psychiatrist prescribe first visit

7 Tips on What to Expect at Your First Psychiatrist Appointment

By: Author Jeff Campbell

Posted on Last updated: September 15, 2018

Categories Well Being

You’ve made your first appointment with a psychiatrist.

That’s a big step in the recovery process, no matter what the issue. But what can you expect at your first psychiatrist appointment? Do psychiatrists prescribe first visit? What is the cost of a psychiatrist appointment?

There are many questions that come into play and many can actually cause anxiety.

Fear not! In this post, we’ll look at the most common questions and tips for your first psychiatrist appointment & what to expect.

So here are the . . . 

1. MAKE A LIST (and check it twice)

Take the time before your appointment and create a list of what you’re feeling, what triggers you and what the root causes are (if you can pinpoint them).

2. BE 100% HONEST

It will delay your recovery process if you can’t be 100% honest with your therapist. As hard as it may be to admit painful truths, painting a complete picture for your psychiatrist is crucial in letting them know how to best help you.

3. DON’T EXPECT DRAMATIC IMPROVEMENT RIGHT AWAY

4. In your first psychiatrist appointment, don’t expect miracles.  After all, they need to get to know you and your issues before they can even begin to think of a proper course of treatment.

4. RESEARCH IF YOU MUST (but don’t label yourself)

Your doctor will clinically diagnose you and determine the condition or issues that are challenging you.

While it is good to be informed and great to research what you are feeling, don’t label yourself before meeting with your doctor.

Understanding your grief. https://t.co/x8pEnlqahP pic.twitter.com/mRXo6JqwVC — BetterHelp (@betterhelp) May 19, 2018

5. REMEMBER, BY CHOOSING TREATMENT, YOU ARE STRONG

There can sometimes be shame or guilt associated with conditions and mental illness.

But just by acknowledging that you need help and seeking it out, you are showing incredible strength. Just like someone with an injured back feels no shame in seeking back treatment, you should feel no shame in seeking treatment for what ails you.

6. EXPECT YOUR PSYCHIATRIST TO LISTEN (a lot)

One important thing about developing a relationship with a psychiatrist is ensuring they are listening to you.

As a patient, you need to need to feel heard and understood. It’s also vital that you clearly express yourself so your psychiatrist understands the situation. Your doctor is there to offer diagnoses and possibly prescribe medicine. The best way for them to do that is by really listening to you.

7. DO PSYCHIATRISTS PRESCRIBE FIRST VISIT?

Remember that unlike therapists, psychiatrists are doctors and can prescribe medication.

They may also employ psychotherapy techniques in conjunction with medication, but ultimately you can and should expect them to prescribe medication. While this can (and does) happen in some cases at your first visit, it’s probably more likely to happen 2 or more visits in once they have a crystal clear understanding of your situation and challenges.

How to Find a Psychiatrist Without Tanking Your Budget

Psychiatrists treat mental and medical illnesses. As such the costs can vary and just like other doctors you will want to see if they are in-network and covered by your insurance.

It’s also important to understand the difference between psychiatrists and psychologists.

Psychiatrists are medical doctors with the ability to prescribe medications and schedule medical procedures. Psychologists, however, offer therapy and support but do not have the ability to prescribe medication. If your condition requires medical treatment they will have to refer you to a specialist. While both deal with mental disorders, the differences between the 2 can be confusing.

Could your anxiety be genetic? https://t.co/UsYLi03Fkv pic.twitter.com/2nNLGhfIi2 — BetterHelp (@betterhelp) July 3, 2018

You can expect to pay up to $500 for the initial visit, and at least $100 per hour for ongoing treatment. While these are common prices in the industry, also remember that psychiatrists can charge whatever the going rate is in your city, so you may want to check with several providers and your insurance company first before making an appointment.

Did we cover everything you wanted to know about your first psychiatrist appointment & what to expect?

In this post, we took a look at what to expect from your first psychiatrist appointment.

We looked at the most common questions, concerns as well as the costs. Then we also answered the question do psychiatrists prescribe first visit?

If you can’t find a good psychiatrist near you or prefer the convenience of the online world, check out all the Reasons to Use an Online Psychiatrist !

Any tips, suggestions or questions about your first psychiatrist appointment what to expect?

If you like this post, please consider sharing on Facebook, because if it helped you, it just might help someone else!

I am not a doctor, a psychiatrist or a mental health professional. This post, like all my posts, is based on my research, opinions, and observations. If you need medical or professional advice you should seek out a qualified professional in your area.

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What to Expect at Your First Psychiatrist Appointment

Amy Morin, LCSW, is a psychotherapist and international bestselling author. Her books, including "13 Things Mentally Strong People Don't Do," have been translated into more than 40 languages. Her TEDx talk,  "The Secret of Becoming Mentally Strong," is one of the most viewed talks of all time.

Prepare for the First Appointment

Make a list of concerns, during the appointment, after your first appointment, frequently asked questions.

It's normal to be a little nervous when you go to your first appointment with a psychiatrist, psychologist , or another mental health professional . You're probably not sure what to expect, which can lead to making you feel out of control.

While it can be nerve-wracking, there is nothing to fear. Your psychiatrist is there to help you learn more about the process and help you decide which steps to take next. It might take some time to find the right psychiatrist for you , but your mental health is worth the investment of time and energy.

This article discusses what you can expect during your first psychiatrist appointment. It covers how to prepare for your appointment, what to bring, and what you should do during and after your visit.

It's normal to feel a bit apprehensive before your first psychiatrist appointment. After all, discussing sensitive personal information with a stranger can be daunting for anyone. Your psychiatrist is a highly trained professional who is there to help, and there are steps you can take to make your first appointment a success.

Paperwork and Payment

Before your first psychiatrist appointment, you'll need to provide some basic information about yourself, such as your contact information, medical history, and insurance information. It may be possible to do this online before your appointment, but you can also often do this at the office when you arrive.

You should also sort out your payment details before your first appointment. Check with your insurer beforehand to see if your visit will be covered. Your insurance provider can also tell you if you need to get a referral from your primary care provider before your appointment.

Schedule your first appointment at a time when you can have a relaxed conversation with your psychiatrist. Avoid scheduling appointments when you're likely to be tired or stressed.

Medical History

Write down important information about your medical history. This should include:

• Any mental health diagnoses
• Medications you're taking
• Any psychiatric hospitalizations
• Any past therapy or treatment for a mental health condition

If you have any medical conditions that might affect your mental health, such as thyroid disease, diabetes, or heart disease, be sure to mention them to your psychiatrist.

Family medical history can also be relevant, so be sure to note if there is a history of psychiatric issues in your family.

Doctor's Questions

Your psychiatrist will want to know why you are seeing them, so they will ask questions such as:

• "Can you tell me what brings you here today?"
• "How are you feeling?"
• "What do you need help with?
• "What can I do to help you?"

The purpose of asking these questions is to get a better idea of your symptoms and their effects on your life. To prepare for your appointment, you might find it helpful to write down some of your symptoms to feel better able to answer these types of questions.

