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> mental health assessment
mental health assessment
Personal Information
Name
Age
Gender
Contact information
Emergency contact details
Presenting Concerns
Description of current mental health issues
Duration of symptoms
Previous mental health history
Any recent life changes or stressors
Medical History
Current medications
Previous psychiatric treatments
History of physical health conditions
Substance use history
Family History
Family history of mental health disorders
Family history of physical health conditions
Social support network
Psychosocial Assessment
Current living situation
Employment status
Relationship status
Social activities and hobbies
Coping mechanisms
Risk Assessment
Suicidal thoughts or behaviors
Self-harm history
History of violence or aggression
Risk factors (e.g., substance abuse, trauma)
Cognitive Assessment
Orientation (time, place, person)
Memory (short-term and long-term)
Attention span and concentration
Thought processes (logical, coherent, goal-directed)
Emotional Assessment
Mood (current emotional state)
Affect (emotional expression)
Insight and judgment
Coping strategies and resilience
Diagnostic Considerations
Review of DSM-5 criteria for relevant disorders
Differential diagnosis considerations
Recommendations for further evaluation or referrals
Plan and Recommendations
Treatment options (therapy, medication, lifestyle changes)
Safety planning (if applicable)
Follow-up appointments and referrals
Resources and support groups available
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