A Deep Dive into Full Psychiatric Evaluations: Understanding the Process

May 3, 2023
clip board that says

Have you ever wondered what a full psychiatric evaluation entails? It's more than just sitting down and talking to a therapist. A deep dive into the process reveals that it involves multiple assessments, in-depth interviews, and comprehensive analysis of your mental health history. Whether you or someone you know is considering a psychiatric evaluation, understanding the process can help alleviate any fears or uncertainties about what to expect.


In this blog post, we'll explore all aspects of a full psychiatric evaluation so you can be fully informed and prepared for this important step towards better mental health.


What is a Full Psychiatric Evaluation?


A full psychiatric evaluation is a comprehensive assessment of an individual's mental health. The evaluation usually includes a clinical interview, psychological testing, and a review of medical and mental health records. The purpose of the evaluation is to identify any mental health disorders that may be present and to determine the severity of the disorder.


Why Do You Need a Full Psychiatric Evaluation?


A full psychiatric evaluation is an important tool that mental health professionals use to assess a person’s mental health. The evaluation can help to identify any mental health disorders that a person may have, as well as any risk factors for developing a mental illness.


During a full psychiatric evaluation, the mental health professional will ask questions about the person’s symptoms, medical history, family history, and current stressors. They will also observe the person’s behavior and mood. All of this information helps the professional to make a diagnosis and develop a treatment plan.


If you are experiencing symptoms of a mental illness, or if you are concerned about your mental health, it is important to see a mental health professional for an evaluation. A full psychiatric evaluation can help to identify any problems that you may be facing and get you started on the road to recovery.


What Happens During a Full Psychiatric Evaluation?


The first step of a full psychiatric evaluation is usually an intake interview, during which the mental health professional will ask the individual being evaluated about their current symptoms, thoughts, feelings, and behaviors. The professional will also ask about the individual's past mental health history and any other relevant medical information. 


After the intake interview, the mental health professional may administer a series of tests to assess cognitive functioning or emotional state. The results of these tests can help the mental health professional make a diagnosis and develop a treatment plan.


How Long Does a Full Psychiatric Evaluation Take?


The length of a full psychiatric evaluation can vary depending on the individual and the specific situation. However, A full psychiatric evaluation can last from 45 minutes to 90 minutes on average. This is because the evaluation process usually involves a comprehensive interview with the patient, as well as a review of their medical history and any previous mental health treatment. Once the evaluation is complete, the psychiatrist will be able to provide a diagnosis and recommend a course of treatment.


How to Prepare for a Full Psychiatric Evaluation


A full psychiatric evaluation can be a daunting process, but it is important to remember that the goal is to get you the help you need. There are a few things you can do to prepare for your evaluation and make sure that it goes as smoothly as possible.


First, it is important to understand what will happen during the evaluation. You will likely be asked questions about your mental health history, your current symptoms, and your thoughts and feelings. It is important to be honest and open with the evaluator so that they can get an accurate picture of your mental health.


Second, you may want to write down any concerns or questions that you have before the evaluation. This will help you make sure that you cover everything that you want to talk about.


Third, it is helpful to have someone come with you to the evaluation. This person can provide support and act as an advocate for you if needed.


Try to relax and be yourself during the evaluation. The more open and honest you are, the more helpful the evaluation will be in getting you the treatment you need.


Questions to Expect During a Full Psychiatric Evaluation


During a full psychiatric evaluation, your provider will likely ask you a series of questions about your mental health history, current symptoms, and any medications or other treatments you’ve received in the past. They may also ask about your family’s mental health history and any stressors in your life. The goal of the evaluation is to get a clear picture of your mental health so that they can make an accurate diagnosis and recommend the best treatment plan for you.


The Results of the Full Psychiatric Evaluation


The Full Psychiatric Evaluation (FPE) is a comprehensive assessment of an individual's mental health. It is usually conducted by a psychiatrist, but can also be conducted by a psychologist or other mental health professional. The FPE is used to diagnose mental disorders and to determine the best course of treatment.


The FPE typically consists of four parts: clinical interview, psychological testing, medical history review, and collateral information gathering. The clinical interview is the primary way that information is gathered during the FPE. The interviewer will ask questions about the individual's symptoms, thoughts, feelings, and behavior. The psychological testing may include paper-and-pencil tests, projective tests, and/or computerized tests. The medical history review includes a review of the individual's past medical history, as well as any family history of mental illness. Collateral information gathering involves speaking with people who know the individual well (e.g., friends, family members, co-workers) in order to get additional information about the individual's symptoms, thoughts, feelings, and behavior.


The results of the FPE are typically used to make a diagnosis of a mental disorder and to formulate a treatment plan. In some cases, the FPE may also be used to rule out other potential causes of an individual's symptoms (e.g., physical illnesses).


Conclusion


In conclusion, full psychiatric evaluations are an important part of assessing mental health and diagnosing any potential disorders or issues. It's a lengthy process that involves multiple steps and includes conversations with the patient as well as their family and friends. By understanding what goes into a full psychiatric evaluation, you can be better prepared for your appointment so that you can get the most out of it.

