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General Psychiatric Assessment
There are a variety of challenges when conducting psychiatric assessments in general medical settings. These include problems with privacy assessment, ward rounds, and visits by other specialties. They also have issues with meal times and planned visits from family members.
In this regard it can be a challenge to determine the impact of outcomes, especially when it comes to specific outcomes due to illness.
Medical Histories
The first step in a general psychiatric evaluation is to determine the medical background of the patient. This includes details of their current health and any medications they're taking, as well as any medical issues that have occurred in the past which may have influenced their health and wellbeing. This information can help the physician determine the appropriate psychological tests and how many appointments may be necessary prior to making diagnosis.
This process is often difficult to complete on medical wards because of the limited space available as well as interruptions due to the ward's rounds, examinations by other specialties and allied health professionals, protected mealtimes and planned visitors. It is important to arrange an appointment time that doesn't clash with any of these activities, and locate a quiet place for the examination to be conducted. The referrer's particular concerns will help you determine what type of psychiatric evaluation is needed.
It is important to keep in mind that physical health issues can influence or even obscure the symptoms of psychiatric disorders. Diagnostic overshadowing is a very frequent issue and is hard to avoid. For example, if the patient was admitted to hospital for delirium and they have a prior diagnosis of dementia on their medical records it can be tempting to 'overshadow' the delirium by assuming it is caused by their existing mental illness rather than perform a full delirium screen to rule out treatable causes such as stroke.
It is essential that the psychiatrist who is taking a look at the patient is trying to establish the connection between the patient's physical and mental issues, and also to identify any concerns or complaints that the patient might have regarding their treatment, care or the way their health condition is being managed. Reference Osborn & Warner (1998) recommends an approach to achieve this. However, it could be difficult to implement in real life.
Family History
The psychiatrist will inquire about your family history in order to determine if there is a mental health problem within your family. They will also inquire about any past traumas or experienced, as well as your current social status (including your work, relationships and whether you have the support of your family). You may be asked about your religion and your dreams and goals. The psychiatrist will then make an assessment and create an appropriate treatment plan to suit your requirements.
The psychiatrist should also examine physical symptoms. They will check the patient's blood pressure and listen to the heart and lungs and search for any other medical conditions which could be causing or aggravating the psychiatric symptoms.
It is often beneficial for the psychiatrist to get an entire physical exam from the general practitioner however, this isn't always possible, especially in people who are very ill and inpatients on psychiatric wards. These patients may have only minimal or no face-to-face interactions with psychiatrists. In these cases it is crucial that psychiatric staff or care coordinators play an active role in ensuring that the physical health needs of patients are satisfied.
Psychiatrists should also be able to understand why the person is being referred to them, and what they expect to achieve from their psychiatric examination. They must be able to read medical letters, examine reports of tests and communicate effectively with a patient's medical team to coordinate any medication or treatment.
The medical history is a crucial component of any psychiatric assessment. It should include details about the diagnosis of the patient's psychiatric illness as well as past treatment, as well as drug and alcohol usage. It is also important to gather a thorough family history, if possible to determine the risk of certain disorders, such as bipolar disorder, which tends to occur in families. It is useful to make use of screens that gather all of the psychiatric records for a lifetime on informants and their first-degree relatives however, it is equally important to obtain a complete family psychiatric record.
Symptoms
During the psychiatric assessment your doctor will inquire with you about your symptoms and how they have affected your life. Your doctor will also inquire about your family history and any other issues that may be relevant. The interview can feel invasive at times, but it's important to answer honestly and fully so that a precise diagnosis can be made.
It is crucial to have an evaluation of your psychiatric condition if you suffer from mental health issues such as anxiety or depression. This will tell you whether you require treatment. It is normal to experience periods of stress and low mood but if they last more than one or two days or interfere with your daily functioning then you may require treatment.
Your psychiatrist will ask you website about your symptoms and any other issues that are impacting you, like work or family problems or addiction issues. They will also inquire about your physical health, sleeping habits and whether or not you've tried any other strategies to alleviate your symptoms.
Your psychiatrist will also ask you questions regarding your previous experiences with mental illness and they may also use standardized assessment tools or psychological tests to gain understanding of your situation. These tests may include personality tests, questionnaires or cognitive tests to measure the level of stress you are experiencing.
If your psychiatric assessment finds that you suffer from psychotic symptoms, for example hallucinations or delusions that are a significant departure from what is considered to be real, the psychiatrist might have to perform an in-depth exam and then admit you to the hospital to be observed. You will be required to undergo a second assessment by a psychiatrist before being allowed to return home.
If you're seeking an evaluation for psychiatric disorders, Greater Lowell Psychiatric Associates can provide the assistance and care you deserve. The team of helpful and experienced professionals is committed to giving you the necessary information regarding the diagnosis you have received and possible treatment options. You can schedule your psychiatric evaluation on the internet or by calling us now.
Psychological Tests
The use of a variety of tests is an important part of a psycho-psychological evaluation. Psychological tests are written evaluations or verbal evaluations that assess unobserved constructs. They are used to evaluate a person's emotional functioning and personality traits. They can be used to determine a mental health condition's severity, such as anxiety or depression. Psychological testing is usually done by a trained psychologist and requires the patient to follow specific guidelines to get accurate results.
The psychiatric assessment may differ in terms of the number and type psychological tests that are administered, based on an individual's symptoms. A general psychiatric examination could be short, like the Mini-Mental State Examination (MSE), or more in-depth and time-consuming, like a Montreal Cognitive Assessment. Neuropsychological tests can be used to determine if there is an injury to the brain or concussion.
All types of psychiatric assessments provide a look at the patient's emotional and psychological functioning. They are carried out by psychologists, doctors and psychiatrists in the hospital setting to determine a person's current mood, emotional reactivity and cognitive abilities. They are also conducted by private therapists in their offices to gather data for a treatment plan as well as to determine if a patient could benefit from a medication or other kinds of therapy.
Intelligence and Achievement Tests are a type of psychological assessments. These tests test cognitive functioning (often called IQ) in comparison to a normated group. Other tests are designed to evaluate the ability to complete tasks, like a memory test or an assessment of word association. Psychologists are the only experts who have the training and experience to conduct and interpret psychological tests.
The purpose of a psychiatric assessment is to pair the patient with a doctor who can offer treatment and management. When the examination is completed the doctor will inform the patient of the diagnosis and how it relates to their presenting symptoms. The doctor will also inform the patient about the prognosis. This is how a diagnosis is expected progress in time.