The quick answers
What is a personality disorder assessment? It’s an unhurried conversation with a psychiatrist about how you think, feel and relate to people over time. The aim is to work out whether your experiences fit a personality disorder, or something else entirely.
How long does it take? About 45–50 minutes, in person or on a video call.
Can a psychiatrist diagnose it? Yes. A consultant psychiatrist is qualified to assess you fully and give a diagnosis when one fits.
What does it cost? £300.
Can I do it online? Yes. The online assessment is the same as the in-person one, wherever you live in the UK.
Do I need a GP referral? No, you can book directly.
When might it be worth getting assessed?
You don’t need to recognise everything below. But if several of these sound familiar and have been with you for years, it’s worth talking to a psychiatrist:
- Relationships that keep running into the same problems
- Emotions that feel intense, unpredictable or hard to manage
- A sense of who you are that shifts or feels unclear
- Patterns that keep affecting your work or your closest relationships
- A persistent feeling of emptiness
- Impulsive choices or behaviour that puts you at risk
- Difficulties that other diagnoses haven’t fully explained
Recognising yourself in this list doesn’t mean you have a personality disorder. That’s why a proper assessment matters: it looks at your whole life, not a handful of symptoms.
How is a personality disorder diagnosed?
Your history. We start by talking through what you’re struggling with now, your childhood and background, relationships, work and education, your emotional patterns, any past treatment, and your physical health.
How you cope day to day. Prof. El-Missiry looks at how you handle relationships, emotions and everyday responsibilities. He also looks at your strengths, not just the difficulties.
A structured clinical assessment. Your symptoms are explored step by step against recognised diagnostic criteria, so the outcome doesn’t rest on a quick impression.
Ruling other things in or out. Personality disorder symptoms can overlap with ADHD, bipolar disorder, PTSD, depression and anxiety. Making sure nothing else explains your experience better is part of every assessment.
Putting it together. Everything is brought into one clear picture. You get a diagnosis if one is appropriate, plus practical recommendations for what to do next.
Borderline personality disorder (BPD) and EUPD
In UK clinical practice, Borderline Personality Disorder is often called Emotionally Unstable Personality Disorder (EUPD). It usually involves difficulty managing emotions, an unsteady sense of self, and relationships that feel intense or unstable.
If your history includes painful or traumatic experiences, you’ll be supported in how much you share and when. You don’t have to go into everything at once.
One thing worth knowing: NICE, the UK’s clinical standards body, does not recommend medication as a treatment for BPD itself or its individual symptoms. Medication can still have a place when there’s a separate, co-existing condition that needs it. After your assessment, recommendations might include psychological therapy, support for related conditions, medication for a genuinely separate condition, and ongoing review with your psychiatrist.
Could it be something else?
Very possibly, and it’s the reason a symptom list online can’t give you a reliable answer. Some common overlaps:
A full assessment is the most reliable way to tell these apart, or to recognise when more than one is going on.
What happens at your appointment
- Before you come in: a short questionnaire gives some background in advance.
- The consultation: a detailed, unhurried conversation about your history and what’s been happening.
- The clinical assessment: a structured look at your emotional, relational and behavioural patterns.
- Working out what fits: checking for overlapping conditions before settling on a diagnosis.
- Talking it through: a plain-language explanation of what was found.
- What happens next: practical, personalised recommendations.
- Follow-up: ongoing review, if you’d find it helpful.
Assessment locations in London
You can be seen in person at Marylebone, Harley Street or Finsbury Park. All three offer the same thorough, structured assessment. If travelling into London isn’t practical, you can book an online consultation instead.
Online assessment across the UK
Not near London? The full assessment is available by secure video consultation and runs exactly like an in-person appointment.
What it costs
The assessment fee is £300 for a 45–50 minute consultation, in person or online.
Have a question before you book?
Get in touch.
About Prof. Ahmed El-Missiry
Prof. Ahmed El-Missiry is a Consultant Psychiatrist and Professor of Psychiatry, registered with the GMC.
He has extensive experience assessing and diagnosing personality disorders as a personality disorder specialist in London.
Read more about Prof. El-Missiry,
or see everything we treat.
References
This page reflects current UK clinical guidance:
If you need help urgently
This is a private clinic, not an emergency service. If you or someone else is in immediate danger,
please call emergency services or contact your local NHS urgent mental health service instead of waiting for an appointment.
Frequently asked questions
What is a personality disorder assessment?
A structured psychiatric evaluation of your history and long-term patterns, to see whether they meet the criteria for a personality disorder.
How is personality disorder diagnosed?
Through a detailed history, a look at how you function day to day, and a structured review against recognised diagnostic criteria.
A symptom checklist alone isn’t enough.
Can a psychiatrist diagnose personality disorder?
Yes. Consultant psychiatrists are qualified to assess and diagnose personality disorders.
How long does the assessment take?
About 45–50 minutes.
How much does it cost?
£300.
Do I need a GP referral?
No, you can book directly.
Can I be assessed online?
Yes. The full assessment is available by secure video consultation.
What happens after the assessment?
You’ll get a clear explanation of the findings and personalised recommendations.
These may include therapy, support for related conditions, or a follow-up review.
Can ADHD and personality disorder occur together?
Yes. Telling them apart, or recognising both, is part of a thorough assessment.
Can PTSD and personality disorder occur together?
Yes. The symptoms overlap a lot, which is why careful differential diagnosis matters.
What’s the difference between BPD and EUPD?
They’re two names for the same condition. EUPD is the term more common in UK practice.
What if I don’t meet the criteria?
That’s a useful result too. You’ll still get an honest explanation of what was found and,
where relevant, suggestions for what to look into next.
Ready to book?
Book a private psychiatric assessment