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Dean Clinic Sandyford

The Dean Clinic Sandyford provides assessment and problem-focused, client-centred therapy which caters to a wide range of mental health problems including:

  • Depression
  • Bipolar disorder
  • Anxiety
  • OCD
  • Stress-related disorders
  • Addiction
  • Dual diagnosis
  • Psychosis.

Therapies and groups

We provide individual and group programmes within our service. We also provide educational and mental health awareness groups. Psycho-therapeutic groups will be provided on an individual needs basis also.

  • Psychotherapy
  • Psychology
  • Addiction counselling
  • Cognitive behavioural therapy
  • Group therapy
  • Occupational therapy
  • After care groups.

Early detection of psychosis

This clinic is for young adults who may be at high risk or in the early stages of developing psychosis. The aim of the clinic is to help people at this early stage when they have the best chance of recovery and potential to prevent further deterioration.

  • Contact details

    Location: Dean Clinic Sandyford (part of the Young Adult Service),

    Unit B, Third Floor, Apex Building Centre, Blackthorn Road, Sandyford, Dublin 18

    Phone: 01 293 9328      Fax: (010) 293 4943          

    Team:   Dr Paddy Power, consultant child and adolescent, adult psychiatrist

                  Dr Jannat Adil, senior registrar

                   Dr Edel Crehan, senior clinical psychologist

    When: Wednesday mornings:  9.30am–12.30pm

  • What the service involves

    The Assessment is three hours long (9.30–12.30 and involves a joint assessment with the senior registrar (Dr Jannat Adil), senior clinical psychologist (Dr Edel Crehan) and the consultant psychiatrist (Dr Paddy Power). Both the young adult and a family member (preferably a parent) should attend.

    The assessment involves a diagnostic interview to ascertain whether the person is at a high risk of developing psychosis, or indeed may already be suffering from a psychosis. The Structured Interview for Psychosis Risk Syndromes (SIPS) is completed in addition to clinical interviews with both the young adult and the family member. Baseline measures of psychosis severity, mood and a global assessment of functioning are completed.

    The information is collated by the clinical team  and the young adult and family member are given feedback on the outcome of the assessment. Detailed recommendations and a care plan are then jointly discussed and agreed. The interventions recommended can include support, information and psychoeducation, medication, psychosocial interventions including cognitive behavioural therapy.

    If follow-up is recommended then the team will organise this either through the Young Adult Clinic or appropriate local services. This will include advice, therapies and treatments to prevent psychosis.

  • Who to refer

    Young adults (aged between 18 – 25 years) who you think are showing early signs of psychosis or who might be at high risk of psychosis and would benefit from a comprehensive assessment.

    People who are at particularly high risk of psychosis may present with some or all of the following features:

    Early signs of psychosis:

    Pre-occupation with suspicious, paranoid, or unusual ideas

    Perceptual disturbances e.g. fleeting visual or auditory hallucinations

    Disorganised speech e.g. tangential or circumstantial

    Non-specific problems

    Social withdrawal and isolation

    Anxiety, agitation, and irritability

    Sleep disturbances e.g. reverse sleep cycle

    Mood changes e.g. mood swings, depression or reduced emotional expression

    Impaired concentration, motivation, and handling of everyday stress

    Loss of interest and deterioration in school, work, and self care

    Predisposing risks such as family history of psychosis or early use of cannabis.

  • Assessment cost

    The fee is €300 (payable on the day of assessment).

  • How to refer

    Referrals from outside St Patrick’s Mental Health Services need to be directed to the Early Detection Clinic through the normal referral process outlined on the website.

    Referrals from within St Patrick’s Mental Health Services can be sent directly to the Early Detection Clinic at Dean Clinic Sandyford.

    Please include with the referral any previous clinical reports that you might have e.g. Educational psychology reports, psychiatric reports and relevant medical reports.

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Dean Clinic St Patrick’s

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