A doctor is talking to a patient while holding a clipboard.
July 22, 2025
Curious about the difference between a psychiatrist and a psychiatric-mental health nurse practitioner (PMHNP)? Learn how their training, approach, and roles in mental health care compare.
Man stressed from work, unemployment, anxiety, heartbroken and depression
July 22, 2025
We’ve all had a moment where we Googled a headache and convinced ourselves it was a brain tumor. (Don’t worry—you’re not alone.) But when those worries become a pattern, not just a panic moment, you may be dealing with health anxiety. Let’s break it down: What is healthy anxiety? How does it differ from unhealthy worrying? And how do you know if your brain is trying to keep you safe—or just keeping you stuck? 😷 What Is Healthy Anxiety? Healthy anxiety is a normal response that alerts you to potential danger and encourages you to take care of yourself. But when anxiety turns excessive and becomes persistent fear about having—or developing—a serious illness, it can cross into the territory of unhealthy worrying. Even when tests come back normal, the worry doesn’t let up. It’s not dramatic or attention-seeking—it’s a real mental health experience. πŸ” How Health Anxiety Shows Up It’s not always dramatic or obvious. It can be quiet, persistent, and exhausting. Here’s what it might look like: You Google symptoms obsessively (even at 2 a.m.) You avoid doctors *or* visit them constantly You can’t stop scanning your body for signs something is wrong You feel brief relief after tests—but the worry returns quickly You ask friends or family repeatedly, “Do you think this is serious?” You can’t focus on other things when a symptom appears You struggle to believe medical reassurance for long πŸ’­ What’s the Difference Between Healthy Anxiety & Unhealthy Worry? We all worry about our health sometimes—it’s part of being human. But here’s the difference: Normal Health Concern: Comes and goes with context (e.g., cold symptoms) Trusts medical reassurance Can accept uncertainty Doesn’t interfere with daily life Unhealthy Worry: Persistent and intrusive Doubts medical reassurance, seeks it repeatedly Feels compulsive need for certainty Disrupts sleep, focus, and relationships 🧠 Why It Happens Health anxiety can stem from: Childhood illness (yours or a loved one’s) Trauma or unpredictable environments Medical trauma or misdiagnosis Perfectionism and fear of “losing control” A deep belief that “if I worry enough, I can prevent something bad” The brain thinks worry = protection. But in reality? Chronic worry wears you down and makes life smaller. πŸŒͺ️ Unhealthy Worrying: The Spiral Ever had this kind of moment? You feel a slight chest twinge → You Google “chest pain” → You see words like “heart attack” → Your heart really starts racing → You interpret that as a symptom, not anxiety → You spiral into panic. That’s the vicious cycle: body sensation → worry → anxiety → more sensations → more worry. It’s not your fault. It’s a loop your brain learned—and you can learn to break it. 🧘 What Actually Helps You don’t have to live stuck in the cycle. Real healing starts with understanding and gentle interruption of the patterns. Tools that help: Cognitive Behavioral Therapy (CBT): challenges anxious thoughts with facts Mindfulness & somatic work: reconnects you with the present moment Limit Googling and set boundaries with symptom-checking Self-compassion practices: remind your brain you’re safe Therapy or psychiatric care: addresses deeper roots of the anxiety ❀️ You’re Not Alone—And There Is Hope Health anxiety is exhausting, but it is treatable. At Virtual Psychiatric Care, we help people unravel anxious thinking, regulate their nervous systems, and live with more peace—without becoming a worrier about worrying. Your brain might be trying to protect you, but your soul deserves peace, too. Follow us on Instagram @virtual.psychiatric.care for more real talk on anxiety, healing, and hope. πŸ“² Reach out if you’d like to talk to someone about your health anxiety. We’re here. You’re safe. You can heal.
Young woman talking with psychotherapist
July 22, 2025
Ever found yourself totally tongue-tied during an argument? Or maybe you've said way too much to avoid someone being mad at you? Maybe your heart raced just walking into a room? Guess what—your brain isn’t broken, it’s trying to protect you. Welcome to the world of trauma responses, also known as the 5 Fs: Fight, Flight, Freeze, Fawn, and Flop. These are survival responses hardwired into your nervous system. When your brain senses danger—real or imagined—it picks a strategy to keep you safe. Let’s break them down, with fun, real-life examples! πŸ₯Š Fight: "Let’s throw down!" What it looks like: You gear up to confront the threat head-on. Your heart pounds, adrenaline kicks in, and suddenly you’re channeling your inner superhero—or maybe your inner Hulk. Everyday example: Someone cuts in front of you in line and your first instinct is to say something. You raise your voice, your chest tightens, and you're ready to make sure justice is served—even if it's just at Starbucks. Trauma twist: If you grew up in chaos, 'fighting' may have been your only way to feel powerful or in control. πŸƒ‍♀️ Flight: "I gotta get outta here!" What it looks like: You want to escape—literally or mentally. Your legs get jittery, your eyes dart around the room, your mind is already looking for the nearest exit sign (even if it's just closing the Zoom tab). Everyday example: You're in a meeting and your boss asks you to speak off the cuff. Suddenly, your stomach drops, and all you can think is, “How fast can I fake a bathroom emergency?” Trauma twist: Flight responses are common in people who were constantly overwhelmed or needed to 'escape' emotionally growing up. 