Pre-Appointment Anxiety

Your anxiety over this first appointment may be causing you to assume the worst or think treatment will be tougher than it actually is. For instance, you may think you have too many problems to tackle.

However, the reality is that your therapist will likely focus on just one or two issues, to begin with and move on from there. Being prepared for your first appointment can help you manage your anxiety and nervousness.

You can prepare for your first appointment by filling out paperwork, taking care of payment details, writing down your medical history, and thinking about questions your psychiatrist might ask. Remember that some nervousness is perfectly normal, and your therapist is there to help.

Prior to your appointment, make a list of everything you are feeling and any questions you have for your doctor or healthcare professional. You will also want to write down any details about triggers, as well as how your life is affected by each item.

For example, if you're feeling paranoid , you need to list not just the feeling but what you feel paranoid about and how it affects your life. List exactly what you are feeling and experiencing and how your life is affected.

When you break down your feelings and how they are affecting your daily life, you paint a very clear picture for the doctor. It's very difficult to do that on the spot in a short visit when your brain is spinning and you aren't prepared, so make the list ahead of time.

Try to avoid putting labels on your feelings or triggers as you talk to your therapist. Let the doctor do that. Therapists could inadvertently be influenced by your labels, affecting their diagnosis or treatment recommendations.

There are a number of things you can do during your appointment to make the process easier and ensure that you are getting the most out of the experience. 

Be Open and Honest

It's important to be candid with your psychiatrist. In order to provide the best possible care, you need to be as honest and open as you can. 

This often means talking about sensitive information of a highly personal nature. You might discuss topics such as your sexual history, family relationships, and drug use. While this may be difficult to share, it is important to remember that your psychiatrist can provide appropriate treatment unless they fully understand your situation.

Ask Questions

If you need more information or don't understand something your psychiatrist has said, ask for clarification. You might ask questions in the moment, or you might write them down so you can discuss them later.

Bring a Supportive Person

If you're feeling anxious about your first appointment, you may want to bring a supportive friend or family member with you. This person can provide emotional support and can help you remember what the psychiatrist says after the appointment.

It's normal to feel overwhelmed by all the information you might be taking in during that first appointment. You may find it helpful to take notes throughout your session. This can help you remember what you discussed, but it can also be a great way to reflect back on each session to think about what to talk about during your next appointment.

During your appointment, be honest with your psychiatrist, and don't be afraid to ask questions. You might opt to bring a trusted friend or take notes during your session so you can remember important details about your appointment.

When you arrive home after your first appointment, you may wish to add notes to your list. While the visit is fresh in your mind, make notes for things you wish to talk about in more depth in the future or feelings which you did not have time to address during the visit.

Take a moment as well to ask yourself if you want to keep seeing this person or if, instead, you would rather see a different mental health care provider. An important part of coping with any mental health condition is to develop a solid relationship with a psychiatrist or therapist you can trust.

Research suggests that the therapeutic alliance, or the rapport and relationship between you and your therapist, plays an essential role in treatment outcomes.

Mental health professionals, like all people, have a wide range of personalities, strengths, and weaknesses, and it's important to find the one who is right for you as an individual.

A Word From Verywell

Creating a detailed list can make your first appointment with a mental health professional go much more smoothly. Your doctor will appreciate your preparation, too. Remember to keep your list simple and limit it to feelings and experiences, taking care not to fill in diagnoses that could mislead both you and your therapist.

The length of your first appointment may vary depending on the individual therapist and your specific situation. In some cases, it might be the length of a regular session, which often lasts somewhere between 45 and 60 minutes. In other cases, your intake session will be the longest appointment, lasting between one and two hours.

Be sure to bring your insurance information to your first appointment. Also, take a list of all the medications you are currently taking. Note any psychiatric medications you may have taken in the past. 

Copies of medical records can be helpful, but you can also bring handwritten information about your medical history. If you've been tracking information about your symptoms, moods, triggers, and self-care practices, be sure to bring those notes as well.

If you don't like your psychiatrist, then it is probably best to look for a different mental health provider. It is perfectly normal to not feel comfortable with every therapist you meet, so don't be afraid to keep looking. You might simply say that you don't feel like it's a good match and ask if they or your primary care physician can refer you to a different professional. 

National Institute of Mental Health. Chronic illness and mental health: Recognizing and treating depression .

Sweeney A, Gillard S, Wykes T, Rose D. The role of fear in mental health service users' experiences: a qualitative exploration .  Soc Psychiatry Psychiatr Epidemiol . 2015;50(7):1079–1087. doi:10.1007/s00127-015-1028-z

Crits-Christoph P, Rieger A, Gaines A, Gibbons MBC.  Trust and respect in the patient-clinician relationship: preliminary development of a new scale .  BMC Psychol . 2019;7(1):91. doi:10.1186/s40359-019-0347-3

Carey TA. Beyond patient-centered care: Enhancing the patient experience in mental health services through patient-perspective care . Patient Experience J. 2016; 3(2):46-49.

National Alliance on Mental Illness. How to prepare for your first psychiatric appointment . 

By Marcia Purse Marcia Purse is a mental health writer and bipolar disorder advocate who brings strong research skills and personal experiences to her writing.

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What to expect at a psychiatry appointment?

Seeking help for mental health concerns is a significant step toward better emotional well-being. If you’ve scheduled a psychiatry appointment, it’s natural to have questions about what to expect. This guide aims to provide a comprehensive overview of what typically occurs during a psychiatry appointment, including what you should prepare for, common procedures, and how to make the most out of your visit. Whether you’re attending your first psychiatry appointment or seeking to understand the process better, this article will help you feel more informed and at ease.

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What to expect at a psychiatrist appointment?

Visiting a psychiatrist can be a daunting experience, but knowing what to expect can ease your anxiety and ensure you get the most out of your appointment. Here’s a breakdown of the typical psychiatry appointment process:

Intake and Assessment

• Paperwork Party: Buckle up for paperwork! You’ll likely fill out forms about your medical history, mental health concerns, and personal background.
• Meet & Greet: The psychiatrist will introduce themselves and ask questions about your current symptoms, triggers, and how long you’ve been experiencing them. Don’t worry, they’re not judging you, just trying to understand your situation.

Discussion and Evaluation

• Talk Time: This is where you get to share your story. Be open and honest about your experiences, emotions, and any specific issues you’re facing. The more information you provide, the better the psychiatrist can understand you and develop a personalized treatment plan.
• Mind Games: The psychiatrist might use questionnaires or diagnostic tools to assess your mental state. This helps them get a clearer picture of what’s going on and rule out any underlying medical conditions.

Diagnosis and Treatment Plan

• The Verdict: Based on the assessment and discussion, the psychiatrist will provide a diagnosis if applicable. This can be helpful in understanding your condition and guiding treatment.
• Charting the Course: Now comes the treatment plan! This might include therapy, medication, lifestyle changes, or a combination of these. The psychiatrist will discuss the options with you and address any questions or concerns you might have.

