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Psychiatric Assessment - The First Step to Diagnosing and Treating Psychiatric Disorders The primary step in assessment is listening to the patient's story. This includes the patient's recollection of symptoms, how they have actually changed in time and their influence on day-to-day functioning. It is also important to understand the patient's past psychiatric medical diagnoses, including regressions and treatments. Knowledge of past recurrences may show that the current medical diagnosis needs to be reassessed. Background A patient's psy