Have you been feeling depressed, anxious, or having difficulty concentrating? Are you feeling unsure about seeking mental health services because you don’t know what to expect? I often meet clients who are nervous during an initial psychiatric assessment. Maybe this is their first time with a provider or maybe they have had poor experiences with previous providers. Seeking services shouldn’t cause more anxiety. I am going to share a quick breakdown of a typical initial psychiatric assessment appointment, so there is full transparency and hopefully reduced stress.
Psychiatric Assessment Step By Step
A psychiatric assessment with a Psychiatric Nurse Practitioner, Psychiatrist, or Physician's Assistant is typically made when a client is considering medication as part of their treatment plan. This initial assessment is typically scheduled for 45-60 minutes because the provider needs to learn about you and your history. Questions will be asked about medical history, psychiatric history, substance use, smoking, family history, current social environment, current medical issues, and current mental health symptoms. The provider will ask if you are having symptoms typical for an array of mental health disorders. This will help eliminate disorders and help us focus on what may be going on. When the provider has an idea of a diagnosis, they may ask several questions related to that disorder. Many times, the provider will make a diagnosis and explain how they came to this conclusion. However, a diagnosis is not always made on the first meeting and can be changed as the provider gets to know you better or new symptoms arise. The provider will then discuss treatment options both pharmacological and non-pharmacological. Together you will form a treatment plan you are comfortable with. Depending on the treatment plan, a provider may make referrals, order blood work, or order other testing. The provider will then see you back in 1-4 weeks. This time the appointment will only be 15-30 minutes to discuss progress and changes.
Don’t Wait to Seek Services
I realize this seems like a lot but remember we are here to help. The last thing I want is for potential clients to delay seeking services out of fear of the unknown. Often the earlier you seek treatment the better. Symptoms can be treated before they progress and you feel even worse. Mental health services can be preventative! Often parents may seek services for a child if they are planning on going through a divorce and they know it will be a difficult adjustment for the child. Show yourself the same love and seek services early.
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