Medication Management (If Prescribed)

• Med Talk: If medication is part of your plan, the psychiatrist will explain its purpose, potential side effects, dosage, and how to take it properly. They’ll also encourage you to ask questions and express any concerns you have about medication.
• Follow-Up is Key: The psychiatrist will likely schedule follow-up appointments to monitor your progress and adjust the medication if needed. Remember, open communication is essential, so let them know if anything feels off or changes.
• Bring a Support Person:  If you feel comfortable, consider bringing a trusted friend or family member to your appointment for moral support and note-taking.

Remember, seeking help is a sign of strength, and your psychiatrist is there to guide you on your journey toward mental well-being. Take a deep breath, be prepared, and trust the process. You’ve got this!

Do psychiatrists prescribe medication first visit?

Whether a psychiatrist prescribes medication during an initial consultation depends on various factors. Understanding these can help set realistic expectations for your first visit.

Severity of Symptoms: If symptoms are intense and significantly disrupt your life, immediate medication might be considered as a primary treatment.

Nature of Symptoms: For certain conditions like major depression or schizophrenia, which often respond well to medication, early consideration of pharmaceutical intervention is common.

Medical History: The psychiatrist will evaluate your existing medical conditions and any current medications to prevent potential adverse interactions.

Personal Preferences: Your opinion matters. The psychiatrist should discuss medication pros and cons and respect your decision on whether to use medication.

Typically, psychiatrists do not rush to prescribe medication during a first visit, unless there’s an urgent need. The initial session usually involves:

Understanding Your Background: Expect discussions about your symptoms, medical history, and lifestyle.

Diagnosing: Using gathered information, the psychiatrist aims to diagnose your mental health condition.

Creating a Treatment Plan: This plan may include medication, therapy, and lifestyle modifications.

If medication is prescribed, it usually starts at a low dose with close monitoring for side effects. You’ll receive clear instructions on medication use and have the opportunity to ask questions.

Additional Considerations

• Medication Isn’t Always the Answer: It’s a valuable tool but not always necessary or effective for everyone.
• Effectiveness Varies: You might need to try different medications or combinations to find what works for you.
• Be Aware of Side Effects: Know the potential side effects and communicate with your doctor if you experience any issues.
• You’re Not Alone: Help is available for mental health challenges. Reach out to healthcare professionals, support groups, and community resources.

This information should provide a comprehensive view of what to expect regarding medication prescription during your first psychiatric visit and the factors influencing such decisions.

A psychiatry appointment is a significant step in addressing and managing mental health concerns. Knowing what to expect, from gathering information and preparing questions to the appointment process itself, can help you feel more confident and informed during your visit. Remember that your psychiatrist is there to support you on your journey to better mental health, and open communication is key to a successful treatment plan. By actively participating in your care and following the recommended treatment, you can work towards improved emotional well-being and a healthier future.

Frequently Asked Questions (FAQs)

How long does a psychiatry appointment typically last.

Psychiatry appointments can vary in length, but the initial evaluation appointment is often longer, ranging from 45 minutes to an hour. Follow-up appointments are typically shorter, lasting around 15 to 30 minutes.

Do I need a referral to see a psychiatrist?

In some cases, a referral from a primary care physician or another healthcare provider may be required to see a psychiatrist. However, many individuals can schedule appointments with psychiatrists directly, depending on their healthcare coverage and specific circumstances.

What if I don’t agree with the treatment plan proposed by the psychiatrist?

It’s essential to communicate openly with your psychiatrist if you have concerns or questions about the proposed treatment plan. Discuss your reservations, ask for alternative options, and collaborate with the psychiatrist to make decisions that feel right for you.

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What to expect during your first psychiatry appointment.

Written by Shannon ,

Brightside Health

6 Minute Read

Medically reviewed by: Jen Miller, PMHNP-BC PMHNP Director

10 Minute Read

* Content warning: This article briefly mentions suicidal behaviors.

Taking the first steps towards getting treatment for your mental health is a brave, respectable, and important thing to do. With that said, having hesitations, anxiety, or stress about your first psychiatric appointment is completely normal.

Let’s walk through the process so you know exactly what to expect upon your first appointment.

Want to speak 1:1 with an expert about your anxiety & depression?

Psychiatry vs. Therapy

While psychiatry and therapy often go hand in hand, they are different from one another . In a therapy session, you will discuss your concerns with a licensed mental health professional who can work to assist you with behavioral and cognitive changes to help you work through mental health conditions.

Psychiatric providers, on the other hand, have extensive medical training and will also prescribe and monitor medications to control your symptoms. Therapists can not prescribe you medication, but they can refer you to a psychiatric provider for evaluation if needed.

Therapy, in conjunction with medication, is the most effective way to treat mental disorders, so it is common to work with both a therapist, and a psychiatric provider.

Your Brightside care team includes both a psychiatric provider and therapist who stay by your side every step of the way, so you have access to help whenever you need it.

Before Your Appointment

Before you’re matched with a psychiatric provider, you’ll generally first need to answer a questionnaire about yourself to provide information your provider will need to thoroughly evaluate your situation. This will ask you what kinds of things you need help with, how often and severe your symptoms are, and some more general questions to expedite the process ahead of time.

You may also want to come prepared with a bit of background knowledge of your medical history, such as allergies to medications, lists of medications you’re currently taking or have taken in the past, family history of mental health and physical health issues, and other medical concerns. This will help your psychiatric provider give you more comprehensive care.

With Brightside , you will receive a personalized treatment plan with evidence-based therapy at hand, medication delivered to your door, and the support of expert psychiatric providers at every step. 

During the Appointment

Remember that psychiatric appointments are a bit different than therapy sessions. While therapy sessions are normally 30-45 minutes long, your conversation with a psychiatric provider may only be about 15! The goal during your psychiatric appointment is to check in and see how you’re feeling in relation to your medications. However, the first consultation may be longer and will be focused on your symptoms, diagnosis, and creating a treatment plan that’s right for you.

On your first consultation, a psychiatric provider will ask you about your symptoms and what you’re struggling with. This might include some general questions about your medical history and your past in general. If you’re ever uncomfortable answering a question, know that it is entirely okay to let your provider know that you’d rather not answer and would like to move on.

They may then choose to prescribe antidepressant medications to help ease the symptoms. They’ll give you the lowdown as far as what to expect when taking the medications, how to take them, potential side effects, and more.

After that, you’ll discuss your long-term care plans, including any recommended referrals for psychotherapy and any referrals for additional care.

Keep in mind that it is okay to feel emotional during your first visit. You can cry, feel scared, awkward, and nervous. Or, you may feel jubilant and excited to be taking such important steps. Regardless, your psychiatric provider is here to help you and will never be judgemental of your emotions.

After the Appointment

After your initial appointment, expect to feel some relief! You’ve taken the next step on your journey, so congratulate yourself for accomplishing something really amazing.

