Psychiatric Evaluations
For Young Adults
Statistics
According to the National Institute of Mental Health (NIMH), nearly 1 in 5 adults in the United States has a mental illness. Among young adults, the percentage is higher. The 2020 National Survey on Drug Use and Health (NSDUH) found that almost one-third (30.6%) of adults aged 18 to 25 have a mental health disorder. Less than half (42.1%) of these individuals had received mental health services within the past year. Among adults, this age group had the highest percentage of mental illness and was the least likely to have received services.
The Evaluation Process
1. Clinical Interview
The clinical interview is a major component of the psychiatric evaluation. During the clinical interview, the psychiatrist engages in a conversation with the patient, develops rapport, and gathers a wealth of information. This information includes a detailed account of the patient’s symptoms, as well as his or her medical, psychiatric, family, and psychosocial history. Sometimes, the psychiatrist will also talk with family members, friends, or previous treatment providers to collect additional details and perspectives. This collateral information helps the psychiatrist obtain a more complete understanding of the patient and his or her needs.
2. Mental Status Examination
The psychiatric evaluation also includes a mental status examination. The goal of the mental status exam is to obtain a “snapshot” of the patient’s overall mental and emotional state at the time of the interview. The psychiatrist will make numerous observations about the patient’s presentation throughout the evaluation. Such observations will include details about appearance, behavior, movement, speech, language, mood, affect, thought process, thought content, perception, orientation, and cognition.