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The Background of a Preliminary Psychiatric Assessment Taking the primary step to seek treatment for mental disorder is a brave, decent and crucial one. The initial psychiatric assessment is an opportunity for you to communicate your concerns, questions and fears to your psychiatrist. Normal aspects of the assessment include estimation of current and previous aggressive ideas or habits (e.g., homicide); legal consequences of past aggressive habits; and psychotic symptoms. Background The background of a psychiatric assessment includes an interview with the pat