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What is a Psychiatric Assessment? A licensed mental health professional performs a psychiatric assessment. It is important that they are equipped with the necessary information to aid you. They might ask about your family or personal information, order lab tests, assess you by observation and interview and conduct psychotherapy sessions. They may also prescribe medication. Evaluation We all go through tough times But when these issues begin to suck the enjoyment out of life and begin adversely affecting your daily activities, it may be time to seek out professional help. The first step to getting the help you require is a psychiatric evaluation. During this time the psychiatrist will ask many questions and conduct a physical exam. This is important because there are occasions when a patient has medical issues such as a thyroid or neurological disorder that can cause symptoms that mimic mental illness. A physical can identify the root of the problem so the psychiatrist can get to the root of the problem. The patient is asked to write down in detail their symptoms, and how they affect them and their daily activities. The doctor will ask you about your family background and other aspects of personal life such as your relationships, occupation and stress-related factors. The doctor will also want to know whether you have experienced any major traumas in your past. Psychological tests are also often employed in the assessment process to provide objective data regarding specific mental health issues. These tests might include questionnaires that ask you to assess your feelings and behaviors or other tests that assess your ability to concentrate or recall names and objects or solve math-related problems. Another aspect of the assessment that needs to be carefully observed is how much a patient speaks during the interview. The amount of speech, as well as the quality of speech (fluency and tone) can give clues to a patient's state of mind. A patient who does not talk often could be anxious or depressed, while someone who speaks often could be manic. The psychiatric examiner spends some time interacting with children of all ages to help build confidence and provide comfort. This joining period can be as easy as chatting with the child about why they are there and allaying any anxieties that may be present. For instance, a school age girl may initially be anxious about having shots in their arm but once the psychologist engaged her around her Barbie coloring book she began to become more open. Diagnosis After conducting a thorough interview with the patient the psychiatrist will be able to determine the type of disorder the patient has and offer recommendations for treatment. In most cases, this will include psychiatric medications but other modalities like neuroimaging or EEG may also be used. The doctor will go over the medical history of the patient, and may order lab tests to determine if there is any physical causes for their symptoms. During the interview the psychiatrist will ask about the person's relationships as well as their work environment and their family history of mental illness and any traumas they've experienced, and any substance addiction issues they might have. The psychiatrist will also ask about the patient's symptoms and how they affect their daily life. The psychiatrist will also discuss sleeping patterns, appetite and levels of energy. Look At This will also listen to the patient's spoken words to assess its content. The amount of speech and fluency, as along with the quality and tone of the voice are crucial to note. The therapist will also look to determine if there are suicidal or homicidal thoughts as well as delusions and hallucinations. Some psychiatric disorders have a physical cause therefore, the doctor will look for kidney and thyroid problems that may be causing symptoms. The doctor will also conduct an extensive physical exam and run a series of lab tests to test for blood sugar, cholesterol and blood pressure since these can affect mood and behavior. It is essential to be honest in their answers during a psychiatric assessment. Failure to do this could lead to a wrong diagnosis and uneffective treatments. If a person doesn't seek help for mental illness, they can be suffering for years and ruin their lives in the process. Don't allow the stigma to stop you from seeking help. Mental illness can cause physical damage but also destroy relationships with loved ones and rob you of the joy you experience from your everyday activities. Despite what you may hear that exist, mental illness is more common than people realize. One of five Americans has a mental illness that is severe enough to impact their daily lives. Treatment The psychiatric examinations can be unnerving and uncomfortable however they're essential to get the treatment you need. It is crucial to answer all the questions with accurate answers so your psychiatrist can give you an accurate diagnosis. The information you provide is very confidential and will only be used to aid in your treatment. Bring a family member or acquaintance if you have trouble talking about the symptoms. They can assist you in identifying what you're feeling and listen to you. During the psychiatric examination, your doctor will ask you about any past medical conditions or traumas you may have experienced, such as childhood trauma. They will also ask whether you have any addictions or habits that might be affecting your ability to manage. Your doctor will want know about the impact of your symptoms on your daily routine and relationships. They will be able identify any changes in your mood or behavior as well as sleep patterns and determine whether they are getting worse or better. They will be capable of making an educated assessment of your possible diagnoses and will determine the best course of treatment for you. If you're experiencing trouble, your psychiatric nurse is likely to use the screening tool called the psychiatric mental status examination (MSE). This is a structured way to assess the mental state of the patient, which includes the appearance, attitude, behaviour, speech, mood and thoughts, affect, content, perception, sensorium, insight and judgment. After all the data is gathered, your psychiatric nurse will talk to you about your options for treatment and will create a first treatment plan. This could consist of a combination of psychotherapy, medication, and other behavioral therapy, depending on the kind of treatment they believe is most effective. Your psychiatric doctor should spend time going through this entire procedure with you, explaining what they are doing and the reason for it. They will give you the opportunity to ask questions and will consider your views in determining the most appropriate treatment. Follow-up A patient who is suffering from a psychiatric disorder needs an extensive evaluation which includes a thorough medical history, mental status exam and physical examination. It is essential to determine the etiology. The difference between delirium, dementia and other conditions could have a significant effect on the diagnosis treatment, as well as the disposition of the patient. An evaluation of the patient's level of understanding is also necessary. Although the literature on insight is vast, most studies have concentrated on patients who are severely ill. A standard assessment, such as the Insight Treatment Attitude Questionnaire (ITAQ), can help clinicians assess the level of understanding a patient has about their illness and the reasons for treatment. Insight can be a great indicator of readiness to be discharged or the ability to stick to a treatment regimen. Patients may feel embarrassed or depressed when discussing psychiatric symptoms. Several interview methods can be employed to facilitate discussions about these sensitive issues. In addition to assessing the ability of the client to follow psychiatric treatment The assessment should also include a discussion of obstacles to adhering. After the psychiatric assessment is completed, a psychiatric management plan must be formulated and recorded in the client's record. The plan could involve psychotherapy for outpatients, psychiatric treatments or the combination of these. The patient must be capable of accessing the psychotherapeutic services listed in the treatment plan, whether on-site or via linkage. In certain instances, a psychiatric evaluation will reveal the cause of the patient's mental illness. For instance the mood disorder could be the result of an acute medical condition such as hypothyroidism or a substance use disorder that has been made worse by life stressors. In these cases, addressing the underlying cause is crucial before signs of psychiatric disorder and symptoms subside. Clients requiring a psychiatric evaluation should be able to access a psychiatrist who can conduct the evaluation and make recommendations for treatment. This can be done in consultation with the primary care provider of the patient or a specialist in psychiatric care in the community. The psychiatric service should be able to record all interactions with the client including assessments, medication management, and counseling sessions.