Dr. Mehdi Mirkhani MD, MRCPsych

Dr. Mirkhani is a Consultant Child and Adolescent Psychiatrist working in the NHS and privately at the Healthcare On Demand Clinic in Guildford, Surrey.

Dr. Mirkhani holds expertise in a range of psychiatric presentations, neuropsychiatry and neurodevelopmental conditions affecting children and young people.

About Dr. Mirkhani

Dr Mirkhani completed his basic medical training in Persia and started working in the NHS in 2005; he had basic training in psychiatry in South London and Maudsley and acquired higher training in child and adolescent psychiatry in South West London and St George’s NHS Trust. He has extensive training in neuropsychiatry, neurodevelopmental disorders, forensic psychiatry, family therapy, eating disorders and acute mental health problems. Dr. Mirkhani has been a member of the Royal College of Psychiatrists since 2012.

Dr. Mirkhani has worked on the establishment of a specialist pathway for children with learning difficulties in central and north London. He has been trained in using the Developmental, Dimensional and Diagnostic interview (3di) and the Autism Diagnostic Observation Schedule to assess neurodevelopmental disorders, and has also been trained in using QEEG as an objective assessment tool for the diagnosis of neurodevelopmental disorders and ADHD. He has also had extensive training from the National Centre for Eating Disorders. He secured his position on the General Medical Council Specialist Register in February 2016.

His work has been published in peer-reviewed journals on specialist topics. He also works for the Care Quality Commission as a specialist advisor.

Dr. Mirkhani has a particular interest in transcultural aspects of mental health care and his expertise in assessing clients in other languages helps him in this respect. He is able to assess his clients with a special consideration towards their socio-cultural background. He has been invited as a cultural expert to assess clients with mental health difficulties. Dr. Mirkhani is fluent in Farsi and French and is also a basic user of British Sign Language as he has experience of working with Deaf children and young people with mental health difficulties.

Qualifications

  • Approved Clinician and S12 (2) doctor within the meaning of the Mental Health Act 1983
  • Certificate of Completion of Training (CCT) in Child and Adolescent Psychiatry
  • Trained administrator of Developmental, Dimensional and Diagnostic interview for assessment of Autism Spectrum Disorders (3di)
  • Foundation year of MSc in Family Therapy
  • British Sign Language Level 1 award
  • Autism Diagnostic Observation Schedule administrator
  • Qualified for advanced QEEG assessment and analysis
  • Member of the Royal College of Psychiatrists

Experience

Dr Mirkhani has assessed and treated a range of neurodevelopmental conditions and mental health disorders affecting children and young people including ADHD, Autism related problems, Learning Disability, Anorexia Nervosa, Obsessive Compulsive Disorder, Depressive illnesses, Anxiety disorders, Tourette’s syndrome, self-harm, Psychotic disorders, emotional dys-regulation and more.

He is a  Leader for ADHD assessment and treatment pathways in his NHS role.

Autism Assessments for Children and Young People

Please click HERE for full information on this multidisciplinary service.  Dr Mirkanhi’s approach includes a three hour assessment – the 3di questionnaire. This addresses the child’s early and current development with the parents, and covers  over 90 questions. These are then scored up and written as a report. The cost of this element is £650.

This element, coupled with the ADOS assessment provided by  a HoD specialist Speech and Lanaguage Therapist or Clinical Psychologist constitutes the autism diagnostic process

After these two elements are completed, Dr Mirkhani would pull the information together including the ASCs screening report ( if applicable), ADOS report, 3di report and school report to write a summary report outlining how/why we came to our conclusions and giving the final diagnosis. (If there is any disagreement between reports, Dr Mirkhani would consult with the practitioner(s) carrying out the  ADOS assessment to make a final decision). For this final element Dr Mirkhani fee is £300.

If a post-diagnosis meeting is requested by the family, this  can be provided. Such a meeting normally lasts around an hour and includes recommendations, advice and discussion as required. If requested, this is costed at a further £100.

Total medical costs are therefore from £950 (i.e. £650 + £300) to £1050 ( i.e. £650 + £300 +£100).

Please remember to take the Speech and Language/ Clinical Psychology costs into account when making your decision on whether to proceed.

Note: This process may involve two to three visits to the Clinic.

It may be that after the assessment the outcome does not evidence that the child/young person meets the criteria for ASD (as is often the case).

Attention Deficit ( ADD and ADHD) Medical Assessment

Step 2 – Diagnosis Appointment

If the Step 1 preliminary screening assessment and report has already been done and indicate that an Attention Deficit State may well be present, Dr Mirkhani will offer families a “Diagnosis Appointment” which will review the screening data, outcomes and report from a medical perspective.

This will include ruling out other medical causes for the presentation, and will take one hour.

During the meeting the doctor would explain the diagnosis, give Psychoeducation on ADHD, explain the medication and non-medication treatment options and write the initial prescription if requested.

The cost of this “Step 2” element, (i.e. when Step 1 has already been carried out) takes 90 minutes, the fee is £450, and includes the first prescription, where applicable..

Additional controlled drug prescriptions are chargeable at £15 per prescription.

Therapeutic Approach

Dr Mirkhani uses a holistic approach towards any difficulty affecting the family. He will share an understanding of the difficulty from a biological, psychological and social model of care. Dr Mirkhani will help the family understand the exact nature of the difficulties and how they can be tackled using environmental, psychological, social and pharmacological strategies if needed.

He engages with children and young people in a client centred approach. Dr Mirkhani works with children, young people and parents in a way that acknowledges and validates the difficult experience the family is going through but brings to light the family’s own resilience which propels the desire for recovery.

Dr Mirkhani follows NICE guideline and evidence based practice in his multiaxial approach and when appropriate respects patient’s decisions and safety in any pharmacological approaches and in the prescription of medication.

Professional Accreditation and Affiliation

Appointments & Fees

The assessment appointments by Consultant Child and Adolescent Psychiatrists usually take 90 minutes. The assessment involves gathering information to reach a shared understanding of the difficulties and feedback on management options. The child or young person and their parents will be sent an outcome/clinical letter following the appointment.

On requesting an appointment via our online booking system, the practitioner may well call you to confirm details before you meet. This initial telephone discussion of up to 10 minutes is free of charge, and is designed to confirm that it is indeed appropriate to proceed to a full consultation and is not designed to replace a consultation.

Mehdi Mirkhani’s Consultation fee is £300 per hour.

Initial consultations will be for 90 minutes and will include detailed assessment, feedback and discussion of care plan. Follow up appointments are usually for an hour or half hour for shorter follow ups , such as medication review

Dr. Mirkhani reviews the referral information to determine the level of need and the required appointment duration. The rationale is shared with the family before the appointment is booked.

Follow-up consultations – £300 (approx 60 minutes) or £150 (approx 30 minutes)

If a prescription is issued within an appointment then there is no additional fee. Charge for repeat prescription is £20 when it is requested out of outpatient appointment.

Dr. Mirkhani will accept self-funding patients. Requests for specialist assessments such as specific enquiries relating to school placements will incur a separate fee schedule. This can be provided upon request.

Self-funding payments should be made on the day of the appointment. Cash, cheques or direct bank transfers are accepted. Please contact to discuss payment options if needed.

Requests to reschedule appointments will be accommodated wherever possible.

Dr. Mirkhani works closely with GPs and would encourage parents to keep their GP involved when accessing input; however, this is not an obligation. Based on client/family’s consent, we are able to share information with educational authorities.

Dr Mirkhani is registered with a selection of Health Insurers including Cigna, WPA and AVIVA.  Note: He does not accept patients under AXA-PPP and BUPA.

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