If your Brightside provider has chosen to prescribe you medication, it will be delivered to your door within approximately 5-7 business days, and you will receive refills monthly as long as you are engaged with the program.  

Make sure that you are taking the recommended dosage of your medication and check in with your provider as often as needed with unlimited messaging and video sessions. You’ll also have unlimited messaging and video visits as needed, so check in as often as you want to make sure everything is running smoothly. Your provider wants to hear from you.

If your psychiatric provider has recommended psychotherapy, you may tell your therapist about how the medications are making you feel as well. Both psychiatry and therapy go hand in hand , so never be afraid to talk about what you’re experiencing to either one.

Medication is Often Part of Treatment

Many people feel nervous and distrustful of taking medication that has the potential to alter your brain’s chemistry. These are very rational hesitations, but there is evidence that medication is a successful treatment for depression and anxiety. Remember that medication will not take away any of the good things about you.

Around 40-60% of individuals with depressive symptoms noticed improvement within six to eight weeks on medication alone, and at Brightside, 85% of members report feeling better within 12 weeks. Furthermore, combined treatment with psychotherapy appears to be a more effective treatment than just taking medication, so it is recommended that you utilize both simultaneously.

Everyone is different, so it might take some time to find a medication that works for you. This is why frequent discourse with your psychiatric provider is important, as they can modify your prescription and dosage accordingly based on how you feel while taking them. Also, medications don’t normally take effect immediately. It may take around four to six weeks for you to notice a difference while taking depression or anxiety medication.

Going to your first psychiatric appointment can be nerve-wracking, but coming prepared can help alleviate some of those anxieties. Know that psychiatry is different from therapy, in that your psychiatric appointment is more geared towards prescribing and monitoring the use of medication, rather than building behavioral and cognitive skills towards coping.

During the session, just expect to answer a few questions and check in with your provider about how you’re feeling. They may prescribe you some medications, in which case they’ll go over directions and possible side effects.

Medications are a safe and effective way to treat mental illness. It is most effective when combined with psychotherapy, which your psychiatric provider may recommend. Remote therapy and psychiatry is great for individuals who deal with depression, anxiety, and other anxiety/ stress related disorders.

All in all, it’s normal to be nervous, but your psychiatric appointment will ultimately work for you, not against you! Click here to get started on the right path today .

Psychiatrists and psychologists: what’s the difference? | The Royal Australian and New Zealand College of Psychiatrists

Depression: How effective are antidepressants? | InformedHealth.org 

Adding psychotherapy to antidepressant medication in depression and anxiety disorders: a meta-analysis – NIH

Antidepressant medication | SANE Australia

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Here’s What to Expect During Your First Visit to a Psychiatrist

The prevalence of mental illness is increasing worldwide, especially during the epidemic. Many people today suffer from mental health issues due to various reasons. At the same time, one good aspect is that people have started becoming more aware of mental problems and are trying to seek help. With that said, you may want to look for a psychiatrist near you to help get answers.

So, when should you visit a psychiatrist? If you face any stress affecting your daily life from time to time, it’s time to seek help from a professional. People generally consult a psychiatrist and take their first appointments when facing anxiety issues due to bad relationships, problems at work, or long-term severe injuries that put them on medication. Some other reasons include the following- 

Insomnia, bipolar disorders, phobias, lack of energy, loss of appetite, PTSD, inability to communicate with others, anger issues, hallucinations, physical and emotional abuse, lousy eating habits, suicidal thoughts, and addictions.

However, deciding to visit a psychiatrist may not be easy for everyone. While people are already under stress, they might be unable to communicate with the psychiatrist effectively and may get intimidated by the process. If you want to visit a psychiatrist for the first time, this article is for you. Here are a few tips on how to start a conversation and questions you should ask your psychiatrist.

What Happens When You First Visit The Psychiatrist?

People who have never been to a psychiatrist usually wonder what will happen during their first consultation. Here’s what you can expect.

Before treatment, psychiatric patients must fill out various documents.

• Interviews: Your psychiatrist will ask personal and professional questions about your life and run you through some psychological tests. They will ask you simple questions to get a general idea about the root cause of stress in your life. Remember, honesty is the key. Your psychiatrist is there to help you, and you must remain honest with them.
• Next, you will be asked to submit your medical history, if any. 
• Once they have collected appropriate information from you, they will make recommendations on a treatment plan. This may involve talk therapy, prescribing medication, or both.
• Your psychiatrist will monitor your mental health and observe the effect of the established treatment plan, and check if it’s working or not.
• Your answer will determine the accuracy of the diagnosis, so be as thorough and honest as possible. Don’t hesitate to discuss your anxiety with a psychiatrist or therapist.

How Can You Locate A Psychiatrist?

Finding a psychiatrist can be a daunting task. However, you can find a psychiatrist online or ask your peers, relatives, and family members about any references. Look for these 3 points while considering choosing a psychiatrist.

Right knowledge comes with proper education. Look at their educational credentials. A degree or certificate from a reputable institution is a good sign.

Psychiatrists with several years of experience have the right resources and skills to diagnose your case quickly and recommend the right treatment plans. More experience means they have worked on several cases and can understand your point better.

You can always find online reviews and ratings for several psychiatrists recommended by search engines. Check what people have written about them. 

Look for these factors while reading reviews and testimonials from past clients.

• Cooperation
• Timely treatment
• Level of patience
• Emergency visits
• Availability on texts and phone calls.

This will help you determine if a psychiatrist is competent in their position. If possible, you can talk to other patients to see if the doctor is right for you.

Once the correct diagnosis has been made, you should ask your psychiatrist when to start the treatment process and if your condition demands immediate medical attention.

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Expert mental health information for everyone

Your first appointment

My name is Samantha and I'm a psychiatrist.

I work at a hospital and I would see you if you were referred by your GP, your general practitioner or any other specialist or even your counselor.

And you know, you might have a whole range of symptoms such as depression or anxiety or even memory problems.  

We would have a chat about what's going on and how I can help you. 

So it can be quite scary for someone to, come and see a psychiatrist for the first time -  they may not have seen one before.

There's often a lot of stereotypes and I guess notions about what psychiatrists are and what we do. Seeing a psychiatrist for the first time can be a bit intimidating because the appointments are generally quite long. So we would have someone seen for about minutes and I think that's not unusual. And the reason for that is because we often want to gather quite a lot of information. 

When someone comes to their first appointment I think hopefully they have a bit of an awareness of why they've come. So, if for example they've come because they're feeling depressed you know it would be useful to have some information about their previous treatments for example.

 If they can, collate letters, or if they've written notes about how they've been feeling over the, last couple of days or couple weeks it can be really useful.  Sometimes when you're put on the spot it can be really hard to think about you know what happened last week or the week before, so that can be really useful. 

I also think it's really good to have a list of questions. Because at the end of the appointment when I do ask, "do you have any questions?" that can be really hard when you're put on the spot to have questions like, "when do I see you next?" “what's going to happen?" "is this information going to my GP?" So you can prepare that way, and a lot of patients actually do bring a lot of notes and lots and lots of papers. 

