Understanding LivFull’s service

Psychological evaluation and medical diagnosis in Japan

This page explains the psychological evaluation LivFull provides, the medical or psychiatric questions handled by other professionals and the circumstances in which both may be relevant.

What this page covers

  • LivFull’s psychological evaluation and report
  • Medical and psychiatric assessment questions
  • Recipient requirements, screening and referral limits
  • HCPC (UK)PYL38998
  • SocialstyrelsenSweden
  • DClinPsy · CPsycholBPS Chartered · RAPPS
  • EuroPsy / EFPAEuropean certificate
  • IMHPJMembership Secretary
  • English-speakingServing Japan
The services explained

What psychological and medical assessments cover

The relevant service depends on the question being asked. These descriptions apply to LivFull’s scope and do not make general claims about Japanese law or every professional working in Japan.

Psychological evaluation at LivFull

A structured assessment of a psychological, neurodevelopmental, cognitive or learning question. It may use history, interviews, questionnaires, records and individually selected standardised testing. The findings and practical recommendations are explained in a written report.

Medical or psychiatric assessment

A physician or psychiatrist decides what medical assessment is required and makes independent decisions about medical diagnosis, treatment and prescribing. Those services are outside LivFull’s scope.

A psychological evaluation can be useful on its own or alongside medical or psychiatric care. The appropriate route depends on the person’s needs, the purpose of the assessment and any documentation requirements set by a receiving organisation.

Comparison

How the scope differs

The table compares LivFull’s psychological evaluation with medical or psychiatric assessment.

Main purpose
LivFull psychological evaluationTo investigate a psychological, neurodevelopmental, cognitive or learning question through structured assessment and clinical interpretation.
Medical or psychiatric assessmentTo investigate medical or psychiatric questions and make medical decisions, which may include diagnosis or treatment planning.
LivFull’s role
LivFull psychological evaluationLivFull provides psychological evaluation, findings, recommendations and a written report in English.
Medical or psychiatric assessmentMedical assessment, medical diagnosis, prescriptions and medication management are outside LivFull’s service.
Information considered
LivFull psychological evaluationScreening, interviews, questionnaires, records, information from more than one source where appropriate, and individually selected standardised testing.
Medical or psychiatric assessmentA physician or psychiatrist decides which medical history, examination, investigation or other information their assessment requires.
Possible outcome
LivFull psychological evaluationA profile of strengths and needs, psychological conclusions with reference to DSM-5-TR criteria or classifications where appropriate, clinical interpretation and recommendations.
Medical or psychiatric assessmentAn independent medical conclusion, with any treatment or prescribing decisions made by the physician or psychiatrist.
Medication and treatment
LivFull psychological evaluationLivFull does not prescribe medication. A report may recommend further medical or psychiatric assessment and/or treatment where this appears relevant.
Medical or psychiatric assessmentThe treating physician or psychiatrist decides whether medication, medical investigation or another form of treatment is appropriate.
Use of the report
LivFull psychological evaluationThe report may support self-understanding, planning, practical recommendations and a request for further medical or psychiatric assessment.
Medical or psychiatric assessmentThe medical clinician decides whether the report is relevant, how much weight to give it and what further assessment is needed.
Choosing a starting point

Which service may be relevant now?

These examples provide orientation. Screening determines whether LivFull’s evaluation is suitable, while medical decisions remain with the medical professional.

You want a detailed psychological evaluation

LivFull’s screening process considers whether a full evaluation is warranted and which areas may need assessment. A full evaluation may combine developmental history, current functioning, information from relevant people and standardised testing. Findings are discussed with you and set out in a written report in English.

Medication is the immediate question

A physician or psychiatrist is the appropriate professional for prescribing and medication management. A LivFull evaluation may still provide useful psychological information, but it does not guarantee access to medication or any particular medical conclusion.

An organisation has requested documentation

Some schools, employers, insurers or other organisations may accept LivFull’s psychological report as formal documentation under their own policies. If an organisation specifically requires assessment or diagnosis by a medical professional, such as a psychiatrist, clarify this with the organisation and/or an appropriate medical professional before proceeding.

