Cancellation of Removal Psychological Evaluations
Documentation of exceptional and extremely unusual hardship to qualifying relatives. Developmental impact, attachment disruption, and the psychological evidence that documents them. The hardship standard here is the highest in immigration law, much higher than for an I-601 waiver.
Not sure this is the right evaluation for your case? Compare all 8 relief types.
A cancellation of removal psychological evaluation documents "exceptional and extremely unusual hardship" to a United States citizen or lawful permanent resident (LPR) qualifying relative under Immigration and Nationality Act (INA) section 240A(b)(1), the highest hardship standard in immigration law. The report documents the clinical findings; your attorney ties them to the legal standard the Board has set in cases such as Matter of Monreal-Aguinaga and Matter of Recinas. $2,500 flat fee, usual 5-7 business day turnaround, professional interpreter available. Related reading: the cancellation of removal guide.
Do I need a psychological evaluation for cancellation of removal?
It depends on your case, and whether to include one is your attorney's call. Ordinary non-permanent-resident cancellation (INA 240A(b)(1)) has to show "exceptional and extremely unusual hardship" to a U.S. citizen or permanent resident spouse, parent, or child. A psychological evaluation documents the clinical side of that hardship, with an interview and standardized tests.
The flat fee is $2,500, with the report usually in 5 to 7 business days (all fees are on our pricing page). You or your attorney can write to us in any language to ask whether it fits. Asking is free.
How Psychological Evidence Helps Cancellation Cases
"Exceptional and extremely unusual hardship" is the highest hardship standard in immigration law. A psychological evaluation gives the judge specific clinical findings about the family instead of description alone. For a full walk-through of the ten-year non-LPR statute, the qualifying-relative rules, and how Form EOIR-42B fits the relief, see our cancellation of removal guide.
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The highest hardship standard
Cancellation of removal needs "exceptional and extremely unusual hardship," much harder to clear than the "extreme hardship" standard for I-601 waivers. The hardship has to be substantially different from, or worse than, what any family deals with when a parent is deported. Clinical evidence documents what makes this family's situation different; whether it is exceptional is the judge's call.
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Impact on qualifying relatives
The hardship analysis focuses on U.S. citizen or lawful permanent resident children, spouse, or parent. We document the children's development, attachment and mental health now, any condition a relative is being treated for, and the clinical risks a parent's removal could pose to them.
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A yearly cap on grants
Only 4,000 of these grants are allowed each year. Once a year's numbers are used up, a judge who would grant reserves the decision until a number opens up (8 CFR 1240.21(c)). The cap does not change the hardship standard, but the application stays open while it waits, so eligibility still has to hold when the decision is made (a qualifying child can age out). What the evaluation adds is clinical documentation, with DSM-5-TR diagnoses and standardized test scores, of how removal would affect the qualifying relatives.
What Your Client's Evaluation Includes
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90 to 120 minute clinical interview
A structured interview with the applicant and, where it helps the case, the qualifying relatives. We map the family constellation, the developmental history, the attachment dynamics, the current symptoms, and the specific shape removal-related hardship would take in this family.
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Standardized psychological testing
The full battery: PTSD Checklist for DSM-5 (PCL-5), Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder scale (GAD-7), and developmental assessments for children where the case calls for them. Numerical evidence that the clinical conclusions can rest on.
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Hardship impact analysis
How removal could affect the children's development and attachment. What would be lost if school services and mental health treatment stopped. Where your attorney supplies country sources, what mental health care the receiving country has. Whether all of this meets the legal standard is your attorney's argument and the judge's decision.
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Detailed written report
DSM-5-TR diagnoses where supported, hardship documentation, developmental analysis, and attachment assessment. Written for a cancellation case filed on Form EOIR-42B, so your attorney can tie the clinical findings to the legal argument. Written report only; no testimony or court appearances.
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Professional interpreter for almost any language, available if needed
We arrange the interpreter so the family does not have to pull a relative in to translate hardship testimony.
