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Mental Health Assessment A mental health exam is a combination questions and tests. Your doctor will ask about your medical history and family history, as well as your symptoms. They will also perform a basic physical examination and may order lab tests such as thyroid function tests, blood work tests, or toxicology screenings. You might take tests in writing or verbal as well. These tests could include cognitive and intelligence tests, as well as measures of judgment, insight and looseness of associations. Symptoms A health professional will ask