Your First Psychiatry Appointment: What to Expect and How to Prepare

By Doctor Peyman Tashkandi

Taking the first step toward seeking psychiatric care is a significant and brave decision. It’s a sign of strength, and consequently, a commitment to your mental well-being. Knowing what to expect during your first psychiatry appointment can, therefore, help alleviate some of these jitters and empower you to make the most of this crucial first visit. For those considering care in a premier location like Beverly Hills, this guide will be particularly useful, as it outlines the high standards of care you can anticipate.

This comprehensive guide will walk you through the entire process, from preparing beforehand to understanding what happens in the room and what comes next. In addition, by the time you are done reading, you will be ready to walk into your appointment feeling informed and in control.

The Importance of a Psychiatry Evaluation

Psychiatry is a specialized field of medicine dedicated to mental health. The ultimate goal of psychiatry is to diagnose, treat, and prevent mental, emotional, and behavioral disorders. The experts in Beverly Hills are, therefore, well-versed in providing top-tier care in this field.

Your first appointment is a comprehensive psychiatry evaluation, often called an “intake session.” This is not just a quick chat, it’s a deep dive into your life, your history, and your current challenges. In this session, the goal is for your psychiatrist to get a holistic picture of you as an individual so they can accurately diagnose any conditions and create a personalized, effective treatment plan. Preparing for your first psychiatry appointment is, consequently, crucial for a productive session and a strong start to this new chapter.

Part 1: How to Prepare for Your First Psychiatry Appointment

Preparation is key to a productive first session. Thinking through and organizing your information beforehand will help you feel more at ease and ensure you do not forget any important details. Whether you are seeking a practitioner in Beverly Hills or elsewhere, these steps are universal.

First psychiatry appointment in Beverly Hills

Gather Your Medical History for Your First Psychiatry Appointment

Your psychiatrist will need to understand your medical background to rule out any physical causes for your symptoms and to ensure any prescribed medications are safe for you. To make the most of your initial psychiatry visit, therefore, take the time to create a detailed list of the following:

  • Current and Past Medications: This is arguably the most critical piece of information. List all medications you are currently taking, including prescription drugs, over-the-counter medicines, vitamins, and herbal supplements. Be sure to include the dosage and how long you have been taking each one. Also, list any psychiatric medications you have taken in the past, noting if they were effective or caused side effects.
  • Medical Conditions and Diagnoses: In addition, provide a list of any physical and mental health diagnoses you have received. Mention any significant medical events, such as surgeries or hospitalizations.
  • Family Medical and Mental Health History: Mental health conditions often have a genetic component. Be prepared to discuss any history of mental illness, substance abuse, or suicide in your family.
  • Previous Mental Health Treatment: Finally, if you have seen a therapist or psychiatrist before, have those records sent to your new doctor if possible. Note what types of therapy you have tried and what was or was not helpful for you.

Write Down Your Symptoms and Concerns

When you are in the moment, it can be easy to forget what you wanted to say. To combat this, therefore, write down your symptoms and concerns in the days leading up to your appointment. Be as specific as possible.

  • Symptom Journal: For example, note the specific symptoms you have been experiencing. Instead of just saying “I feel anxious,” describe what that feels like for you. For instance, “I have a racing heart, can’t focus, and I have been avoiding social situations.”
  • Impact on Daily Life: Explain how these symptoms affect your daily routine. Do they interfere with your work, relationships, or sleep? How have they changed your life?
  • Triggers: Are there specific events or situations that seem to make your symptoms worse? Be sure to write them down.

Prepare a List of Questions

Remember, this is a collaborative process. You are the expert on your own life, and the psychiatrist is the medical expert. Take charge of your care by preparing questions to ask them.

  • “What are my treatment options?”
  • “What are the potential side effects of any prescribed medication?”
  • “How long will it take to see results from treatment?”
  • “How do you typically work with your patients?”
  • “What are your office policies for medication refills or emergencies?”
  • “How can I best be involved in my care?”

Part 2: What to Expect at Your First Psychiatry Appointment

What happens during your initial psychiatry appointment will, consequently, set the stage for your ongoing care. The first session will likely be longer than a typical follow-up, lasting anywhere from 45 to 90 minutes. The reputable practices in Beverly Hills, therefore, understand the importance of this time.

The Intake Process

The appointment will begin with the psychiatrist asking you a series of questions to get a comprehensive understanding of your situation. They will often start with an open-ended question like, “What brings you in today?” or “How can I help you?”

Topics they may ask about include:

  • Your reason for seeking help.
  • Your current symptoms and how long you have had them.
  • Your daily routine, including sleep patterns, eating habits, and energy levels.
  • Your social and family relationships.
  • Significant life changes, stressors, or past traumas.
  • Your goals for treatment.

Be Open and Honest

This is a safe space, and everything you share is confidential. The psychiatrist’s job is to help you without judgment. To get the most accurate diagnosis and effective treatment, it’s crucial to be as open and honest as you can. If a topic is too sensitive or you are not ready to talk about it, you can simply say that. You can always revisit it in a future session.

It’s OK to Feel Emotional

Talking about personal struggles can be emotionally exhausting. It’s completely normal to feel nervous, cry, or get frustrated during your appointment. In fact, psychiatrists are accustomed to this and will provide a compassionate and supportive environment. Many have a box of tissues ready for this very reason. The journey to wellness, in short, often begins with a call to a clinic in Beverly Hills.

