Psychiatry Witnesses

Case type

Immigration & Asylum

Psychiatric reports in immigration and asylum cases address whether the claimant has a psychiatric disorder consistent with their account of trauma, the impact of removal or detention on their mental health, and the risk of suicide or deterioration on return.

Use this category when…

  • You need to map a court order or letter from counsel to the right report
  • You're confirming whether a psychiatric expert (rather than a psychologist) is the right discipline
  • You want a fixed quote and a realistic deadline before instructing

What to send with your enquiry

A short summary plus the items below is enough for us to match an expert and confirm the deadline — you don't need the full bundle to get a quote.

  • Short case summary and the questions you want answered
  • Hearing or listing date and jurisdiction
  • GP and psychiatric records (full set where available)
  • Witness statements, schedules of loss or threshold documents
  • Any prior expert reports
  • Court order granting permission to instruct (family / Court of Protection)

Overview

Psychiatric reports in immigration and asylum work serve three distinct purposes: corroborating an account of past trauma, demonstrating vulnerability that engages procedural protections, and addressing the psychiatric risk on detention or removal. Each purpose calls for a different emphasis and the report must make clear which questions it answers.

Reports follow the structure required by the Tribunal and, where torture is alleged, the Istanbul Protocol. We instruct consultants experienced with HJ (Iran), AM (Zimbabwe), and the practical realities of evidence at Hatton Cross, Taylor House and the regional hearing centres.

Legal framework

Reports are prepared with reference to the Practice Direction for the First-tier Tribunal (Immigration and Asylum) and the Istanbul Protocol where torture is alleged.

Psychiatric issues addressed

  • PTSD and complex trauma consistent with the claimant's account
  • Depression and suicidal ideation
  • Risk of deterioration on detention or removal
  • Capacity to give evidence and vulnerability adjustments
  • Trafficking-related psychiatric presentations

Questions you can put to the expert

Drop any of these straight into your letter of instruction.

  • Does the claimant have a recognised psychiatric disorder?
  • Is the presentation consistent with the trauma described?
  • What is the likely impact of detention or removal on mental health?
  • Is there a real risk of suicide or significant deterioration on return?

Immigration & asylum: areas we cover

Detention vulnerability

Reports for Adults at Risk in Immigration Detention assessments identify Level 2 or Level 3 evidence of vulnerability, the impact of continued detention, and any necessary safeguards.

PTSD and complex trauma

Reports address whether the claimant has PTSD or complex PTSD, whether the presentation is consistent with the trauma described, and the standard differential including malingering. We follow the Istanbul Protocol's five-point consistency framework where torture is alleged.

Risk on return

Reports on risk of suicide or significant deterioration on return apply the J v SSHD framework, addressing both the subjective fear and the objective risk on the basis of the medical evidence.

Trafficking and modern slavery

NRM and conclusive grounds reports document psychiatric sequelae of trafficking and exploitation, supporting both the trafficking decision and any subsequent asylum or human rights claim.

What's in the report

  • Part 35 / FPR Part 25 / CrimPR statement of compliance, as applicable
  • Expert's CV and statement of independence
  • Detailed list of materials considered (records, statements, scans, prior reports)
  • Full history, mental state examination and collateral information
  • Diagnostic formulation referenced to ICD-11 / DSM-5-TR
  • Reasoned opinion on causation, apportionment, prognosis and treatment
  • Indicative treatment costings where requested
  • Statement of truth signed in the prescribed form

How we help

  • Same-day shortlist of suitable consultants once we receive a brief instruction
  • Choice of male or female assessor, and of sub-specialty, on every instruction
  • Fixed fees agreed up front; Legal Aid prior authority figures supported
  • Standard turnaround 1–2 weeks; urgent reports inside 5 working days where the diary allows
  • Joint reports, addendum reports, Part 35 questions and CMC attendance handled by the same expert
  • Remote (secure video) or in-person assessment across the UK

Frequently asked questions

Recommended services

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