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Psychiatric Assessment - The First Step to Diagnosing and Treating Psychiatric Disorders The initial step in assessment is listening to the patient's story. This consists of the patient's recollection of symptoms, how they have actually changed with time and their effect on day-to-day functioning. It is also essential to comprehend the patient's previous psychiatric diagnoses, consisting of relapses and treatments. Understanding of previous reoccurrences might suggest that the presen