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A comprehensive psychiatric evaluation may be necessary to diagnose any number of emotional, behavioral, or developmental disorders. An evaluation of a child, adolescent, or adult is made based on behaviors present and in relation to physical, genetic, environmental, social, cognitive (thinking), emotional, and educational parts that may be affected as a result of these behaviors.
Many times, families, spouses, or friends are the first to suspect that their loved one is challenged by feelings, behaviors, and/or environmental conditions that cause him or her to act disruptive, rebellious, or sad. This may include problems with relationships with friends and/or family members, work, school, sleeping, eating, substance abuse, emotional expression, development, coping, attentiveness, and responsiveness. It's important for families who suspect a problem in one, or more, of these areas to seek treatment as soon as possible. Treatment for mental health disorders is available.
The following are the most common parts of a comprehensive, diagnostic psychiatric evaluation. However, each evaluation is different, as each individual's symptoms and behaviors are different. Evaluation may include:
Description of behaviors present (like when do the behaviors happen, how long does the behavior last, what are the conditions in which the behaviors most often happen)
Description of symptoms noted (physical and psychiatric symptoms)
Effects of behaviors or symptoms as related to:
Relationships and interactions with others (like spouse, coworkers, family members, or neighbors)
Personal and family history of emotional, behavioral, or developmental disorders
Complete medical history, including description of the individual's overall physical health, list of any other illnesses or conditions present, and any current treatments
Lab tests, in some cases (may be used to determine if an underlying medical condition is present), including:
Radiology studies to look for abnormalities, particularly in the brain structures
Speech and language assessments
It's natural, and quite common, for spouses and family members to question themselves when it becomes necessary for a loved one to be psychiatrically evaluated. You may have many questions and concerns as to his or her welfare and emotional well-being. Common questions frequently asked include:
What is wrong with my spouse, family member, or loved one?
Is he or she abnormal?
Did I do something wrong in my relationship with him or her to cause this?
Does he or she need to be hospitalized?
Will he or she need treatment?
Will he or she "outgrow" or stop performing these behaviors at some point?
Is this just "a phase" he or she is going through?
What will treatment cost?
Where do we go for help?
What does this diagnosis mean?
How can my family become involved?
Once a diagnosis is made, family involvement and active participation in treatment is extremely important for any individual with a mental health disorder. The primary healthcare provider or mental health practitioner will address questions and provide reassurance by working with you to establish long-term and short-term treatment goals for your loved one.
Bayhealth is Southern Delaware’s healthcare leader with hospitals in Dover and in Milford. Bayhealth provides a wide range of medical services, including cardiovascular, cancer, orthopaedics and rehabilitation, pediatrics, respiratory care, sleep care, surgical weight loss and women’s services.