Comprehensive Psychiatric Evaluation

A psychiatric evaluation involves an in-depth assessment designed to identify and diagnose mental health conditions. 

This initial office visit is scheduled for 90 minutes. However, an additional office visit may need to be scheduled if more time is needed to gather clinical information. 

This Evaluation Involves... 

• Initial Clinical Interview: 
  • This is a structured conversation between the nurse practitioner, the patient and parent or guardian aimed at gathering comprehensive information about the patient's mental health history, current symptoms, and biopsychosocial history. This interview includes inquiries about the patient's medical history, family history, social relationships, academic performance, and any previous psychiatric treatments. Establishing rapport and ensuring a safe environment for open communication is also an important component of this initial interview. 
• Mental Status Exam (MSE):
  • This is a systematic assessment tool used in psychiatry to evaluate a patient's cognitive, emotional, and behavioral functioning at a specific point in time. This exam includes observations and inquiries regarding the patient's appearance, behavior, speech, mood, thought processes, perception, insight and judgment. An MSE is used to gather objective data and aids in diagnosing mental health conditions, monitoring changes over time, and guiding treatment decisions and is a critical component of the overall psychiatric evaluation.
• Physical Assessment:
  •  A physical assessment during a psychiatric exam involves a comprehensive evaluation of a patient's physical health to identify any medical conditions that may impact their mental health or contribute to psychiatric symptoms. This assessment typically includes a review of vital signs including height and weight, a general physical examination, and may involve specific tests or screenings as needed. The nurse practitioner will look for signs of substance use, neurological concerns, developmental concerns, and other medical concerns that could influence the patient's mental state and treatment options. Integrating physical health into psychiatric care is essential in the pediatric population and allows for a holistic treatment plan of care. 
• Laboratory Tests:
  •  Laboratory tests play an important role in psychiatric evaluations by helping to identify or rule out underlying medical conditions that may contribute to psychiatric symptoms. Tests such as blood work, urine analysis, and toxicology screens can detect metabolic imbalances, infections, substance use, or hormonal issues that might mimic or exacerbate mental health disorders. Genetic testing may also be ordered if needed. Lab tests can also assist in monitoring the effects of psychiatric medications and ensuring patient safety. Integrating lab findings with clinical assessments aids in the diagnosis of mental health conditions and the development of appropriate treatment plans.  
• Standardized Assessments: 
  • This involves the use of psychiatric questionnaires and rating scales which are tools used to evaluate mental health conditions. These tools help to ensure consistency and accuracy in diagnosing mental health conditions and help to provide a systematic approach to gathering information about a patient's symptoms, functioning and overall well-being. They also help to identify specific areas of concern, monitor treatment progress, and evaluate the effectiveness of interventions over time. These assessment tools are commonly used to assess for conditions such as ADHD, Autism, Anxiety, Depression, Mood, and Personality disorders.
• Collaboration With Other Professionals:
  •  This involves collaboration and input from teachers, pediatricians, specialty doctors, and therapists. Information from these professionals provides insight regarding the child’s functioning across different environments allowing for a holistic approach to care. This collaboration not only enhances the quality of care but also promotes a supportive network for patients and their families, ensuring they receive the resources and interventions needed to improve the patient's mental health. 

Following this evaluation, a follow-up visit is made to discuss findings and to provide education regarding any identified mental health conditions. A personalized treatment plan will be discussed that may include medication, therapy, and additional social support.

Routine follow-up visits will also be scheduled to ensure the effectiveness of treatment and to provide continued support to both the child and their families.

If your child already has a diagnosis and needs continued psychiatric care or you are concerned about a new condition, please call our office today to schedule an appointment.