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Mental Health Assessments A mental health assessment is an essential instrument to help people evaluate their mental health. Professionals use a variety tools to help with this that include self-reports and standard tools. A typical one is a mental state exam, which allows counselors and doctors to observe a client's appearance, attitude and activities as well as mood and emotions. thoughts, and insight. Symptoms Mental health issues can cause people to alter their mood, thoughts and behavior. These changes can impact their ability work and socializ