After making empathic contact, I conduct a mental status examination in
order to arrive at as comprehensive an evaluation as possible in the
initial hour. I assess motivation, capacity for insight, flexibility,
frustration tolerance along with an understanding of the presenting
problem and symptom constellation. I attempt to see how affects are
handled, thoughts are presented, what mood is prevalent and how well or
poorly I am related to. Resistances are initially bypassed while
attempting to ease the person into the therapeutic encounter.