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What is a Psychiatric Assessment? A psychiatric assessment is the very first step towards a diagnosis. During this consultation, the psychiatrist will collect info about your thoughts, feelings and behaviours. The psychiatrist will also look at your family history. The assessment can be a consensual outpatient meeting or a Mental Health Act assessment. In the latter case, it is most likely to include a remand in custody. Psychiatrists in London If you're dealing with psychological health problems, you may need a psychiatric assessment to