Some people have often looked on the internet about particular treatments already, or ask about a particular diagnosis they think they've got. So people often do prepare. I think it's really good that they come in prepared with information. 

As a psychiatrist I'm really interested in finding out a lot about the person themselves and about their background and their story, because this really helps guide what kind of treatments and what kind of things they would be interested in doing and how we can help manage these symptoms.  And so we would ask things about obviously what they think the issues are, we'd ask about their family, their family history.

We often ask about their personal history and perhaps things like growing up and going to school and university and work life. Perhaps even relationships. If the person does have a history of depression or anxiety I would obviously ask a lot about that because we do want to know about what's happened to them in the past, what things have helped them, what hasn't. Because these things are going to help us try and help them in what's going to happen for their ongoing treatment. 

I think it's actually really important that a patient does bring someone with them, if they want to. So, the reason for that would not just be for support but often as a psychiatrist I'm actually really interested in hearing what the family member or the spouse wants to say as well.

Try to think about seeing a psychiatrist like seeing any other specialty. Yes we do ask lots of questions and it might seem like an interrogation, but we're not analysing you, we're not making you sit on the couch and and turn your back to us, we're not doing anything like that. 

You know, we're just really interested in finding out who you are, and why you're here.  

What will happen?

Your first appointment with a psychiatrist will usually be 1–1.5 hours long.

Your psychiatrist will:

• listen to you talk about your concerns and symptoms
• ask questions about your general health
• ask about your family history
• take your blood pressure and do a basic physical check-up if it's required
• ask you to fill out a questionnaire.

There will usually be a lot of questions. The long appointment gives the psychiatrist time to listen to you and hear your whole story.

They might also want to speak with other health professionals or members of your family.

Your psychiatrist may order some more tests to help them understand what is going on.

Getting a diagnosis and treatment plan

It might take a few appointments for your psychiatrist to make a full diagnosis.

The next step is to work out a treatment plan.

A treatment plan is a combination of therapies that suit your health needs, personal preferences, family situation and age.

You and your psychiatrist will work together to develop a treatment plan that's right for you.

The psychiatrist might provide the treatment themselves, or they might recommend you see another health professional – for example a psychologist.

More about the treatments used by psychiatrists

What should I do before my first appointment?

When you telephone the practice, clinic or hospital to make an appointment, ask about:

• the psychiatrist's qualifications
• whether they have expertise in particular conditions, treatments or groups of patients
• what their fees are
• payment methods (e.g. credit card, EFTPOS) in Australia, some idea of how much you might get back from Medicare, and if they can process the refund for you
• their cancellation policy and possible fees for this
• their policy about contact with the practice or psychiatrist
• if they have admission rights at any private hospitals
• if you're changing psychiatrists, whether they need a 'transfer of care' letter from your previous psychiatrist
• whether you need to bring the referral letter to the appointment or send it ahead of time.

Read through any information that the clinic or practice manager has sent to you.

Try to write a list of questions you'd like your psychiatrist to answer.

Also think about or write down:

• the symptoms you have
• any stresses in your life
• other medical conditions you have
• any medication, herbal supplements or vitamins you're taking (how many, how often you take them and the tablet strength)
• ideas about what's helped or not helped in the past
• the supports you have (family, friends, colleagues, sporting groups etc.).

Bring in any documents you already have, such as your referral letter, blood test results or scans.

If you've done some research already, feel free to bring in the information or web links.

Can I bring someone with me?

You can bring a family member or friend to an appointment if you want. They can wait for you outside or come in for all or part of the appointment.

You don't have to bring someone if you don't want to.

What about confidentiality?

Anything you talk about with your psychiatrist is confidential.

Your psychiatrist may need to share some of your private information with other healthcare professionals.

Your psychiatrist might suggest involving family members in your assessment. They will discuss this with you first.

A psychiatrist may be required by law to share information or a person's medical record with others. Generally, your psychiatrist will tell you first if they need to do this.

What happens next?

After your first visit, the appointments might be shorter. Your psychiatrist will focus on checking your progress and adjusting treatments.

If your psychiatrist is providing you with psychological treatments (talking therapies), you will probably see them regularly.

Your psychiatrist might recommend you go back to your GP for regular check-ups. They may also arrange for you to see a psychologist, social worker or other therapist.

If your referral was for a second opinion or management plan only, you usually won't need to go back for another appointment.  

• It can be useful to do some preparation before your appointment.
• Call the clinic, hospital or health service if you have questions before your appointment.
• You get a say in any treatment that is recommended for you.
• You can bring someone with you to an appointment.

You might also be interested in:

This is a general guide only, and does not replace individual medical advice. Please speak to your doctor for advice about your situation. The RANZCP is not liable for any consequences arising from relying on this information. Subject matter experts, people with lived experience of mental illness and carers all contributed to this fact sheet.

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16 Questions to Answer If You Are Seeing a Psychiatrist for the First Time

Going to see a psychiatrist? Make sure you are ready! Before you come in for your first psychiatrist appointment get prepared by answering the following questions. If you do this, we will spend less time recreating your history and more time talking about the reasons you have come in for the psychiatric appointment. If you are seeing a psychiatrist for the first time try to answer these 16 questions before your appointment. You may find it helpful to write down your answers and bring them to the appointment.

Download and print out a copy of the questions by entering your email here:

If you haven’t yet found a psychiatrist first read the post: 8 Questions You Need to Ask to Get the Best Psychiatrist!  This post will also give you tips on how to assess the fit between you and the psychiatrist and make sure it will work for you.

Questions to answer before your psychiatrist appointment:

• Why are you are coming in for an appointment  now ?
• What are the particular things that are bothering you?
• What would you like help with?
• How far are you from your baseline ?
• How would you describe your normal personality ? Are you more a cup half-full person or cup half-empty?
• When did you start feeling bad?
• When was the last time you felt happy ?

Seeing a psychiatrist for the first time: Know your family history

Try to learn as much as you can about your family’s medical and psychiatric history. In some families, mental health is a taboo topic and not openly discussed. Try to think if there is one person who may be easier to talk to and ask them.

Knowing your family history before your psychiatric appointment can help us to come up with a more accurate diagnosis and plan.

• Does anyone in your family have any psychiatric history ?
• Is anyone seeing a psychiatrist? Have they been hospitalized ?
• Has anyone been treated with medication ? If so, which medicine and was it effective?

Psychiatric appointment: Your past history

If you are going to see a psychiatrist, think about your own past mental health history. If you can’t remember details, ask your family if they remember. You can also contact your previous psychiatrist to see if they still have records.

• Have you seen a psychiatrist before? If you have, find out their contact information (especially their fax number !).
• Have you been in therapy ? Was it helpful? What did you like or not like about it?
• Have you been treated with medication before? Was it helpful?

If you are struggling to come up with your medication history see if you can get it from your pharmacy. I have had people be able to get a medication printout for the previous 10 years. Although it can be cumbersome to sort through, it can provide valuable history.

