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Psychiatric Assessment - The First Step to Diagnosing and Treating Psychiatric Disorders The first step in assessment is listening to the patient's story. This includes the patient's recollection of symptoms, how they have altered gradually and their effect on daily performance. It is also essential to comprehend the patient's past psychiatric medical diagnoses, including relapses and treatments. Understanding of past reoccurrences might show that the existing diagnosis requires to be reassessed. Background A pati