First visit to a psychiatrist - how to prepare?

A first visit to a psychiatrist is often associated with uncertainty and stress. In this article, I explain what the first meeting is like, what questions might arise, and what you should prepare to make the visit as helpful—and as stress-free—as possible.

If having a loved one with you helps you feel more secure, you are welcome to bring them to your appointment. This is completely natural, and many patients find it beneficial. In addition, insights from a companion can provide valuable context and help us view the situation from another perspective.

What is the first visit to a psychiatrist like?

The first visit to a psychiatrist is a conversation (medical interview) designed to understand your situation and symptoms as thoroughly as possible.

The doctor will ask about (among other things):

✔ current symptoms

✔ when and under what circumstances they first appeared

✔ the severity of the problem

✔ any previous similar episodes

An important part of the consultation is discussing your current psychiatric and general medical treatment, any medications you are taking, chronic conditions, and tests you have undergone.

Laboratory results and your overall physical health history are also essential for the psychiatrist, as psychiatry is closely connected to general medicine — some mental health symptoms may in fact stem from other illnesses.

Your doctor may also ask about your lifestyle, work, family relationships, and sources of stress. Based on the information gathered, the psychiatrist will make a preliminary diagnosis and suggest a treatment plan or recommend further diagnostic steps.

What should you take with you to your first visit?

📓 Medical records

If available, please bring your medical documentation – such as imaging results (e.g., MRI or CT scans of the head), functional tests (EEG), laboratory results, discharge summaries from previous hospitalizations, psychological assessments, and any other relevant records.

📃 List of symptoms and questions

If you feel stressed, it may help to prepare a list of your symptoms, how long they have lasted, and the situations that make them worse. You can also write down any questions you would like to ask your doctor. This kind of preparation is very helpful, as it’s easy to forget important details when feeling anxious.

What can you expect from your first visit?

During the first consultation, a preliminary diagnosis is usually possible, or further diagnostic steps may be planned if the situation requires a more in-depth assessment.

In some cases, your doctor may recommend additional laboratory tests or head imaging (CT or MRI) to rule out physical causes of the reported symptoms.

The psychiatrist may also suggest psychological assessments – for example, tests measuring cognitive functions, anxiety, or personality structure – which can provide a deeper understanding of your situation and help tailor the most appropriate form of treatment.

During your visit, you may be offered various forms of therapy:

➯ pharmacotherapy

➯ psychoeducation

➯ psychotherapy

➯ behavioral interventions

➯ lifestyle modification

➯ combination of the above methods

The treatment plan is developed together with the patient, taking into account their needs and expectations. The initial visit typically lasts 45–60 minutes, allowing time for a relaxed conversation and to ask questions.

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If you have any doubts about starting pharmacological treatment, I will soon publish a separate article in which I answer the most common questions patients ask before starting medication.

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The most common concerns patients have before their first visit

Many patients experience anxiety, which often stems from uncertainty about what the first visit to a psychiatrist will be like.

• “Will I be judged?”

  No, the purpose of the conversation is to understand your problem, not to criticize or judge.

• “Will I get my medication right away?”

  Not always. The decision depends on the diagnosis and the patient's needs. Not all patients leave their first psychiatric consultation with a prescription.

• “Will what I say stay between us?”

  Yes, a psychiatrist is bound by medical confidentiality. This obligation can only be lifted in certain situations, such as:

  • if you give your consent,

  • if requested by a court or prosecutor during legal proceedings,

  • if the law requires informing the relevant authorities in cases of serious threats to life or health.

• "Will everything I say be written down somewhere? Will anyone have access to it?"

  Yes, your doctor keeps medical records that include information relevant to your diagnosis and treatment. Access to these records is strictly limited to the medical staff involved in your care and, upon your request, to you or to individuals you authorize in writing. These records are safeguarded in line with data protection laws and medical confidentiality regulations, ensuring that no third party can access them.

• "Will the psychiatrist talk to my psychotherapist?"

  Yes, if you consent. Collaboration between specialists is often very helpful.

• "Can I refuse to answer some questions?"

  Of course. Sometimes there are moments of silence during a visit, and that’s perfectly fine — it creates space for emotions to surface. Still, it’s important to keep in mind that the more information the doctor receives, the easier it will be to make a diagnosis and plan effective treatment.

• "What if I don't agree with the proposed treatment?"

  You have every right to disagree with the proposed treatment – you can ask for alternative options or consult with another specialist. The most important thing is to have an honest and open conversation on both sides. Ask questions, express your concerns, and be clear about your expectations – this will help us choose the best solution for you together.

Summary

Your first visit to a psychiatrist can be a little intimidating, but its goal is to understand your situation and choose the best treatment plan. It's a good idea to prepare your medical records, a list of symptoms, and questions in advance, and remember that you don't need a referral to schedule a consultation. The consultation is covered by medical confidentiality. Remember that you have the right to ask questions, express your expectations, and decide on the next steps with your doctor. The more open and collaborative you are, the more effective and better tailored your treatment will be.