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Choosing HopeMental Health

What is an immigration psychological evaluation?

An immigration psychological evaluation is a clinical assessment by a licensed mental health professional. It looks at your mental health and how your experiences have affected you, and it results in a written report that your attorney may submit as evidence in an immigration case. It is not therapy, and it is not legal advice.

By Choosing Hope. Published

Reviewed by Fatima Defilippi, LMHC,

Talking about what happened is not easy

Many people who are asked to get an evaluation have lived through hard things, such as abuse, violence, or the fear of being separated from family. It is normal to feel nervous about telling your story to someone new. A good evaluator will explain each step, go at a pace you can manage, and treat you with respect.

When an evaluation may be used

U.S. Citizenship and Immigration Services (USCIS) considers many kinds of evidence. Some immigration cases ask about a person's mental or emotional health, and a psychological evaluation is one way to document it. A few examples from USCIS guidance:

  • VAWA self-petitions: USCIS lists psychological evaluations among the evidence that can show battery or extreme crueltySource [1].
  • Extreme hardship waivers: the factors USCIS considers include the psychological impact on a qualifying relative and prior trauma that could make separation or relocation harderSource [2].
  • U visas: to be eligible, a person must have suffered substantial physical or mental abuse as a result of being a victim of a qualifying crimeSource [3].

Your attorney decides if you need one

Whether an evaluation will help depends on your case, and that is a legal question. We do not give legal advice. If you are working with an immigration attorney or an accredited representative, ask them whether an evaluation makes sense and what it should cover. USCIS considers any credible evidence and decides for itself how much weight to give itSource [1].

What USCIS looks for in an evaluation

In its VAWA guidance, USCIS describes useful psychological evaluations as ones prepared by a qualified medical or mental health professional who treated or thoroughly evaluated the person using well-established assessments or toolsSource [1]. It also notes the value of including the professional's curriculum vitae, so the reviewer can see their training and experienceSource [1].

What happens during an evaluation

Before you begin, you should be told in writing that the meeting is an evaluation and not therapy, and who will receive the report. Counselors who perform evaluations for legal purposes get your written consent firstSource [4].

The evaluation itself usually includes a conversation about your background, what you have lived through, and how it affects you now, including your sleep, mood, work, and relationships. The evaluator may also review recordsSource [4] and use standardized assessment toolsSource [1]. Afterward, the evaluator writes a report with their professional findings.

An honest, objective report

A trustworthy evaluation is objective. Under the American Counseling Association's ethics code, a counselor's main duty in a legal evaluation is to produce findings that can be supported by the information gathered, and to be clear about the limits of the reportSource [4]. That honesty is what makes a report credible.

The same code keeps evaluation and therapy separate. Counselors do not evaluate their current or former clients for legal purposes, and they do not provide counseling to the people they evaluateSource [4]. If you need emotional support during your case, it should come from a different professional than your evaluator.

How to prepare

You do not need to study or rehearse. A few simple steps can help the day go more smoothly:

  • Ask your attorney what the evaluation should cover, and bring any documents they want the evaluator to see.
  • Make a short list of any medications you take and any past mental health care.
  • Plan for a private, quiet room where you can talk openly, and give yourself time to rest afterward.
  • Answer honestly, in your own words. It is okay to say you do not remember something or to ask for a break.

Why language matters

Describing painful experiences is hard enough in your first language. When the evaluator speaks your language, you can explain what happened in your own words, without an interpreter in the room. Our evaluations are available in English and in Spanish.

If you are in crisis

If you are thinking about suicide or are in emotional distress, call or text 988 to reach a trained crisis counselor, any time of daySource [5]. If you are in danger right now, call 911.

How we can help

At Choosing Hope, our licensed mental health counselor provides immigration psychological evaluations in English and in Spanish. She has experience supporting survivors of violence and trauma. Evaluations take place online on a secure video platform, and you need to be physically located in New York State during the session.

Evaluations are billed at a flat rate, and we share pricing when you contact us. If your attorney has recommended an evaluation, or you want to know whether we can help, call us or fill out our short contact form.

Common questions

Can the evaluation be done in Spanish?

Yes. Evaluations are available in English and in Spanish.

Is the evaluation done online?

Yes. All of our services are 100% virtual. You need to be physically located in New York State during the session.

How much does an immigration psychological evaluation cost?

Evaluations are billed at a flat rate. Contact us directly for pricing and consultation details.

References

  1. U.S. Citizenship and Immigration Services (2026). Policy Manual, Volume 3, Part D, Chapter 2: Eligibility Requirements and Evidence
  2. U.S. Citizenship and Immigration Services (2026). Policy Manual, Volume 9, Part B, Chapter 5: Extreme Hardship Considerations and Factors
  3. U.S. Citizenship and Immigration Services (2026). Victims of Criminal Activity: U Nonimmigrant Status
  4. American Counseling Association (2014). 2014 ACA Code of Ethics
  5. National Institute of Mental Health (2026). Help for Mental Illnesses

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