A clinical process in which mental health complaints are evaluated through structured interviews and scales, determining the diagnosis and direction of treatment.
Indication
- Persistent feelings of sadness, lack of interest, or hopelessness
- Excessive anxiety, panic attacks, or intense fear
- Significant changes in sleep, appetite, or energy levels
- Difficulties with attention and memory (may be of psychiatric origin)
- Problems related to substance or alcohol use
- Behavioral changes affecting relationships, work, or school life
- Suicidal thoughts, urges to self-harm
Preparation
- Previous health reports and any old psychiatry/psychology notes are brought along
- A list of all medications and supplements being used is prepared
- When the complaints started and their course are briefly noted
- If possible, being accompanied by a relative strengthens the process anamnesis
How it's performed
- The physician listens to the complaints and life history in a calm environment
- Family history, development, education, and social life are evaluated
- Structured scales (depression, anxiety, attention) are applied if deemed necessary
- Blood tests or imaging may be requested to rule out medical causes
- Preliminary diagnosis, differential diagnosis, and treatment options are shared with the patient
- A plan for medication, therapy, or follow-up is created through shared decision
Post-procedure
- If treatment has been started, follow-up is recommended within 2-4 weeks
- When starting medication, the effect generally becomes evident in 2-4 weeks
- Contact is made before the appointment if side effects or new symptoms occur
- Referral to psychotherapy is made when necessary
- 112 (emergency line) is called for emergencies (suicidal thoughts, self-harm)
Risks
- Temporary emotional intensity may be experienced during the interview
- Some diagnoses require more than one interview to clarify
- Adherence to recommended treatment directly affects the outcome
- Incorrect or incomplete information may reduce the accuracy of the evaluation
FAQ
Does going to a psychiatrist mean being labeled 'crazy'?
No. Mental health evaluation is a healthcare service, just like an internal medicine or cardiology examination. A large portion of common complaints is treatable.
How long does the interview take?
The initial evaluation usually takes 30-60 minutes. In complex cases, the interview may be divided into more than one session.
Will what I say remain confidential?
Doctor-patient confidentiality is legally protected. Only in cases of clear danger to one's own life or someone else's may a legal reporting obligation arise.
Is medication started immediately?
Not always. Depending on the diagnosis, severity, and patient preference, only therapy, only medication, or both used together may be planned.
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