified psychiatrist with 30+ years of experience trained first with four years in adult psychiatry before completing child psychiatry and now she treats both children and adults across Illinois, South Carolina, California, Pennsylvania, Tennessee, New Jersey and Hawaii.
She is passionate about supporting patients dealing with a variety of disorders, including:
- Generalized Anxiety Disorder, separation anxiety, social anxiety disorder, phobias, panic disorder
- Mood Disorders, disruptive mood dysregulation disorder, major depressive disorder, premenstrual dysphoric disorder, bipolar affective disorder and cyclothymia
- OCD, body dysmorphic disorder, trichotillomania, excoriation
- Autism Spectrum Disorder
Reactive Attachment Disorder, adoption-related issues - PTSD, acute stress disorder, adjustment disorder, prolonged grief disorder
- Oppositional Defiant
- Disorder, intermittent explosive disorder, conduct disorder
- Eating Disorders, Sleep Disorders
- Gender Dysphoria
- Substance Dependence and Abuse
- Psychiatric Disorders Secondary to Medical Illness
Dr Bornfriend considers all symptoms presented through the lens of the individual patient’s developmental stage, while also evaluating the impact of family dynamics, environment, academic experience, and developmental/genetic variants. She understands the shift in the importance of autonomy and self-determination as the child grows towards adulthood, assisting the patient and his/her family with active empathic listening and respectful communication.
She has worked with children and adolescents as well as their families, their schools, and the court systems in a variety of modalities from evaluation and diagnosis, medication management, and individual and family therapies, from a supportive, insight-oriented, and CBT/DBT and other modalities.
Dr Bornfriend’s patients have appreciated her varied experiences and training throughout her career. They appreciate her creativity, her warmth, her humor, her intellectual curiosity, and her ability to connect with a wide variety of patients, despite varied backgrounds and levels of psychological mindedness. She has formed long-term, long-lasting relationships with patients, which have hada dramatic impact on their current life experiences as well as their futures.
Medical School:
Pennsylvania State College of Medicine–Hershey, PA
Psychiatric Residency Program:
Timberlawn Psychiatric Hospital–Dallas, TX
Child and Adolescent Psychiatry Fellowship:
Timberlawn Psychiatric Hospital–Dallas, TX
Board Certifications (American Board of Psychiatry and Neurology):
Psychiatry; Child and Adolescent Psychiatry; Forensic Psychiatry
Currently licensed in IL, SC, CA, PA, TN, NJ and HI.
Registered State Licenses –
- NC – 2026-00712
- SC – 92041
- HI – MD-21936
- PA – MD047115L
- IL – 336.11763
- IL – 036.154690
- CA – 176663
- TN – 75724
- NJ – 25MA05806200
Schedule an Appointment with our Online Psychiatrists
Clinical Services: California, Florida, Illinois, New Jersey, New York, South Carolina, Tennessee , Long Island
Forensic Psychiatry Services: All of the US and Canada
| State | Dr. Beena Saad | Dr. Tony Issac | Dr. Valeria Serban | Dr. Lynn Alison Bornfriend | Dr. Cathleen Gomez | Dr. Gundu Reddy | Dr. Suja Raju |
|---|---|---|---|---|---|---|---|
| California | Yes | – | Yes | Yes | – | Yes | – |
| Chicago | – | – | Yes | Yes | – | Yes | – |
| Florida | – | – | – | – | Yes | Yes | – |
| Long Island | Yes | Yes | Yes | – | Yes | Yes | Yes |
| New Jersey | – | Yes | Yes | Yes | – | Yes | – |
| New York | Yes | Yes | Yes | – | Yes | Yes | Yes |
| South Carolina | – | – | Yes | Yes | – | Yes | Yes |
| North Carolina | Yes | – | – | Yes | – | Yes | Yes |
| Tennessee | – | – | – | Yes | – | Yes | Yes |
If you are guilty of a sexual offense, we cannot guarantee that you can avoid a jail sentence. However, a thorough professional psychosexual evaluation will help your attorney provide the best possible representation. Ultimately, you may achieve leniency if you can demonstrate a consistent commitment towards taking the required steps to prevent reoffending.
Likewise, if you feel you are ‘not guilty’ of the charge, the psychosexual evolution can help with your defense.
Psychosexual evaluations for clinical treatment are much simpler and are aimed at accepting oneself, managing symptoms, navigating relationships, and reducing distress.