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Revisions included
Every family is different. The report has to fit. Reasonable revisions within the scope of the evaluation are included. No revision fee.
How does the evaluation process work?
Five steps. Refer the client and Dr. Mantonya handles the rest.
Attorney referral
Email or call. Share the case, the qualifying relatives, and any documents already in hand.
Records review
Dr. Mantonya reads the file before the interview: family history, children's school and medical records, and country condition exhibits.
Clinical evaluation
Ninety to one hundred twenty minutes of structured interview with the applicant and, where it helps the case, the qualifying relatives. Telehealth or in person.
Report delivered
The full report, with DSM-5-TR diagnoses and the hardship analysis, usually lands in 5 to 7 business days. Rush available.
Attorney review
Reasonable revisions within the scope of the evaluation are included. No revision fee.
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Unusual
Transparent Flat-Fee Pricing
- 90 to 120 minute clinical interview
- Full standardized psychological testing battery
- Hardship impact analysis for qualifying relatives
- Complete written report with DSM-5-TR diagnoses
- Professional interpreter for almost any language, available if needed
- Reasonable revisions within the scope of the evaluation
- Telehealth available statewide in California
Cancellation of Removal FAQ
How does a psychological evaluation help meet the "exceptional and extremely unusual hardship" standard?
The cancellation hardship standard is the highest in immigration law. A judge must find that the hardship goes substantially beyond what any family would experience from deportation. This clinical report lays out the children's development and attachment, any existing mental health conditions, the services the family relies on, and the clinical risks removal could pose to each. The report records these findings with DSM-5-TR diagnoses and standardized test scores; whether they meet the legal standard is for the judge to decide. Support letters from teachers, coaches, and community members who can speak to the family's ties and the children's needs further strengthen the record.
Who are the qualifying relatives for a cancellation of removal case?
For ordinary non-LPR cancellation of removal under INA 240A(b)(1), the qualifying relatives are U.S. citizen or lawful permanent resident children, spouse, or parent. The focus is on how removal would impact these individuals. Children are often a main focus because developmental disruption, educational consequences, and attachment injury during critical periods can be clinically documented; whether that amounts to exceptional hardship is the judge's decision.
Can the evaluation be completed via telehealth?
Yes. Telehealth evaluations are conducted via a secure video platform that complies with the Health Insurance Portability and Accountability Act (HIPAA) and telehealth evaluation reports are routinely submitted in immigration court. Clients anywhere in California can participate without traveling. In-person evaluations are available by request in the Los Angeles area, including Santa Clarita and the San Fernando Valley.
How hard is it to win cancellation of removal?
Extremely difficult. Ordinary non-LPR cancellation requires proving "exceptional and extremely unusual hardship," the highest hardship standard in immigration law. A yearly numerical limit applies to these grants. Outcomes depend on many factors, and whether to include a psychological evaluation is your attorney's call.
What are the requirements for 42B cancellation of removal?
Ordinary non-permanent-resident cancellation on Form EOIR-42B (INA 240A(b)(1)) requires: 10 years continuous physical presence, good moral character, no disqualifying criminal convictions, and proof that removal would result in exceptional and extremely unusual hardship to a qualifying U.S. citizen or lawful permanent resident relative.
What is exceptional and extremely unusual hardship?
This is the highest hardship standard in immigration law. The Board set it out in Matter of Monreal-Aguinaga (BIA 2001): the hardship to a qualifying relative must be "substantially different from, or beyond, that which would normally be expected from the deportation of an alien with close family members here." A psychological evaluation documents the clinical side of a family's hardship; whether it meets the standard is the judge's decision.
How does the 4,000-per-year cap on cancellation grants affect my case?
INA 240A(e) caps non-LPR cancellation grants at 4,000 per fiscal year. When the year's numbers are used up, a judge who would grant reserves the decision until a number becomes available in a later fiscal year (8 CFR 1240.21(c)). The cap affects when a grant takes effect, not the legal standard the judge applies.
Does a qualifying child have to be under 21 for cancellation of removal?
