What Does Psychiatric Evaluation Mean…and What’s Missing from Most Psych Evals?
When emotional, behavioral, or cognitive issues are interfering with everyday life, a psychiatric evaluation may be beneficial. The idea of undergoing a psych eval might sound intimidating, but the term simply refers to the type of doctor—a psychiatrist or other mental health professional—who specializes in treating a wide range of mental health problems.
A typical psychiatric evaluation usually includes:
- Talking with the patient (and family members, if appropriate) to understand the concerning symptoms and behavioral problems
- Conducting psychiatric assessments and getting a medical history of the patient
The One Thing Most Psych Evals Miss
Oddly enough, most psychiatric evaluations don’t involve looking at the physical functioning of a patient’s brain, even though it is the organ involved in all mental, behavioral, and cognitive health problems. At Amen Clinics, over 3 decades of brain SPECT imaging work shows that mental health is really brain health. And this one thing changes everything about evaluating, diagnosing, and treating people. Most psychiatric evaluations don’t involve looking at the physical functioning of a patient’s brain, even though it is the organ involved in all mental, behavioral, and cognitive health problems.The 6 Must-Haves of a Comprehensive Psychiatric Evaluation
Whether a person is suffering from memory problems or symptoms related to ADHD, depression, and anxiety disorder, head trauma, PTSD, or any other mental health issue, a comprehensive psychiatric evaluation should include these 6 components:1. Assessing the 4 Circles of your whole life
It’s important to look at all the important areas of your life that might be contributing to any symptoms you’re experiencing. These areas include the following 4 circles:- Biological Circle is how the physical aspects of your body and brain function together. Since your brain is linked to all the organs in your body, if your body is unhealthy, such as having high blood pressure, obesity, diabetes, or a poor diet, it can adversely affect the functioning of your brain. Certain lab tests—such as vitamin D level, hormonal imbalances, inflammation markers, blood sugar levels, cholesterol, and other concerns—may be recommended to see if any physical health conditions are contributing to your symptoms.
- Psychological Circle refers to the way you think and the influence of any developmental issues there may have been. It includes your self-concept, body image, upbringing, any history of trauma, and the running dialogue you have in your head.
- Social Circle is about your connections to others, the health of your relationships, and any current stressors—such as problems at work, family life, and financial issues—as well as being part of a larger community.
- Spiritual Circle is the way in which you see your life being meaningful and having a sense of purpose. It’s also about your connections to the planet, past and future generations, and to God or your spirituality.
2. Functional brain imaging
Seeing how the brain works with functional brain imaging is the key piece that is missing from most traditional psychiatric evaluations. Understanding the physical functioning of your brain is essential for identifying any underlying causes of symptoms that might otherwise be overlooked. SPECT, which stands for single-photon emission computed tomography, is a type of functional brain imaging that looks at blood flow and activity in the brain and reveals 3 important things:- Areas of your brain that work well
- Areas of your brain that are underactive
- Areas of your brain that are overactive
3. Neuropsychological assessments
A variety of neuropsychological tests can help assess cognitive, emotional, and intellectual functioning. The results from such tests give your doctor additional information related to how your brain works.4. Meeting with a mental health professional
Spending time with a psychiatrist or other mental health professionals, such as an integrative psychiatrist or psychiatric naturopath, is a key component of an evaluation. Discussing your symptoms and going over the results of your assessments will give you a clearer picture of your condition.5. Getting a personalized treatment plan
To address the root cause(s) of your symptoms, your mental health care provider should create a targeted treatment plan specifically for you. At Amen Clinics, which has helped tens of thousands of patients, each person’s plan is tailored to their needs and may include:- Brain-supportive supplements or medication, if needed
- Lifestyle changes such as targeting your diet to your brain’s needs, doing the physical exercise that works best for your brain, or practicing stress management
- Psychotherapy, neurofeedback, or hyperbaric oxygen treatment, if needed
- Other interventions depending on what your doctor thinks will be most helpful to optimize the function of your unique brain