Going to see a psychiatrist? Write out a timeline!

Write up a general timeline for your history and the medicine you have tried. Details to include on the timeline are:

• Approximate dates you took medication and why you took it.
• What were the doses of the medication?
• Were there any side effects? Any benefits?

If we have a list of your past medications, we can come up with a more accurate picture of what works for you and what doesn’t.

What you need to do before seeing a psychiatrist:

Don’t get me wrong. You don’t need to have everything figured out and conceptualized before your first psychiatric appointment. The more questions from this list that you are able to answer before you come in, the more time we get to talk about why you are seeing a psychiatrist. Its win-win!

Do your best to organize your thoughts but don’t stress out about it. It doesn’t need to be perfect. You may find it helpful to write down your answers and bring them to the appointment.

How well do you know your medical history?

Do you know what the plan is to manage your medical diagnosis? What is your medication is for? What can you do to take charge of your health?

You need to be your #1 advocate and that requires you to have a good knowledge of your medical history. Download a form of the questions you need to know by entering your email here:

Looking for additional mental health resources?

Check out the Mental Health Bookstore and Resources page to get helpful options.

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13 thoughts on “16 Questions to Answer If You Are Seeing a Psychiatrist for the First Time”

Thanks for pointing out that answering the questions does not need to be perfect, but it would help by listing them down. I will share this with my sister since she plans to see one for her daughter. This is because her daughter hasn’t been talking a lot ever since her father died, and, now, my sister has remarried which made her daughter even more isolated.

Great- I hope they find these questions helpful in preparing.

I’ve been feeling down for six months already for no reason so I think I need help with it. Since my personality is usually upbeat, I think it’s abnormal. I haven’t been in therapy before so it might be best if I look around for some psychiatric services to know how to deal with this.

Sounds like a great idea to look into it further! You make it clear this is not your usual state. I hope you feel better soon.

I like how you explain that in some families, mental health is a taboo topic and not openly discussed. My uncle was diagnosed with a mental disease and he hasn’t accepted any treatment. I will recommend him to visit a psychiatrist so that he can get helped.

• Pingback: Tips on How to Prepare for Your Appointment | Boston Neurobehavioral Associates

Thanks for the tip to learn as much as possible about your family’s psychiatric and medical history. My brother wants to go see a psychiatrist later this week. I’ll tell him to talk to our parents about our family’s history so he can give it to a psychiatrist once he finds one he likes.

My mother has a phobia with deep water. We’re considering consulting with a psychologist that may help her out. Well, thank you for elaborating here that a psychiatrist may ask my mom if any of her family members have seemed the same treatment. We’ll also keep in mind to write down the type of medicine that she previously took.

I have my first apointment coming up with my psychiatrist tomorrow Jan.12th. I’m nervous. I have severe anxiety with people. I constantly feel people laugh at me , plot against me and judge me based on my insecurities. I feel they know my problems without telling them anything about me. I isolate and avoid as many social situations as possible. I have no friends and hardly any associates. I hope this new dr. Can help me through all of my issues because I’m always nervous to go around people unless someone is with me. I can’t live like this anymore.

Great that you took this big step to hopefully get some support and treatment. I hope it went well!

My husband is going to see a psychiatrist for the first time next week. My major worry is he isn’t honest about his problems. He’s known for being a liar.

How will can he get the help he needs from a psychiatrist if he doesn’t see he has a problem but thinks everyone else does?

Your concern is valid. Psychiatrists know what we are told and so it can be tricky if someone isn’t forthcoming about their challenges (or don’t recognize them as their own challenges). Sometimes even without a person telling us it is clear however then it can be tricky to make headway in treatment. If medications are indicated, will the person agree they may be useful and try? Will they engage in therapy? It can be quite helpful to have a family session so that you can discuss your concerns but that is not always feasible. And as always, getting support for yourself can be helpful.

Great list! Knowing the medical history(even if it’s not perfect) is a great way for your psychiatrist to know where you are at.

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Psychiatry: What to Expect at Your First Appointment

Mental health is just as important as physical health to overall well-being. In recent years, the importance of mental health has become better recognized, thereby lessening the stigma of mental health treatment. According to the National Institute of Mental Health, approximately 1 in 5 adults in the United States (or 43.8 million people) struggle with mental illness each year. This includes major depression, bipolar disorder, schizophrenia, post-traumatic stress disorder (PTSD), and other anxiety disorders. By seeking mental health treatment from a psychiatrist, your first psychiatry appointment could be the first of many steps to improved mental and emotional well-being.

Connections Wellness Group understands that mental health issues can significantly impact overall health and offers psychiatry services to residents of the Dallas/Fort Worth metropolitan area. Call 940.360.4245 today to learn more!

What Is Psychiatry?

Psychiatrists are medical doctors who have studied to become experts on mental illnesses. This unique combination of medical and mental health training allows them to diagnose mental illnesses and prescribe medications for treatment. Detailed knowledge of how medications interact with one another and which symptoms can indicate an unrelated condition is needed to prescribe and manage medications safely.

What to Expect at Your First Psychiatrist Appointment

In some ways, your first psychiatry appointment will differ from your return visits. Your doctor will need to get to know you by taking a complete medical and psychological history. In addition to any presenting symptoms, the doctor will evaluate situational factors such as genetics and relationship dynamics. The following information will be used to determine the best course of treatment.

Presenting Symptoms

The initial consultation will center around- you guessed it- the symptoms that brought you in. Talking about distressing symptoms and behaviors can be uncomfortable, but it’s essential to be honest with your doctor. Tell them how long you’ve been experiencing the symptoms, if anything seems to make them better or worse, and how they impact your life.

Family and Individual History

Gathering a detailed history will be essential for making a treatment plan. The risk of developing some mental health conditions is higher for those with a blood relative who carries those diagnoses. Your own history is just as vital. Your psychiatrist will likely ask you about any traumas you’ve experienced and any previous diagnoses of mental illness. Stressors that you’re experiencing are also relevant; even minor, everyday stressors can contribute to mental illnesses.

Treatment Plan

After learning about you and your symptoms, your psychiatrist will discuss your options going forward. This may include the following:

• Further evaluation, such as lab tests
• Starting or altering medication
• Getting recommendations for specific forms of counseling or therapy
• Coordinating with other health professionals, such as a primary care doctor or therapist

If medication is on the table, you’ll have a chance to hear about the benefits and potential side effects of each one. You can decide on medication and begin immediately, or take some time to consider your options. You and your doctor will revisit your treatment plan periodically. Future appointments may be shorter but will give you the opportunity to discuss what’s working and what’s not. Often, it takes some trial and error to find a treatment that works for you. Your mental health is incredibly important. The key to greater well-being is to get the right treatment plan in place through collaboration with your psychiatrist and other health professionals.