For non-LPR cancellation under INA 240A(b)(1)(D), a qualifying child must be a U.S. citizen or LPR who is unmarried and under 21. A spouse or parent has no age limit, but a child does, and a child who turns 21 during the case can age out of qualifying (see Matter of Arevalo-Vargas, 29 I&N Dec. 519, BIA 2026). Whether a specific relative qualifies is a legal question for your attorney; the psychological evaluation documents the hardship to a qualifying relative.
What if my qualifying relative does not have any documented mental health diagnoses?
Many qualifying relatives have never sought mental health care. That is common, and it does not rule out an evaluation. A 90-to-120-minute clinical interview with standardized testing (PCL-5, PHQ-9, GAD-7, BDI-II) assesses the relative now. If the findings meet the criteria for a DSM-5-TR diagnosis, the report says so; if they do not, it documents the symptoms and functioning it found.
How long does a 42B cancellation case take from filing to decision?
Cancellation of removal cases under INA 240A(b) often take years from the filing of Form EOIR-42B to a final individual hearing, because the immigration courts carry a very large backlog. The annual cap can add more waiting after a judge decides to grant. Evidence is due before the individual hearing on the court's deadline, which your attorney tracks, so the report should reflect the qualifying relative's condition close to the hearing rather than years earlier. We provide addenda at $500 if the case is delayed and the underlying clinical picture has shifted.
Can my US citizen children's hardship qualify even if they are very young?
Yes. Under INA 240A(b)(1)(D), the qualifying relative is a U.S. citizen or LPR spouse, parent, or a child who is unmarried and under 21. Even very young children's development and attachment can be clinically assessed. In Matter of Recinas (23 I&N Dec. 467, BIA 2002), the Board weighed that a single mother was the sole support of six children, four of them U.S. citizens aged 5 to 12, with no family left in Mexico and children unfamiliar with Spanish. The clinical evaluation documents the developmental trajectory, attachment quality, and the specific educational or therapeutic services that would be lost.
Composite examples
Composite cases from non-lawful-permanent-resident cancellation of removal under INA 240A(b), filed on Form EOIR-42B. These are illustrative, not real cases; names and details are invented.
Maritza, 35, mother of a United States citizen autistic child
Twelve years of continuous physical presence, no criminal history. Her eight-year-old son, a United States citizen, was on the autism spectrum and receiving regional center services and individualized education program supports. The evaluation assessed how removal could affect him: developmental disruption, attachment regression, and the loss of specialized services that may not be available in Maritza's home country. The report documented that clinical picture; how it fits the hardship standard was left to her attorney. (In Matter of Buri Mora, 29 I&N Dec. 186 (BIA 2025), the Board reversed a grant where the children’s autism and developmental delays were being managed and they would stay with their mother; outcomes turn on the specific record.)
Joon-ho, 47, applicant with a long U.S. history
Eighteen years of continuous physical presence and no criminal record. His wife (a United States citizen) had severe post-traumatic stress disorder and severe depression, with a history of early childhood trauma. What makes this example strong: the report documented how his wife's treatment and daily functioning depend on Joon-ho's caregiving at home.
Also Available
Who writes your report
Dr. Julia Mantonya
Licensed Psychologist, California · PSY28494
- • A licensed clinical psychologist, one of the three professions allowed to sign Form N-648 disability waivers.
- • Nine-plus years as a psychologist in high-security clinical settings.
- • Every evaluation is conducted and signed personally by Dr. Mantonya. Your case is not handed to an assistant.
- • Statewide California via secure telehealth, with a professional interpreter arranged when it helps.
Read her full background, or verify the license directly with the California Board of Psychology.
Ready to get started?
Cancellation evaluations are $2,500 flat fee, usually 5 to 7 business days. The hardship standard here is the highest in immigration law, so the report is built to speak directly to it. Attorneys, send the case details and qualifying relatives. If you are the one in proceedings, you can write to us yourself in any language. We reply personally with next steps, and we do not share your file with immigration enforcement without your authorization, unless the law requires it.
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