A mental health assessment gives your doctor an overall picture of how well you feel emotionally and how well you are able to think, reason, and remember (cognitive functioning). Your doctor will ask you questions and examine you. You might answer some of the doctor's questions in writing. Your doctor will pay attention to how you look and your mood, behavior, thinking, reasoning, memory, and ability to express yourself. Your doctor will also ask questions about how you get along with other people, including your family and friends. Sometimes the assessment includes lab tests, such as blood or urine tests.
A mental health assessment for a child is geared to the child's age and stage of development.
A mental health assessment is done to:
If you are having a mental health assessment because you have specific symptoms, you may be asked to keep a diary or journal for a few days before your appointment. A family member or friend may be able to describe your symptoms better than you can. If possible, bring that person with you to your appointment.
If your child is being checked for behavior problems, you may be asked to keep a diary or journal of how he or she acts for a couple of days. Your child's teacher may need to answer questions about how your child acts at school.
Many medicines can cause changes in your ability to think, reason, and remember. Be sure to tell your doctor about all the nonprescription and prescription medicines you take.
Talk to your doctor about any concerns you have regarding the need for the test, its risks, how it will be done, or what the results will mean. To help you understand the importance of this test, fill out the medical test information form(What is a PDF document?).
Health professionals often do a brief mental health assessment during regular checkups. If you are having symptoms of a mental health problem, your doctor may do a more complete assessment or refer you to another doctor, such as a psychologist or psychiatrist.
A mental health assessment includes an interview with a doctor and may also involve a physical exam and written or verbal tests.
During the interview, your doctor pays attention to how you look (for example: Are you standing up straight? Are your shoes tied? Are you neat and clean?), how you move, what type of mood you seem to be in, and how you behave. You will be asked to talk about your symptoms and complaints. Be as detailed as possible. If you have kept a diary or journal of your symptoms, share this with your doctor.
Your doctor may ask you questions to check how well you think, reason, and remember (your cognitive functioning). He or she may ask you questions to find out how you think, how you feel about life, and whether you are likely to commit suicide.
A mental health assessment may include a physical exam. Your doctor will review your past medical history, as well as that of your family members, and the medicines you currently take.
Your doctor may test your reflexes, balance, and senses, such as hearing, taste, sight, smell, and touch.
The mental health assessment sometimes includes lab tests on a blood or urine sample. If a nervous system problem is suspected, tests such as magnetic resonance imaging (MRI), electroencephalogram (EEG), or computed tomography (CT) may be done. Lab tests to detect other problems may include thyroid function tests, electrolyte levels, or toxicology screening (to look for drug or alcohol problems).
A mental health assessment may include one or more verbal or written tests. You will be asked some questions and will either answer out loud or write your answer on a piece of paper. Your answers are then rated and scored by your doctor.
Written questionnaires generally contain 20 to 30 questions that can be answered quickly, often in a "yes" or "no" format. They usually don't take long to finish, and you can do them by yourself at a regular office visit.
Many mental health questionnaires are available. They look at:
Sometimes a more extensive mental health test, such as the Wechsler Adult Intelligence Scale, may be needed. The test may need to be given by a specialist such as a psychologist.
How a child's mental health is assessed varies depending on the age of the child and the suspected problem. Young children may be asked to draw pictures to express their feelings, or they may be asked to look at pictures or images of common subjects and talk about how the pictures make them feel. Parents or teachers may be asked to answer questions about a child using a checklist.
The time it takes for a mental health assessment varies depending on the reason for the assessment. An interview with written or verbal tests may last 30 to 90 minutes, or longer if several different tests are done. An in-depth test such as the Wechsler Adult Intelligence Scale may take 1 to 2 hours.
A mental health assessment is used to find out how you think and feel.
Lab tests do not usually cause much discomfort. A blood sample will be taken from a vein in your arm. An elastic band is wrapped around your upper arm and may feel tight. You may feel nothing at all from the needle, or you may feel a quick sting or pinch. Collecting a urine sample does not cause pain.
Your doctor may not be able to find the cause of your symptoms, because some mental health problems are hard to diagnose. Also, more than one mental health assessment or other tests may be needed to accurately diagnose your problem.
A mental health assessment gives your doctor an overall picture of how well you feel emotionally and how well you are able to think, reason, and remember (cognitive functioning). Your doctor may discuss some results of the mental health assessment with you right after the assessment. Complete results may not be available for several days.
Many conditions can change the results of a mental health assessment. Your doctor will talk with you about how your results relate to your symptoms and past health.
A mental health assessment can help diagnose:
You may not be able to have the test or the results may not be helpful if you:
Other Works Consulted
- Hales RE, Yudofsky SC, eds. (2008). The psychiatric interview and mental status examination. Textbook of Clinical Psychiatry, 5th ed., Washington, DC: American Psychiatric Publishing.
- U.S. Preventive Services Task Force (2003). Screening for dementia: Recommendation and rationale. Annals of Internal Medicine, 139(11): 925–926.
|Primary Medical Reviewer||Kathleen Romito, MD - Family Medicine|
|Specialist Medical Reviewer||Lisa S. Weinstock, MD - Psychiatry|
|Last Revised||January 12, 2011|
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