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What is a Psychiatric Assessment? A psychiatric examination is conducted by licensed mental health professionals. It's important that these professionals have all the necessary information to be able to assist you. They may ask about your family or personal history, order tests in the lab, evaluate you through interview and observation and conduct psychotherapy sessions. They can also prescribe medication. Evaluation We all go through difficult times, but when these problems begin to take the fun out of life and begin negative impacting your the daily routine, it might be time to seek out professional assistance. A psychiatric examination is the first step towards receiving the treatment you require. In this stage the psychiatrist will ask a lot of questions and will conduct a physical examination. This is important because there are instances that a patient may have an illness such as a neurological disorder or thyroid that can cause symptoms that mimic the symptoms of a 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 the severity of their symptoms and how they affect them and their daily activities. The doctor will also inquire about your family history as well as other aspects of your life, including your relationships, occupation and sources of stress. Additionally the psychiatrist will want to know if you have been a victim of or witness to any major trauma-related events in your life. Psychological tests are often used in the process of assessing to provide objective information about specific mental health conditions. These tests could include questionnaires that require you to assess your feelings and behaviors or other tests that assess how well you can focus, recall names and objects or solve math problems. The length of time a patient speaks during the interview is a different aspect that should be noted. The amount of spoken words spoken and the quality of the speech (fluency or tone, rhythm) can give clues as to the patient's mood. For instance those who don't talk a lot could be anxious or depressed, while someone who talks often could be hyper. For young children, the psychiatric examiner will spend some time just interacting with them to build trust and create comfort. The time spent with the child could be as simple as speaking to the child about the reasons they are there and allaying any anxieties that may be present. For instance, a school age girl may be initially nervous about having shots in their arm, but when the psychologist sat her down with her Barbie coloring book, she began to let her emotions out. Diagnosis After conducting a thorough interview with the patient the psychiatrist will be able to determine what type of disorder the patient has and provide recommendations for treatment. This usually includes medications for psychiatric disorders, however other options like neuroimaging and EEG can also be used. The doctor will review the medical history of a patient and will order tests to determine whether there is a physical cause for their symptoms. During the interview the psychiatrist will ask the patient about their relationship and work, their family history of mental health issues as well as any trauma they've endured and any addiction issues they may have. They will also ask the patient about their symptoms and how they affect their daily life and activities. The psychiatrist will also talk about the patient's sleep patterns as well as appetite and energy levels. The psychiatrist will also listen to the patient's spoken words to assess its contents. The amount of speech and fluency, as along with the quality and tone of the voice are all important to note. The therapist will be looking for suicidal, homicidal or delusional thoughts, as well as hallucinations and delusions. Certain psychiatric disorders may have a physical root which is why the doctor will also look for thyroid and kidney issues that could cause symptoms. The doctor will also carry out an extensive physical exam and run labs for cholesterol, blood pressure and sugar levels. These all can affect moods and behaviors. It is important to be honest when answering questions during a psychiatric assessment. If they don't, it can result in an incorrect diagnosis and ineffective treatment. If a person does not seek help, they could suffer for years from mental illness and end their life. There is no reason to let stigma keep you from seeking the help you need. Beyond full psychiatric assessment can also destroy your relationship with the people you love and steal joy from your daily activities. Despite the myths that surround mental illness, they are more prevalent than most people realize. In reality, 1 in five Americans have an issue with their mental health that is serious enough to affect their daily life. Treatment The psychiatric examinations can be unnerving and inconvenient However, they're essential to receive the treatment you require. It is crucial to answer all of the questions with accurate answers to ensure that your psychiatrist is able to give you a clear diagnosis. Your information is private and will be used only to help you get better. Bring an adult family member or friend along in case you are having difficulty talking about the symptoms. They can help you remember the symptoms you're experiencing and listen to you. During the psychiatric examination during the psychiatric assessment, your doctor might inquire about your personal history of trauma from childhood or other medical conditions you have had. They'll also want know if you have any addictions or behaviors that might be impacting your ability to cope with your mental health issues. Your doctor will also be interested in knowing what your symptoms are doing to your daily life and relationships. They will be able to identify any changes in your mood, behaviors or sleep patterns and determine whether they are getting better or worse. They will be able to make an educated guess at your possible diagnosis and then determine the best treatment option for you. Your psychiatric nurse will utilize the psychiatric Mental Status Examination (MSE) when you are in an emergency. It is a systematic method to assess the mental state of the patient, which includes the appearance, attitude, behaviour speech, mood, thoughts, affect, content, perception, sensorium and insight. After all the information is collected, your psychiatric nurse will talk to you about the options available to you for treatment and come up with an initial treatment plan. This could include a mix of psychotherapy, medication and other forms of behavioral therapy, depending on the type of treatment they believe will be most efficient. Your psychiatric nursing staff should take the time to explain what they are doing, and why. They will allow you to ask questions and take into consideration your opinions when deciding on the best course of treatment. Follow-up A patient who has mental illness requires a thorough assessment that includes a complete medical history, mental status exam, and a physical examination. It is crucial to determine the etiology. The difference between delirium, dementia and other conditions could have a significant effect on the diagnosis, treatment, and disposition of the patient. It is also necessary to assess the degree of understanding the patient has. Although the research on insight is extensive however, the majority of studies have focused on patients who are severely ill. A standardized measure like the Insight and Treatment Attitude Questionnaire (ITAQ) can aid healthcare professionals assess the patient's perception of their illness and the motivations for treatment. Insight can be a great indicator of readiness to be discharged or ability to adhere to a treatment regimen. Patients may feel embarrassed or embarrassed when discussing psychiatric symptoms. Different interview methods can be used to facilitate discussions about these sensitive issues. The evaluation should not only evaluate the client's ability follow psychiatric treatment and identify any obstacles to adhering. After the psychiatric assessment is completed, a psychiatric management plan should be created and recorded in the client's medical record. The plan could include psychotherapy, outpatient psychiatric treatment or the combination of these. The patient should be capable of accessing all psychotherapeutic services mentioned in the treatment plans either on-site or through connection. In some instances an evaluation of psychiatric disorders can identify the root cause of the patient's present mental health issue. A mood disorder, for instance can be caused by an illness like hypothyroidism. Or a substance abuse disorder that is exacerbated by stressors in the life. In these instances the root cause needs to be addressed before the symptoms of psychiatric disorders will disappear. Clients who need an evaluation for psychiatric reasons must be able to consult a psychiatrist, who can conduct the assessment and offer treatment recommendations. This may be done through consultation with the primary care physician of the client or with a psychiatric specialist in the community. The psychiatric facility must be able to document all interactions with the client including assessments, medication monitoring and counseling sessions.