Table Charts

What to Bring to Your First AppointmentWhy It’s Important
Medical and Psychiatric HistoryProvides a complete picture of your physical and mental health journey.
List of Medications, DosagesEssential for preventing drug interactions and selecting the safest treatment.
Questions for the PsychiatristEnsures you get all the information you need to feel confident in your care.
Symptom & Mood JournalOffers concrete, real-time examples of your struggles and their impact.
Insurance Information & Photo IDNecessary for administrative and billing purposes.
Commonly Discussed Topics at a First Psychiatry AppointmentDescription
Current SymptomsWhat mental, emotional, or behavioral issues you’re facing right now.
Past Medical HistoryAny physical illnesses, surgeries, or health conditions.
Family HistoryGenetic predisposition to mental health conditions.
Social and Relationship HistoryYour support system, work, school, and living situation.
Substance UseAny past or present use of alcohol, tobacco, or recreational drugs.
Goals for TreatmentWhat you hope to achieve and how you define success.

Part 3: After the Evaluation, Treatment and Beyond

At the end of the initial appointment, your psychiatrist will likely provide a preliminary diagnosis and discuss a treatment plan. The standard of care in Beverly Hills, consequently, involves a patient-centered approach to psychiatry.

Treatment Plan Discussion

The treatment plan is a collaborative effort between you and your psychiatrist. It may or may not include medication. Your psychiatrist will explain their recommendations, which could include:

  • Medication: If medication is part of the plan, they will explain what it is, how it works, potential benefits, and any possible side effects.
  • Psychotherapy (Talk Therapy): They may, in addition, recommend you see a psychologist or therapist in addition to your psychiatric care. Psychiatrists often work in tandem with therapists to provide a comprehensive treatment approach.
  • Lifestyle Changes: Finally, they might suggest other strategies that can complement your treatment, such as exercise, improved sleep habits, or dietary adjustments.

Follow-Up Appointments

Future appointments will typically be shorter, around 15 to 30 minutes, and will focus on medication management and checking in on your progress. It’s a time to discuss how you are feeling, whether the medication is working, and any side effects or new concerns. It’s important to understand that finding the right medication and dosage often requires a period of trial and error. The field of psychiatry, after all, emphasizes this ongoing assessment.

Your Questions Answered About Your First Psychiatry Appointment

1. What is the difference between a psychiatrist and a psychologist?

A psychiatrist is a medical doctor (M.D. or D.O.) who can prescribe medication. On the other hand, a psychologist has a doctoral degree in psychology (Ph.D. or Psy.D.) and provides talk therapy but cannot prescribe medication. A professional in Beverly Hills, for example, can help you understand this distinction. For more on this, you can check out our guide to different types of mental health professionals.

2. How long is a typical first appointment?

The initial intake session is usually longer than follow-ups, typically lasting 45 to 90 minutes, to allow for a thorough evaluation.

3. Will I be prescribed medication on my first visit?

Not always. A psychiatrist’s primary goal is to assess your condition and create a safe and effective treatment plan. While medication might be part of that plan, it may take one or more sessions to determine the right course of action, and it is a mutual decision.

4. What if I’m not sure what’s wrong with me?

That’s perfectly normal and expected. The psychiatrist’s job is to use their expertise in psychiatry to help you understand your symptoms and provide a diagnosis. You are not, therefore, expected to have all the answers.

5. Is what I say confidential?

Yes. Everything you discuss with your psychiatrist is confidential. There are, however, very few exceptions, such as if you are a danger to yourself or others, or if there is a concern of abuse of a child, elder, or dependent adult.

6. Do I need a referral from my primary care doctor?

This depends on your insurance plan. Many plans, for instance, require a referral from a primary care provider to cover the cost of a specialist visit. It’s best to check with your insurance company beforehand.

7. Can I bring a friend or family member with me?

You can, but it’s important to discuss this with the psychiatrist beforehand. While a support person can be helpful, the first session often involves very personal questions that you may prefer to answer alone.

8. What if I feel uncomfortable with my psychiatrist?

The relationship with your psychiatrist is a key part of your treatment. If you don’t feel comfortable or have a connection, it’s okay to find a new provider. You have the right to find someone who is a good fit for you.

9. What if I can’t afford a psychiatrist?

Many clinics offer sliding-scale fees based on income. You can also, however, look for community mental health centers, university psychiatry programs, or practitioners who accept your insurance. Telehealth services, in addition, can also sometimes be more affordable.

10. What’s the point of seeing a psychiatrist if I’m already in therapy?

Psychiatrists provide a different type of care. They can prescribe and manage medication, which can be an essential tool in managing symptoms of certain mental health conditions. A combination of medication and therapy, in conclusion, often yields the best results.

Your Path Forward: The Next Steps After Your First Psychiatry Appointment

Your first psychiatry appointment is a pivotal step on your journey to better mental health. It’s a time for a comprehensive evaluation, honest conversation, and collaborative planning. By preparing your medical history, listing your symptoms and questions, and approaching the appointment with an open mind, you’re setting yourself up for a productive and empowering experience.

Remember, the goal is to find a provider you feel comfortable with and can trust. You’ve already taken the first step, now continue to advocate for yourself and your well-being. Finding the right professional in Beverly Hills is, therefore, a valuable investment in your future. If you’re ready to take the next step, you can learn more about a reputable practice in Beverly Hills and its team, including Dr. Tashkandi. For more insights into mental health, feel free to explore our blog posts. To schedule a consultation, visit the contact page.