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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 in time and their influence on day-to-day functioning. It is also crucial to understand the patient's past psychiatric medical diagnoses, consisting of relapses and treatments. Knowledge of previous reoccurrences may suggest that the existing diagnosis needs to be reassessed. is the primary step in u