Psychiatric drugs can be a significant part of mental health care. But if you’ve never met with a psychiatrist before, it can feel intimidating. Here’s what to expect during your first psychiatrist appointment when you meet to talk about starting mental health medication.
Psychiatrist appointments generally last for 40-60 minutes. You’ll spend that time explaining your personal history, mental health concerns, and treatment plan.
Your psychiatrist is likely to start the session with a general question like “What brings you in today?” Such an open-ended question can fluster some people, so it’s a good idea to come with notes or to set aside some time beforehand to gather your thoughts before your appointment so the topics you want to discuss and have treated are fresh in your mind.
Take this time to explain what the psychiatrist needs to know in order to help you. This can include things like:
Some of the questions the psychiatrist asks you might bring up sensitive issues like history of trauma or abuse. If they ask you anything you don’t feel comfortable explaining in detail, it’s okay to tell them that. They can often still treat your concerns without a detailed play-by-play.
Don’t be surprised or embarrassed if you get emotional during the appointment. It’s totally normal – and even common. Sharing your mental health struggles can be vulnerable and emotionally exhausting. Any standard psychiatrist’s office will have a box of tissues available. Don’t be shy about using them; they’re there for a reason! Psychiatrists are very used to patients getting flustered or emotional in their office, so they should be supportive and allow you to take your time.
Approach your appointment with the mindset that you’re meeting with the psychiatrist to see if they’re the right fit for you. The quality of the relationship you have with your provider (which includes your medication prescriber) is a key factor in how effective your treatment will end up being.
It’s a good idea to come with questions – after all, you’re talking about your life and your mental health. Here are some good questions to come prepared to ask:
Your psychiatrist will most likely want to see you again to follow up; they should provide a timeline on when they want to see you again. It’s a good idea to schedule your next appointment before you leave the office to make sure you don’t get stuck waiting a long time for your next appointment.
Take Notes: After you leave, you might remember things that you meant to mention during your appointment. Jot these down as they come to you so you can refer back to them during your next appointment.
De-Stress: If you left your appointment feeling upset, triggered, or emotional, give yourself time to decompress before going on with your day. After clearing your head, ask yourself why you feel uncomfortable. Was it talking about your mental health struggles? Did the psychiatrist do something you found insensitive? Do you feel comfortable talking to them? Do you feel like they cared about what was important to you? Did you feel heard? This can help you decide whether to find a different psychiatrist or simply let the treatment plan run its course with the same psychiatrist.
It might take more than one session for you to feel comfortable with your psychiatrist – they’re a stranger, after all. But if they make you feel uncomfortable, you don’t feel heard, don’t feel like you’re seeing progress, or find yourself feeling dissatisfied with the therapeutic relationship or their recommended treatment plan, you can always get a second opinion from a different prescriber.
It's normal to feel apprehensive about pursuing medication to help treat mental illness. But with the right prescriber on your team, you’ll likely feel much more confident and optimistic about your mental health outlook.