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Mental Health Assessment A mental health exam is a combination questions and tests. Your doctor will ask about your medical history and family history, as well as your symptoms. They will also do a basic physical exam and may also order lab tests such as blood tests as well as thyroid function tests. toxicology tests. You may also have written or oral tests. These tests can include cognitive and intelligence tests and measures of judgement, insight, and looseness of associations. Signs and symptoms A health professional will ask questions about your feelings