Decision-making capacity assessment is not standardized among clinical professionals. Specifically, the format and content of the assessment varies, as does the person designated to perform the assessment. At some facilities, psychiatrists conduct such assessments; at other facilities, the assessments are conducted by psychologists, general physicians, bioethicists, or a combination of personnel. While there may not be one “perfect” model for decision-making capacity assessment, there are four elements5that are essential to the assessment process: (1) Does the patient understand information about the proposed intervention? (2) Does the patient appreciate how that information applies to his/her clinical situation? (3) Can the patient reason with the information? and (4) Can the patient make a choice and express it? Additionally, it has been suggested that two additional items6 be included as part of decision-making capacity assessment; namely, asking the patient, “Over the past 2 weeks, have you felt down, depressed, or hopeless?” and “Over the past 2 weeks, have you felt little interest or pleasure in doing things?” Information generated from these two questions could prove helpful in deciding if the patient’s mood or the presence of anhedonia could be impacting their functional capacity to make decisions, and would also be helpful in determining if a psychiatry consultation is warranted.