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Is Diagnosis By Psychiatrist Possible Without Former Medical Records?

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Posted on Tue, 31 Dec 2013
Question: I went to a doctor's office, and then they closed so the records are not available. Can a doctor diagnose without former records, is this in any way or can that be challenged? And, is this true for a psychiatrist in particular and for stating or finding the patient has normal status? Are there any conditions that they could not do that with?
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Answered by Dr. Rahul Tawde (24 hours later)
Brief Answer: Please refer to the following answer my dear... Detailed Answer: Hi my dear, Usually, the doctor's diagnosis is based on: - compalins - personal history - family history - physical examination - lab tests So, although a doctor does not have former records, he/she might give a proper diagnosis as metioned earlier. With regards to a psychiatrist, the diagnosis is made when he/she is conversating with the patient or with his/her family members. The psychiatrist could perfectly diagnose a person as "normal status". In case, the psychiatrist does notice anything abnormal in the behaviour of a patient, he/she can give the appropriate diagnosis and treatment. Hope it helped! Feel free to ask me other questions you might have my dear! Dr.Bardha
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
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Dr. Rahul Tawde

General & Family Physician

Practicing since :1980

Answered : 1 Question

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Is Diagnosis By Psychiatrist Possible Without Former Medical Records?

Brief Answer: Please refer to the following answer my dear... Detailed Answer: Hi my dear, Usually, the doctor's diagnosis is based on: - compalins - personal history - family history - physical examination - lab tests So, although a doctor does not have former records, he/she might give a proper diagnosis as metioned earlier. With regards to a psychiatrist, the diagnosis is made when he/she is conversating with the patient or with his/her family members. The psychiatrist could perfectly diagnose a person as "normal status". In case, the psychiatrist does notice anything abnormal in the behaviour of a patient, he/she can give the appropriate diagnosis and treatment. Hope it helped! Feel free to ask me other questions you might have my dear! Dr.Bardha