Most psychiatrists, even those who never provide a third-party independent medical examination, are asked by patients to provide information for a disability claim, medical leave, accommodation at work under the Americans with Disabilities Act, or fitness for return to work. Psychiatrists rarely have had any formal training in performing disability assessments or in writing reports that may be evaluated by both physicians and nonphysicians. Although work generally occupies a significant part of each patient's day and may directly or tangentially be the focus of many psychotherapy sessions, most psychiatrists do not include a work history in their patient intake. Even when one knows the patient's profession, the patient's actual daily work activities, including physical, intellectual, and emotional demands, may remain hazy to the psychiatrist. Most of us were taught to conduct a child psychiatric evaluation, which includes a detailed developmental history and specific questions about functioning at home and school and with friends. However, we are unlikely to systematically evaluate similar functioning in adults. Thus, when work problems emerge, we may have little sense of the full context in which they occur.