Contact Connections Wellness Group Today

Your first psychiatry appointment can be overwhelming and scary. Connections Wellness Group is here to help make the process easier. Our team of experienced psychiatrists provides compassionate care in a safe, non-judgmental environment. Call us today at 940.360.4245 or reach out online to get started on your journey toward improved mental health and well-being.

Lighthouse Health Florida

A Guide to Your First Visit With a Psychiatrist

by [email protected] | May 16, 2018 | Uncategorized

How do you know when to visit a psychiatrist? In general, people make their first appointment when they are experiencing difficulties at work, in a relationship or maybe as a consequence of medical conditions.

Besides, they might be undergoing certain symptoms which might include sadness, lack of energy, anxiety or even some mood swings. Some other symptoms might involve problems connected with sleeping, their memory or appetite. In some cases, these symptoms are more severe, and they might include hallucinations or suicidal ideas as well.

It might be relevant to pinpoint that “a psychiatrist is a physician who is specifically trained to diagnose and treat people who are experiencing a wide range of issues, from emotional distress to more severe mental health concerns.”

Before the Psychiatric Appointment

When attending the first visit with the psychiatrist, some people get frozen and, as a result, they do not remember all the issues that have taken them to therapy. That is why, it might be wise to write down all your concerns before the visit.

You should write everything that is bothering you, those things you feel are odd or strange or simple out of place.

First Appointment

The first appointment with a psychiatrist is generally based on an initial evaluation, or intake visit, in which your psychiatrist wants to get to know you and understand those difficulties you are experiencing.

This appointment might vary regarding length, but they are usually between 40-60 minutes. Your psychiatrist may inquire you about the issues that are concerning you, and how they are affecting your life.

The professional might also ask you about your symptoms and how you do to cope with them. He/She might want to know if you have a medical condition or if you used to have one as well as if you have visited any other psychiatrist in the past.

After that, the psychiatrist might ask you about your family’s health history. Due to many medical and psychiatric conditions run in families. Lastly, he/she might ask you about your current medications, both for medical and psychiatric conditions.

After your psychiatrist asked you all the necessary questions, he/she should make a plan with you and may recommend that you see a particular specialist or have some laboratory tests. It will depend on the type of therapy you need.

It is probable that the doctor schedules another appointment in order to discuss how the plan goes and if the symptoms improved.

Do not be afraid and ask as many questions as you need, ask about things you do not understand or the medicine you were prescribed or the type of therapy you are supposed to do. Your psychiatrist will be ready to help you with your inquiries and doubts, so you feel more confident about the whole situation.

Tips for the First Visit:

• Write down a list of symptoms that you have been having if you feel you may forget to mention them,
• Bring along any medical or mental health records that you believe are important.
• It may help to bring a list of your medications,
• You can ask a friend or family member to come to your appointment if you feel that they can provide a unique perspective and make you feel less anxious,
• Always feel free to ask questions about the diagnosis and any treatments offered.

Bring a Loved One

For most people, it is really hard to face a strange person and open their heart while revealing things they might want to forget. It may be a good idea to take a loved one on your first visit as support. The person you choose will be by your side and might help you tell the psychiatrist what is going on with you.

What is more, the person can provide a different perspective on your problems and symptoms which can be very helpful to the session.

Be Open and Honest

To be open and honest with your psychiatrist is key to succeed in the therapy. You should provide a complete picture to the professional so the help can be really profound.

On the other hand, you should be able to answer your psychiatrist’s questions with the same honesty as you describe what you are undergoing. In this way, your diagnosis will be more accurate.

Write Down Everything the Doctor Says

We said that before going to the first visit you should write down everything you want to tell the psychiatrist, not only you should do this but also write down what he/she tells you. This will help you remember the conversation and, later on, keep a record of your progress.

Ask Questions

Remember that what is important is that you understand the whole situation and how you should proceed. In order to do that, you should ask as many questions as you can, no question is a dumb one, every question is valid when it comes to your mental health and treatment.

Don’t leave the session without an understanding of what is going on and what is happening next. If you took the loved one with you, he/she would be able to help you remembering the information and making the questions.

Your First Should End with a Plan

As it was already mentioned, after the psychiatrist made a lot of questions and you explain in detail what is going on with you, a plan would be explained to you. It will consist of what are the steps that you should follow to get better. Sometimes, it might contain some prescription, but in some other cases, you would have to attend therapy regularly.

Understand Prescriptions

If it is the case and you get a prescription, you need to make sure that you understand correctly what you are going to take, how you are going to do it and why. Ask the psychiatrist about the side effects, so you are prepared for any modifications in your behavior or your body. You should also know if there are any special dosing instruction and if there are any interactions to worry about. You might want to write this information as well.

Overall, do not be afraid of asking all the questions you want, it is important that you feel confident and safe when starting treatment. The first visit to your psychiatrist is essential for him/her to collect all the information about you and come up with a plan that will help you improve and get better.

If you need more information or assessment in connection with this or any other mental problem or therapy contact us . We are more than willing to help you get the right treatment for you.

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Irina Kiblitsky, MD

Psychiatrist located in midwood brooklyn, ny; fort greene brooklyn, ny & brighton beach brooklyn, ny, about dr. kiblitsky.

Irina Kiblitsky, MD, is a board-certified psychiatrist and the owner and director of Revived Soul Medical P.C. in Midwood and Brighton Beach in Brooklyn, New York. Dr. Kiblitsky treats patients of all ages with emotional, behavioral, and mental health disorders using the most innovative, advanced technology and therapies.

Dr. Kiblitsky earned her medical degree from Moscow Medical Stomatological Institute in Moscow, Russia. She completed a residency at Moscow City Hospital, where she worked as an attending physician for several years. Dr. Kiblitsky finished a residency in psychiatry at St. Elizabeth’s Medical Center in Boston and completed a fellowship in geriatric psychiatry at McLean Psychiatric Hospital in Belmont, Massachusetts. She founded Revived Soul Medical P.C. in 2010.

Patients suffering from depression, anxiety, post-traumatic stress disorder (PTSD), schizophrenia, bipolar disorder, substance abuse, attention-deficit hyperactivity disorder (ADHD), eating disorders, dementia, and more can turn to Dr. Kiblitsky for the most advanced, innovative psychiatric treatments available.

She collaborates with physicians, psychologists, social workers, psychiatric nurses, and other mental health professionals to discuss patient treatment plans and progress. Dr. Kiblitsky uses psychotherapy, cognitive behavioral therapy, medications, transcranial magnetic stimulation (TMS) for depression, and more to help patients function their best and maintain a high quality of life.

Dr. Kiblitsky maintains her advanced credentials to stay current in the latest advances in psychiatric treatments. She is board certified by the America Board of Psychiatry and Neurology, is a licensed physician in New York, and is a member of the American Psychiatric Association. 

Dr. Kiblitsky is bilingual in English and Russian. She welcomes new patients to Revived Soul Medical P.C.

