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Psychiatry Assessment

Use when asked to administer, score, or explain a Psychiatry Assessment — comprehensive evaluation using the GAF (Global Assessment of Functioning) Scale with mental status exam, risk, and capacity — grounded in FormExamples/form-examples.

Comprehensive psychiatric evaluation using the GAF (Global Assessment of Functioning) Scale, with mental status examination, risk assessment, and capacity evaluation.

Scoring

Instrument: GAF Scale. Range 1–100, from 91–100 (superior functioning) down through progressively greater symptom/impairment bands to 1–10 (persistent danger).

What it covers

Demographics; presenting complaint; psychiatric history; mental status exam; risk assessment; mood and anxiety; substance use; current medications; medical history; social history; and capacity and consent.

Common pitfalls

  • Treating GAF as capturing symptoms and functioning as one number — a single GAF score can obscure very different clinical pictures (severe symptoms with preserved functioning, or vice versa); the full mental status exam and history remain necessary alongside it.
  • Skipping capacity assessment as a routine checkbox — capacity is decision-specific and must be assessed for the actual decision at hand, not assumed from the overall psychiatric presentation.
  • Under-eliciting substance use — substance use is often underreported unless asked about directly and non-judgementally, and materially affects both risk assessment and diagnosis.

Learn more

View psychiatry-assessment/SKILL.md on GitHub