Structured Psychiatric Assessment Generator
Generate DSM-5 aligned psychiatric assessments with differential diagnosis and treatment plans
What You Can Do
You can convert unstructured clinical observations into comprehensive psychiatric evaluations that systematically document presenting problems, psychiatric history, mental status findings, and diagnostic reasoning. The skill structures assessments across all clinically relevant domains—history of present illness, psychiatric and medical history, family history, psychosocial stressors, mental status examination, and treatment planning—while explicitly mapping symptoms to DSM-5-TR criteria and generating differential diagnoses with clinical justification for your primary diagnostic impression.
Features
automatically cross-references symptoms against diagnostic criteria with explicit verification of threshold counts and duration requirements
generates ranked diagnostic considerations with clinical reasoning for inclusion/exclusion of each diagnosis
structures observations across appearance, behavior, affect, mood, speech, thought process, content, cognition, and insight domains
recommends pharmacologic and psychotherapeutic interventions with evidence-based rationale tailored to primary diagnosis
systematically documents suicide/homicide ideation, intent, plan, protective factors, and safety interventions
produces documentation compatible with electronic medical record systems and insurance preauthorization requirements
flags missing assessment components before finalization to ensure comprehensive evaluation
reviews current medications against diagnostic picture and screens for iatrogenic contributions to presentation
Example Output
Diagnostic Impression:
- Primary: Major Depressive Disorder, Single Episode, Moderate, with anxious distress
- Meets 6/9 criteria; mood symptoms x4 weeks; significant functional impairment in work/social domains
- Differential: Persistent Depressive Disorder (lower likelihood—acute onset, moderate intensity)
- Rule out: Bipolar II Disorder (no hypomanic episodes documented; denies decreased need for sleep)
Treatment Plan:
- Pharmacotherapy: Initiate sertraline 50mg daily; increase to 100mg after 1 week if tolerated. Reassess mood/side effects at 2-week follow-up.
- Psychotherapy: Referral for 12-week course of cognitive-behavioral therapy targeting negative thought patterns and behavioral activation
- Safety: Patient denies current SI/HI with adequate protective factors (supportive spouse, employment, no prior attempts). Agreed to crisis line contact if suicidal ideation emerges.
What's Included
- SKILL.md instruction file with assessment framework and DSM-5-TR integration guidelines:
- Structured assessment template with all required clinical domains and documentation prompts:
- Mental status examination checklist with detailed descriptors for each observational category:
- Differential diagnosis reasoning matrix for systematic evaluation of competing diagnostic hypotheses:
- Treatment planning worksheet linking diagnoses to pharmacologic and psychotherapeutic recommendations:
Who It's For
- Psychiatrists and psychiatric nurse practitioners conducting initial patient evaluations and medication management
- Psychiatric residents and fellows developing structured assessment and diagnostic reasoning skills
- Community mental health clinicians requiring standardized documentation for complex presentations
- Hospital-based psychiatrists preparing admission assessments and treatment plans
- Forensic psychiatrists documenting risk assessment and safety planning for liability protection
Best For
- Initial comprehensive psychiatric evaluations for new patients
- Converting unstructured clinical notes into structured EMR-compatible assessments
- Differential diagnosis formulation for complex or atypical presentations
- Treatment-resistant cases requiring systematic review of previous interventions
- Insurance preauthorization documentation with clinical justification
- Risk assessment and safety planning documentation
- Quality assurance review to identify gaps in assessment completeness
You might also like
You can generate comprehensive, compliance-ready shift reports that follow SBAR (Situation-Background-Assessment-Recommendation) structure combined with patient acuity assessment. Claude organizes your patient data into standardized handoff documents that eliminate communication gaps, ensure continuity of care, and reduce the 15-20 minute per-patient handoff time while maintaining clinical completeness. This is especially valuable during shift changes, mid-shift coverage transitions, or care level changes where accurate information transfer directly impacts patient safety.
by tecvoodoo
You can quickly interpret insurance claim rejection codes, develop targeted resolution strategies, and communicate effectively with payers and prescribers to recover claims that would otherwise be written off. This skill helps you navigate complex prior authorization requirements, step therapy protocols, and coverage gaps—reducing claim resolution time from hours to minutes and recovering 15-25% of rejected claims through systematic troubleshooting and payer engagement.
by tecvoodoo
You can systematically integrate diagnostic assessment, clinical interview data, psychometric testing results, and collateral information into comprehensive case formulations that explain the etiology and maintenance of presenting problems. Claude helps you apply evidence-based theoretical frameworks (CBT, psychodynamic, systemic, trauma-informed) to develop mechanistic understanding of client distress, predict treatment response, identify risk factors, and communicate clinical reasoning to supervisors, colleagues, and interdisciplinary teams.
by tecvoodoo
You can input comprehensive patient histories, surgical details, and comorbidities to generate structured perioperative risk assessments that integrate ASA classification, organ-system-specific vulnerabilities, and evidence-based optimization strategies. Claude synthesizes complex clinical data into actionable preoperative recommendations, identifies red flags requiring specialist consultation, and produces documentation suitable for informed consent discussions and medicolegal protection.
by tecvoodoo
You can conduct comprehensive fall risk evaluations for geriatric patients (65+) using validated screening instruments like the Timed Up and Go test, Berg Balance Scale, and FRAX scoring combined with chiropractic-specific assessments of spinal alignment, proprioception, and gait biomechanics. Claude generates detailed risk stratification reports, identifies modifiable risk factors, and creates actionable prevention protocols that integrate into your chiropractic treatment plans while documenting liability mitigation.
by tecvoodoo
You can conduct comprehensive medication safety reviews for complex polypharmacy cases by analyzing drug-drug interactions within the context of each patient's clinical scenario—renal function, hepatic metabolism, age, and comorbidities. The skill distinguishes between theoretical concerns and actionable safety issues, quantifies clinical risk, and generates specific intervention recommendations with documented reasoning for provider communication.
by tecvoodoo
This skill guides you through structured psychiatric case formulation using a biopsychosocial framework. You input patient presentation, assessment data, and clinical history, then receive a comprehensive formulation that integrates symptom synthesis, differential diagnosis reasoning, predisposing/precipitating/perpetuating factors, protective factors, and evidence-based treatment recommendations. The output is suitable for clinical documentation, insurance authorizations, case conferences, and supervision.
by gptomics
This skill systematizes pre-operative planning by synthesizing radiographic findings, medical histories, and diagnostic data into actionable surgical strategies. You'll generate risk-stratified treatment sequences, identify anatomical hazards with location-specific mitigation strategies, and create detailed case summaries for specialist handoffs and peer review documentation.
by tecvoodoo