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What is a Psychiatric Assessment? A psychiatric assessment is the process of discovering out more about your mental health signs. This is done through an interview. Typically, concerns are asked about look and behaviour, speech, state of mind and impact, thought material, understanding (consisting of hallucinations), cognition (including orientation, memory and concentration) and insight. It's essential to respond to these questions honestly. Withholding details could result in an incorrect diagnosis and treatment. 1. I