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Assessment of a Psychiatric Patient The initial assessment of a psychiatric patient is normally a psychiatric interview. It includes the chief complaint, history of present illness, past psychiatric treatment, and social and family history. A total history is essential for diagnostic accuracy. For instance, a history of injury is needed for diagnosis of many psychiatric conditions that are associated with trauma. Signs If a person experiences upsetting signs, she or he need to look for help from a mental health specialist. This could consist of a family practitio