Immigration Hardship Psychiatric Evaluations

Invictus Integrative Psychiatry provides independent, comprehensive psychiatric evaluations to assess psychological hardship in immigration-related cases. These evaluations are conducted with clinical rigor and documented in a clear, objective manner suitable for review by immigration attorneys, adjudicators, and the court.

Our role is not advocacy, but clinical assessment. All findings and opinions are based on thorough evaluation, collateral information when available, and accepted psychiatric standards.

An immigration hardship evaluation is a formal psychiatric assessment designed to evaluate the psychological impact that separation, removal, or continued immigration-related uncertainty may have on a qualifying relative.

These evaluations may be used to support cases involving:

• Extreme or exceptional hardship to a qualifying family member
• Family separation or prolonged detention
• Psychological effects on children, spouses, or dependent relatives

Each evaluation is individualized and based on the specific circumstances of the case.

Each immigration hardship evaluation typically includes:

• A comprehensive clinical interview
• Review of relevant psychosocial history
• Assessment of emotional, behavioral, and functional impact
• Consideration of developmental factors (when evaluating children)
• Evaluation of current symptoms, coping capacity, and risk factors
• Objective clinical formulation grounded in DSM-5 diagnostic criteria (when applicable)

When appropriate and available, collateral information may be incorporated to support clinical findings.

Following the evaluation, a formal written psychiatric report may be provided, which can include:

• Clinical background and relevant history
• Behavioral observations and symptom presentation
• Functional and psychosocial impact
• Diagnostic impressions (when clinically indicated)
• Professional opinion regarding psychological hardship
• Clear, neutral language suitable for legal review

Documentation is prepared with attention to clarity, neutrality, and professional standards.

Invictus Integrative Psychiatry does not guarantee outcomes in immigration proceedings.

• Documentation is provided only when clinically appropriate
• Findings reflect the evaluator’s independent professional opinion
• Reports are not advocacy letters or legal opinions
• Services are not contingent upon any specific legal result

Immigration hardship evaluations may be appropriate for:

• U.S. citizen or lawful permanent resident spouses
• Children affected by potential separation from a parent
• Parents dependent on adult children for emotional or functional support

Each case is assessed individually to determine appropriateness.

Immigration hardship evaluations are private-pay services due to their forensic nature and time requirements.

• Fees are discussed transparently prior to scheduling
• Payment is required prior to evaluation
• These services are not billed to insurance

To inquire about scheduling, please contact our office directly.

Luis Rosas, PMHNP-BC
Psychiatric Mental Health Nurse Practitioner

Luis Rosas is a board-certified Psychiatric Mental Health Nurse Practitioner providing comprehensive psychiatric evaluations, medication management, and mental health documentation for adults and families throughout California.

He works with individuals navigating anxiety, depression, trauma, ADHD, mood disorders, life transitions, and high-stress environments. His approach is thoughtful, evidence-based, and grounded in the belief that effective mental health care should be practical, respectful, and centered on the person—not just a diagnosis.

Luis has extensive clinical experience across outpatient psychiatry, emergency medicine, and community-based care, allowing him to assess both emotional symptoms and real-world functioning. He is known for creating a calm, non-judgmental space where clients feel heard, supported, and empowered to move forward.

In addition to clinical treatment, Luis provides immigration psychological hardship evaluations, emotional support animal (ESA) documentation, and other formal psychiatric assessments when appropriate. All evaluations are completed with clinical independence, ethical rigor, and attention to legal and professional standards.

Languages: English & Spanish
(Servicios disponibles en español)

If you are an attorney or individual seeking an immigration hardship psychiatric evaluation, please contact us to determine whether an evaluation is clinically appropriate.