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Assessment Mental Health The assessment of mental health involves an extensive evaluation that covers the patients thoughts feelings and symptoms It can be done by using questionnaires interviews with a clinician or tests When comparing assessment instruments for the same disorder there was a significant distinction in the question format The percentage of questions addressing emotion cognitive physical or trigger themes varied among assessment tools Symptoms Your doctor will ask you about your symptoms as well as the severity and impact they affect your life You will also be asked to furnish details about your family history as well as any previous psychiatric issues and current medications Its essential that your doctor is aware of the current prescription and nonprescription medications such as vitamins herbal supplements and other supplements youre taking because they can cause side effects similar to the symptoms of a mental disorder Your doctor will examine your appearance and observe how you conduct yourself Theyll pay attention to things like how well you express yourself how you look whether you keep eye contact and also your mood They will also look at your energy level as well as how you interact Theyll ask about past problems including thoughts of suicide or suicidal attempt private mental health care near me ll be asked if have attempted to manage your symptoms on your own or with assistance from others Your assessment may include a physical examination to identify any medical conditions that could be the cause of your symptoms This will typically involve a urine and blood test The blood test will most likely be taken from your arm and may feel like a tiny pinch or the sensation of stinging The urine test is a simple pee into a cup If you have any fears about the tests you should consult with your therapist prior to the appointment Theyll try to make the process as easy as possible Mental status examination A doctor who is able to recognize and describe the mental status examination of a patient will be well on the way to an established psychiatric diagnosis in the structure of the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition Text Revision DSMIV The MSE includes observing general appearance and behavior as well as any unusual or bizarre beliefs or perceptions mood and all aspects of cognition eg attention orientation and memory A wellconstructed MSE can yield important information It may reveal a dirty or unwashed appearance typical of mania or schizophrenia or a selfneglecting habit that is indicative of bipolar or depression disorder It may also trigger an emotional response to hypothetical scenarios such as What would you do if you found an unopened wallet on the street which can provide insight into the patients thinking process and social judgment MSEs may be conducted in a variety of ways based on the examiners qualifications and experience For example asking the patient to spell world forward and backward or to subtract serial sevens from 100 will test their the degree of attentiveness Patients may be asked to draw a clock or a house or even interlocking pentagons in order to assess spatial perception This may also help to identify impersistence persistence micrographia and hemispatial neglect Based on the results of the MSE other evaluations may be suggested This could include laboratory tests to determine the cause of or reversible medical conditions brain imaging eg computed tomography or magnetic resonance imaging as well as a referral for a formal psychiatric evaluation and consultation with a psychiatrist A wellconstructed MSE will reveal important clues for a diagnosis and can help determine the best treatment When performing an MSE on a child its important to place the test within the context of an intake assessment The results should be evaluated with care within the framework of developmental Interviews An interview is one of the primary components of the mental health assessment The interview can be structured or unstructured and could include questions on various topics A mental health professional might inquire about your family background and if you have ever suffered any injuries or illnesses They may also inquire about any drugs you take including nonprescription ones like herbal supplements or teas They might want to know if you are experiencing stress and what coping strategies you use Assessment of cognitive functioning intelligence judgment and insight are also a part of the mental health assessment The former refers to a persons ability to think clearly and make decisions The latter refers to a persons ability perceive the reality solve problems and understand their challenges The final component is insight It is the ability of a person to gain an understanding of their current situation and the reasons behind their visit to a mental health specialist Mood and affect are also crucial factors in the mental status exam Direct questions are used in conjunction with observing the patients facial expressions body language posture and the tone of voice These aspects of mood may help determine if a person is experiencing a depressive episode or a panic attack Mood and affect are also important in assessing thought content and affect which can be assessed by direct examination and observation of ones thoughts Thought content can be used to determine if the patient is experiencing auditory visual or tactile hallucinations delusions of their status or fear from others as well as obsessions and compulsions and fears These symptoms can be assessed using a variety of instruments such as rating scales or questionnaires Tests Tests assist mental health professionals evaluate a patients cognitive functioning and personality characteristics They can also be used to establish the diagnosis or to identify areas of concern These tools can be comprised of verbal and written tests and can be informal or formal Many therapists as well as traditional pen and paper tests employ digital tools such as Great Plains Health a popular anxiety inventory These tests can provide an array of information about an individuals thoughts and behavior such as how they cope with stress and their level of insight These tests can also be used to determine the emotional health of an individual and their ability to solve problems The most important consideration when selecting an assessment instrument is its reliability accuracy validity and sensitivity The types of tests will differ based on the issue however they could include a minimental state exam MSE to determine a persons level of consciousness and how they respond to questions about their past and present Other tests include a cognitive assessment that identifies signs of mental illness such as hallucinations and delusions obsessions ritualistic behavior compulsions phobias or thoughts of suicide or selfharm Mental health tests can be used to aid in diagnosing mental disorders such as depression and schizophrenia as well as anorexia nervosa or bulimia They can be used to determine risk factors for these conditions such as family history or the environment They can be difficult to read Test scores can be affected by a variety of factors such as age diet and sleep patterns as well as exercise The type of test as well as the number of questions can affect the results Multiple choice tests like are often misleading and do not always accurately reflect the capabilities of the test taker Checklists Mental health assessments are a vital element in diagnosing and treating mental illness These tests are typically performed by mental health professionals such as psychiatrists or clinical social workers licensed psychologists or professional counselors The assessment process involves analyzing symptoms as well as conducting an interview and administering tests It is vital to utilize accurate and current tools for assessing mental health to ensure that patients receive the appropriate treatment in time If not patients could be in danger of complications such as misdiagnosis or delayed treatment Tests and checklists are popular tools used to determine the mental health of an individual They can be informal or formal standardized or nonstandardized selfreport or therapistadministered and can be used at any point in the counseling process Alongside psychological testing other methods of assessing mental health include laboratory and physical tests These tests can be used to determine if there are physical issues that may be creating symptoms These tests can also help determine the severity of the disorder Psychometric tests can include different kinds of questionnaires and checklists These tests are used to assess the persons cognitive behavior and personality performance These tests require specialized training to conduct and interpret They can aid in identifying various mental disorders including anxiety and depression They can also help identify other disorders such as schizophrenia and bipolar disorder The process of assessing someone can be a challenge particularly when dealing with someone who is at risk of taking their own life You should be able to recognize the symptoms and signs of suicide to take preventative measures Suicide is a leading cause of death and its essential to guard against harm A tool called the Mental Health Environment of Care Checklist has been proven to reduce the number of suicides that occur in mental health hospitals within the Veterans Affairs VA system