Extreme Hardship Evaluations for Immigration Services
Court-Ready Immigration Psychological Evaluations
Extreme Hardship Evaluation Services (I-601 / I-601A)
Facing separation from your spouse, children, or family due to immigration issues can be overwhelming. Our Extreme Hardship Evaluation Services provide professional psychological documentation that clearly demonstrates the emotional, mental, and medical impact of separation. These evaluations play a critical role in strengthening I-601 and I-601A waiver applications and supporting families seeking to remain together.
Serving New York, New Hampshire, Florida, and clients nationwide through secure telehealth services.
What Is Extreme Hardship?
Extreme hardship refers to the serious emotional, psychological, medical, financial, and social suffering that a U.S. citizen or lawful permanent resident would experience if separated from a loved one or forced to relocate outside the United States. USCIS requires strong, well-documented evidence showing that the hardship goes beyond the normal difficulties of family separation.
A professionally prepared psychological evaluation is often the most persuasive form of evidence in demonstrating this impact.
Examples of Extreme Hardship
Extreme hardship may include:
Severe anxiety, depression, PTSD, or emotional instability
Worsening of medical or mental health conditions
Emotional and developmental harm to children
Financial collapse or inability to maintain employment
Educational disruption for minor children
Trauma related to abuse, persecution, or prolonged separation
Cultural isolation and lack of medical support abroad
Every case is unique. Our evaluations are tailored to reflect each family’s personal story and circumstances.
What Is an Immigration Hardship Evaluation?
An Immigration Hardship Evaluation is a comprehensive psychological assessment conducted by a licensed clinician that documents how immigration separation would impact a qualifying family member.
The evaluation includes:
In-depth clinical interviews
Standardized psychological testing
Review of medical, personal, and family history
Detailed written report supporting your waiver case
Other Services
VAWA
Asylum
T-Visa
U-Visa
Cancellation of Removal
Difference Between I-601 and I-601A Hardship Evaluations
An I-601 waiver applies when an applicant is already outside the United States or has been found inadmissible after an interview. An I-601A waiver applies when the applicant is still inside the U.S. and seeking provisional approval before departing for consular processing. Both require clear documentation of extreme hardship to a qualifying U.S. citizen or lawful permanent resident. The structure of the evaluation is similar, but the legal context and documentation strategy differ.
Why Choose Clarity Mental Health Counseling
Gina Sacco Marando, LMHC-D, NCC, BC-TMH
Licensed in NY & NH
Telehealth provider in Florida
National Certified Counselor
Board-Certified Telemental Health Provider
Certified Clinical Trauma Professional
Advanced Immigration Evaluation Training
Hundreds of successful evaluations
Our reports are written to meet USCIS and Immigration Court standards and are trusted by attorneys and families alike.
Our 3-Step Immigration Hardship aEvaluation Process
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One-on-one interview in person (Garden City, NY) or virtually.
Interpreter services available. -
Standardized testing identifies trauma, anxiety, depression, and emotional hardship.
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A comprehensive 12–15 page, evidence-based report prepared for legal submission.
Ready to schedule your evaluation?
Let us help you present the strongest possible case for your immigration future.