Fleshing out the details is necessary to arrive at an accurate result- may it be diagnosis or prognosis. But this could only be achieved by paying attention to small details that could uncover underlying symptoms, when developments of symptoms are well-recorded and when the mental state of the patient is strictly monitored. A psychiatric assessment is built on careful attention to details associated with the person including medical history, upbringing and environment, experiences such as childhood traumas along with others. If not done properly, the doctor may fail to see crucial details that could affect the result of the evaluation.

Apart from what has been listed above, a psychiatric assessment could also include evaluation on presented behavior, manner of thinking, mood, capacity to reason out and to express oneself and memory. Routine medical assessment such as blood test, urine test, and other laboratory tests are also included.

Preparation

Health assessment such as this requires prior groundwork. Symptoms of a disorder must be clearly recorded in a diary or journal. This helps keep track of the symptoms that may be a sign of improvement or of worsening the case. This would give the psychiatrist or the doctor a clearer picture of the mental health illness. If the patient is a child, the parent should see to it that the preparation of the journal is carefully supervised or that the parent should also make a separate journal to keep a detailed history of observations.

If already diagnosed and given medications for the control of symptoms, alterations of behavior or symptoms should also be recorded.

Interview

Nearly all psychiatric assessment require interview. Mental health illnesses normally lack in the presentation of observable symptoms. This is why talk is highly valuable in psychoanalytical and behavioral assessment of a patient.

A series of interviews gives the doctor a better look at the information that a patient could present. This offers the chance to gather information, clarify ambiguous details and to refute any established impressions.

There are three types of questions used during a psychiatric interview-

1. close questions
2. open questions
3. choice questions

Interviews are not only valuable because they clearly open opportunities for gathering information; it is also the opportunity for the patient to tell his or her story. Talk is beneficial as it allows usually terrifying thoughts to be voiced out.

Physical Examination

Neurological and cardiovascular examinations are the most commonly used physical examination for the assessment of mental health. The choice of examination is influenced mainly by factors such as the age of the person, concurrent disorders, planned medical treatment, concurrent medications and substance use or dependency.

Summary of the Findings

Plain examination and evaluation of a patient would not give reliable information for managing his or her mental health. A conclusive summary of all findings and accompanying recommendations for treatments and therapies would help prepare the person for recovery.

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Clinical research and laboratory observations consistently arrive at a conclusion that mental health disorders are products of the accumulation and interaction of several contributing factors. It would have been easier to identify each disorder if there is only one cause to all meal health disorders but that simply isn’t the truth. In reality, all mental disorders could root from several causes such as an environment that is conducive to the development of a mental disorder or individual genetic make-up that programs the brain (or the faulty components of the brain) to develop into something non-normal.

Saying that it’s all about the pathological make-up of the brain that causes the mental health disorders is simplistic, to say the least. Looking at the strange development of these disorders would reveal that there are actually at least 3 contributing factors that may be seen as potential causes, all of which have varying degrees. This means that a particular culprit could be more dominant than the other.

First with the physical causes. This bracket of causes is biological in nature. Each individual has a distinct and unique biological make-up that dictates the direction of his health, may it be physical or mental. Some people are born with inherent tendency to develop a specific mental disorder in comparison with other people while others are less prone to risks. This cause also covers the genetic make-up of an individual, the biological make-up and the events in life that affects the physical body (such as a trauma on the head or substance abuse).

Second are the environmental or social causes. Nature VS Nurture has been a great debate in the scientific community but research confirms that a person experience a spilt-half of both. Nature of course are the physical attributes of an individual while Nurture reflects more on the social structures and physical, emotional and mental environments to which an individual was exposed to. This factor tells us more on how an individual grew up, the interaction of influences that affected all facets of his growth and the mechanisms he used to cope with a specific environment.

It is observable that some mental disorders are caused primarily by the consequences of experience brought about by the environment. For example, people (especially children) living in a stressful, chaotic and unstable environment are more likely to develop mental illnesses than those individuals living in peaceful environment. This consequence is due to the fact that there are certain social and environmental components that may become risk factors to the development of mental health problems.

Third is the psychological factor. This particular factor tells us more on the psychological state of a person, his coping mechanisms to certain life events that could otherwise end up with psychological disorders, his perception on his own self and his environment and thought patterns that affect his mental health. For example, someone who has gone beyond the limit of his stress coping capacity is likely to break down mentally as a result of the psyche’s automatic “lock down” to protect itself.

For the majority of people lacking mental health, it is often the case of triggering the mental health to break down through series factors that have eventually contributed to the cause of mental health disorder.

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Mental health is defined as a state or condition on which an individual feels a sense of well-being. This gives him or her the capacity to live life in fulfillment of what he or she wants to achieve in accordance to the available resources. This condition also provides an individual the capacity to be resilient to the stresses he meets and to respond to these challenges without having to compromise his well- being. This also makes him productive and fruitful for himself and his community.

Mental wellness could also be defined as the lack of mental problems or disorders. People who do not present diagnosable behaviors that could qualify as a mental disorder are seen as mentally healthy. For example, someone who has an obsession on things may not necessarily have a mental disorder like obsession. Thus he is said to have mental wellness. But when this obsession is combined with unrelenting compulsion to do the object of obsession, the person may already be diagnosed with a mental disorder called Obsessive-compulsive Disorder or OCD.

It could also be seen as a positive element in an individual’s personality which makes it possible to enhance mental wellness regardless of a diagnosable mental disorder. This definition covers a person’s capacity to “live life to the fullest”, to respond well to his environment through the conscious or unconscious use of coping mechanisms and to be able to balance emotional as well as psychological well-being in relation to constant flow of experiences.

Mental Health Across Culture

The World Health Organization believes that there is no single definition for mental health due to differences in culture. What could be mentally healthy (or acceptable behavior) in one culture may present something too eccentric in another. For example, cannibalistic behavior in some tribes living in remote areas is highly regarded as a religious practice however, in the majority of urbanized world this could be seen as barbaric or insane.

Disruption in Mental Health

Abnormalities in mental health could lead to a number of problems with various representations. Some people with mental illnesses have aggressive behaviors while others are withdrawn and lack social interest. Each type of disorder has its own signs and symptoms therefore; diagnosis as well as treatment vary depending on the nature of the mental heath problem.

There are several factors that disrupt mental health including: environment or upbringing, biological make-up of a person, pre-programmed instructions in the genes, medical disorders, traumatic experiences such as loss and abuse and substance abuse. While one factor could be dominant than the other, all of these are contributors to the development of the majority of mental health disorders. In some cases, a single factor may be sufficient to trigger the disorder but the majority of disorders require an accumulation of experience that constantly challenge the well-being of a person.

What preserves mental health?

The preservation of mental health is highly dependent on the capacity of the person to a) blend in his environment and handle its stresses, b) achieve a good internal balance in his personality that is sufficient to give a stable character and c) create a good perspective that would limit the damages of negative experiences. For some people a good support system such as a sympathetic family or a strong social group may work well to safeguard mental health.

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