🧊 Freeze: "If I stay still, maybe it’ll go away." What it looks like: You shut down, go blank, or mentally disconnect. It’s like your body hits pause while your brain spirals. Everyday example: You’re confronted with unexpected bad news and your mind goes totally blank. You don’t cry. You don’t move. You just… stare. Trauma twist: Freeze often shows up when we feel powerless—like we did as children when big things happened and we couldn’t fight or flee. 🫢 Fawn: "Let me make you happy so I stay safe." What it looks like: You become super-pleasing, overly accommodating, and hyper-focused on someone else's needs—often at the expense of your own. Everyday example: You’re upset with your partner, but instead of sharing how you feel, you offer to cook dinner, rub their shoulders, and ask them how they’re feeling. Your needs go in the trash. Trauma twist: Fawning often stems from growing up in homes where love was conditional, and keeping the peace meant staying emotionally “safe.” πŸͺ΅ Flop: "I'm done. I can't even." What it looks like: You collapse mentally or physically. It’s beyond freeze—it’s like your nervous system just pulls the plug. Everyday example: After days of stress, you lie in bed staring at the ceiling, unable to move. You're not asleep. You're not scrolling. You're just… offline. Trauma twist: Flop is often seen in people who’ve experienced prolonged or severe trauma. It’s the body’s final shut-off when nothing else works. 🌱 Why it matters Understanding your trauma responses can help you: Recognize your patterns Respond with compassion instead of self-judgment Begin healing with the help of supportive tools, therapy, or trauma-informed care You're not "too much" or "too sensitive." Your nervous system is just doing its job—sometimes a little too well. 🧘‍♀️ What can help? If you find yourself stuck in a trauma response often, you’re not alone—and you’re not broken. Modalities like EMDR, somatic therapy, and compassionate coaching can help bring your nervous system back into balance. At Virtual Psychiatric Care, we support people just like you—navigating stress, healing trauma, and building emotional resilience one breath, one insight, one moment at a time. Follow us on Instagram @virtual.psychiatric.care for more brain-friendly, heart-centered mental health tips. πŸ§ πŸ’› You’ve got this—and we’ve got you. ο»Ώ
midlife-transformations
By Pascale Kidane April 10, 2025
Discover why it’s never too late to begin your healing journey. Whether you're in your 40s, 50s, or beyond, this post explores the realities of midlife challenges including rising rates of depression, anxiety, and substance use and offers compassionate, practical steps to reclaim your vitality and joy. Embrace self-compassion, seek support, and learn how small daily actions can lead to profound transformation at any stage of life.
A woman is sitting on a couch looking out a window.
By Logical Position March 6, 2025
We will explore what resilience truly means and how it impacts your emotional well-being. We’ll delve into the science behind resilience, share evidence-based techniques for enhancing it, and provide actionable steps you can implement today. Ready to cultivate a mindset that thrives even in tough times? Let’s dive in!
ways-to-build-a-deeper-connection-with-your-partner
By Pascale Kidane February 6, 2025
Building a deeper connection is not just about romance; it’s about friendship, trust, and support. Whether you're navigating the early stages of love or you've been together for years, there are always opportunities to strengthen your bond. So let’s dive into some effective strategies that can help you grow closer with your partner, ensuring both of you feel valued and understood in this beautiful journey called love.
ways-to-improve-your-mental-health
By Logical Position January 6, 2025
Our mental well-being shapes how we experience life. It influences our relationships, productivity, and overall happiness. This year, why not make resolutions that enrich your mind and spirit? Let’s explore some meaningful ways to enhance your mental health in 2025. Embrace the journey towards feeling better about yourself and your world!
A woman is sitting on a couch holding a cup of coffee.
By Pascale Kidane December 3, 2024
Holiday gatherings can be a mix of joy and stress, with opportunities to connect with loved ones and moments that challenge our patience and emotional boundaries. In this guide, we explore practical strategies to deepen meaningful connections with family while maintaining your mental health. Learn how to set clear boundaries, navigate tricky conversations, and stay grounded amidst potential triggers.
understanding-five-fs-of-trauma
By Pascale Kidane October 31, 2024
Explore the complex world of trauma responses and discover the “Five F’s”: Fight, Flight, Freeze, Fawn, and Flop. This article breaks down each reaction, providing insight into how they function as survival mechanisms and affect trauma survivors. Recognizing these responses not only fosters empathy and understanding but also opens pathways for healing. Dive into this essential guide to understand trauma's impact and gain a new perspective on resilience, personal growth, and supporting others on their journey. Join us in this conversation about mental health,
complex-ptsd
By Pascale Kidane September 24, 2024
We will delve into the intricacies of Complex PTSD—its signs and symptoms, possible causes, effective treatment options available today