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Psychiatry

Initial Psychiatric Assessment

Your concerns, life history and daily functioning are discussed in detail, and follow-up options are considered together.

What is it?

The first assessment is time set aside to understand what you are finding difficult. When symptoms began and how they affect sleep, appetite, energy, relationships and work or study are discussed.

Your health history, medicines and any family history of similar difficulties are also asked about. Blood tests or input from other specialties may be requested, since some symptoms can have physical causes.

At the end, options such as psychotherapy, medication or both are discussed with their possible benefits and limitations. The next step is decided together, and the course is different for everyone.

Who is it assessed for?

  • People who have not felt well for a while and want to understand why
  • Those who had treatment before and wish to restart follow-up
  • People referred for a psychiatric assessment by another doctor
  • Families seeking information about a relative (with the person's consent)

Step by step

  1. 1

    Welcome

    Confidentiality and the structure of the session are explained.

  2. 2

    History

    Concerns, life circumstances and health history are discussed.

  3. 3

    Assessment

    Questionnaires and tests are planned if needed.

  4. 4

    Shared plan

    Options are discussed and the next step is agreed together.

Questions

Will what I share stay confidential?

Yes. What you share is confidential. Legal obligations apply only where your life or someone else's is at serious risk.

Will medication be started at the first visit?

Not always. Whether medication is needed is discussed after assessment and decided with you.

Can a relative join the session?

That is up to you. Part of the session can be held alone and part together.

This page is for general information and does not replace a medical examination. Results and the suitable approach vary from person to person.