You are unsure whether LivFull is suitable

Book a free 15-minute consultation to clarify LivFull’s process, logistics, fees and whether screening may be an appropriate next step. The consultation is not an assessment and does not involve a detailed symptom history.

Possible sequence

A report may support a medical request

  1. Stage 1

    The question

    The adult or family wants a structured understanding of a psychological or neurodevelopmental concern.

  2. Stage 2

    LivFull evaluation

    Screening comes first. If a full evaluation proceeds, relevant evidence is gathered and interpreted.

  3. Stage 3

    The report

    The report explains the findings, psychological conclusions, recommendations and suggested next steps.

  4. Stage 4

    Medical input

    Where relevant, a physician or psychiatrist makes an independent assessment and decides any medical treatment.

Please note that this is an illustration of one possible route rather than a requirement, guarantee or fixed sequence. Someone may consult a medical professional first, may not require medical input, or may use a LivFull report for another purpose. Each receiving clinician decides whether the report is relevant to their assessment.

Screening and practicalities

The LivFull pathway

Screening establishes the direction

Screening includes an intake interview and standardised questionnaires. It helps determine whether a full evaluation is warranted and what its scope should be, and it may confirm that proceeding is appropriate or that another course would be more suitable. It also requires substantially less time and financial commitment than a full evaluation. It does not guarantee acceptance for a full evaluation or any particular result.

Most appointments are online

Interviews, questionnaires and feedback are normally online. When standardised testing is required, it takes place in person near Yokohama Station or Yamagata Station, subject to availability.

A written report is included

A written psychological report in English is provided as an outcome of the relevant evaluation. It is not sold as a standalone product.

Hours and fees are estimated individually

An evaluation takes approximately 20–35 hours in total when screening is included. Screening is billed as two hours and paid separately. Later evaluation work receives an individual estimate before the client decides whether to proceed.

The fees page sets out the hourly fees, screening charge, payment and insurance information.

Clinical scope

ADHD, autism and relevant medical questions

Does LivFull assess ADHD and autism-related questions?

LivFull provides psychological evaluation, findings and recommendations, including a psychological report, with reference to DSM-5-TR criteria or classifications where appropriate. DSM-5-TR is published by the American Psychiatric Association.

The findings are based on the evidence gathered for the individual. Screening does not confirm that a full evaluation will be accepted, and no particular conclusion is promised in advance.

Medical treatment remains separate

LivFull’s service is a psychological evaluation. Medication management and treatment for General Medical Conditions (GMCs) that are not psychological in nature are outside its scope.

LivFull does not prescribe medication. A report may recommend further medical or psychiatric assessment and/or treatment where this appears relevant.

FAQ

Questions about the two services

A LivFull psychological evaluation examines psychological, neurodevelopmental, cognitive or learning questions and provides findings, recommendations and a report. A medical assessment addresses medical or psychiatric questions. The appropriate route depends on the purpose of the assessment and any requirements set by the organisation that will receive the documentation.

A report may support a medical request and explain the psychological findings. The physician or psychiatrist decides what assessment is required, whether the report is relevant and what medical conclusion or treatment follows. LivFull cannot guarantee acceptance or a particular outcome.

No. LivFull clients refer themselves. A school, clinician or another professional may suggest or recommend LivFull, but the adult client or the child’s family must consent and contact LivFull directly. Every prospective evaluation begins with screening.

A report may include relevant school or workplace recommendations and may support a request. Some organisations accept LivFull’s psychological reports as formal documentation under their own policies. The receiving organisation decides what it requires, whether it accepts the report and whether it implements any recommendation.

No. Interviews, questionnaires and feedback are normally online. When standardised psychological testing is required, it is completed in person near Yokohama Station or Yamagata Station, subject to availability.

Dr Sahar may recommend further medical or psychiatric assessment and/or treatment where this appears relevant. Suitable English-language services may be limited or difficult to access in some areas of Japan, so recommendations or referral options may also be limited. LivFull cannot promise to identify or secure an available provider.

Book a consultation about LivFull’s evaluation process

Book a free 15-minute consultation to clarify LivFull’s process, logistics, fees and whether screening may be an appropriate next step. The consultation is not an assessment and does not involve a detailed symptom history.