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Healthcare in Moscow – Personal and Family Medicine

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About medical services in Moscow

Moscow polyclinic

Emergency medical care is provided free to all foreign nationals in case of life-threatening conditions that require immediate medical treatment. You will be given first aid and emergency surgery when necessary in all public health care facilities. Any further treatment will be free only to people with a Compulsory Medical Insurance, or you will need to pay for medical services. Public health care is provided in federal and local care facilities. These include 1. Urban polyclinics with specialists in different areas that offer general medical care. 2. Ambulatory and hospitals that provide a full range of services, including emergency care. 3. Emergency stations opened 24 hours a day, can be visited in a case of a non-life-threatening injury. It is often hard to find English-speaking staff in state facilities, except the largest city hospitals, so you will need a Russian-speaking interpreter to accompany your visit to a free doctor or hospital. If medical assistance is required, the insurance company should be contacted before visiting a medical facility for treatment, except emergency cases. Make sure that you have enough money to pay any necessary fees that may be charged.

Insurance in Russia

Travelers need to arrange private travel insurance before the journey. You would need the insurance when applying for the Russian visa. If you arrange the insurance outside Russia, it is important to make sure the insurer is licensed in Russia. Only licensed companies may be accepted under Russian law. Holders of a temporary residence permit or permanent residence permit (valid for three and five years respectively) should apply for «Compulsory Medical Policy». It covers state healthcare only. An employer usually deals with this. The issued health card is shown whenever medical attention is required. Compulsory Medical Policyholders can get basic health care, such as emergencies, consultations with doctors, necessary scans and tests free. For more complex healthcare every person (both Russian and foreign nationals) must pay extra, or take out additional medical insurance. Clearly, you will have to be prepared to wait in a queue to see a specialist in a public health care facility (Compulsory Medical Policyholders can set an appointment using EMIAS site or ATM). In case you are a UK citizen, free, limited medical treatment in state hospitals will be provided as a part of a reciprocal agreement between Russia and UK.

Some of the major Russian insurance companies are:

Ingosstrakh , Allianz , Reso , Sogaz , AlfaStrakhovanie . We recommend to avoid  Rosgosstrakh company due to high volume of denials.

Moscow pharmacies

A.v.e pharmacy in Moscow

Pharmacies can be found in many places around the city, many of them work 24 hours a day. Pharmaceutical kiosks operate in almost every big supermarket. However, only few have English-speaking staff, so it is advised that you know the generic (chemical) name of the medicines you think you are going to need. Many medications can be purchased here over the counter that would only be available by prescription in your home country.

Dental care in Moscow

Dentamix clinic in Moscow

Dental care is usually paid separately by both Russian and expatriate patients, and fees are often quite high. Dentists are well trained and educated. In most places, dental care is available 24 hours a day.

Moscow clinics

«OAO Medicina» clinic

It is standard practice for expats to visit private clinics and hospitals for check-ups, routine health care, and dental care, and only use public services in case of an emergency. Insurance companies can usually provide details of clinics and hospitals in the area speak English (or the language required) and would be the best to use. Investigate whether there are any emergency services or numbers, or any requirements to register with them. Providing copies of medical records is also advised.

Moscow hosts some Western medical clinics that can look after all of your family’s health needs. While most Russian state hospitals are not up to Western standards, Russian doctors are very good.

Some of the main Moscow private medical clinics are:

American Medical Center, European Medical Center , Intermed Center American Clinic ,  Medsi , Atlas Medical Center , OAO Medicina .

Several Russian hospitals in Moscow have special arrangements with GlavUPDK (foreign diplomatic corps administration in Moscow) and accept foreigners for checkups and treatments at more moderate prices that the Western medical clinics.

Medical emergency in Moscow

Moscow ambulance vehicle

In a case of a medical emergency, dial 112 and ask for the ambulance service (skoraya pomoshch). Staff on these lines most certainly will speak English, still it is always better to ask a Russian speaker to explain the problem and the exact location.

Ambulances come with a doctor and, depending on the case, immediate first aid treatment may be provided. If necessary, the patient is taken to the nearest emergency room or hospital, or to a private hospital if the holder’s insurance policy requires it.

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‘Kashchenko’: Moscow’s most famous psychiatric hospital

As Moscow grew, the Preobrazhenskaya Hospital (the first psychiatric clinic) couldn’t treat all the arriving patients anymore. This fact made local psychiatrists quite concerned. They asked Nikolai Alexeyev, the city mayor, for help. In 1889, he organized fundraising to solve this problem. At first, the mayor only wanted to expand the Preobrazhenskaya Hospital, but then, he decided that Moscow needed a second clinic with 300 new beds.

The Alexeyev Psychiatric Clinical Hospital.

A commission of psychiatrists and city officials, headed by Alexeyev, decided to build the new clinic on the territory of the former Beketov manor. In the middle of the 19th century, merchant Kanatchikov bought these lands and named them ‘Kanatchikova dacha’, which then stuck to the hospital itself.

N. A. Alekseyev, 1880s.

Famous psychiatrist Viktor Butske designed the plan of the future clinic: it had to be a complex of distant two-floor pavilions joined with warm passages for doctors. This complex had a ‘U’-shape and was divided into two halves - for men and women. The departments were located at the sides of the central administrative building. This plan left a lot of free space on the territory, as Butske understood that the complex would, most likely, be expanded later.

Viktor Butske, the plan developer and first head of the Alexeyev hospital.

The construction began in 1890. The first half of the red and white brick complex started operating in 1894 and, in two years, the second was opened. In the following several years, the clinic was expanded with extra departments (for example, for chronically ailing people). It’s remarkable that practically all the money for the building was donated by rich Muscovites encouraged by Nikolai Alexeyev. The mayor, meanwhile, was shot and killed in 1893. Experts then found out that his killer had a mental disorder… And the new hospital was named in honor of Alexeyev.

The administrative building of the hospital, 1913.

When the first half was opened, Viktor Butske became the head of the hospital. He was a supporter of the ‘no-restraint’ system. That’s why straitjackets were never used in Alexeyev Hospital - the doctors wrapped aggressive patients into wet bed sheets to calm them down. Butske understood that the atmosphere mattered. Each department had its own garden. All the wards were well-furnished, except the ones for the violent. He made sure all the staff respected the ill and were kind to them. At first, the hospital used some isolation rooms and kept window screens in the wards for violent patients, but these measures had disappeared completely by 1903.

A living room in the women’s ward, 1904-1906.

As the number of patients grew, Butske had decided to let some of them live and work out of the clinic and organized the system of patronage. In 1900, he started to relocate some patients into families living in the villages near Moscow (for example, Troparyovo and Belyayevo, which are now parts of the city). Of course, the hospital staff kept supervising such patients. Butske knew that the patronage would do well: while he worked at the Preobrazhenskaya hospital, a friend of his was declared to have an incurable mental disorder. The doctor put his friend with a peasant family and it helped a lot to fight the illness.

The pool room in the department for the chronically ailing, 1904-1906.

Butske was replaced by another remarkable psychiatrist named Pyotr Kashchenko in 1904. The new hospital head kept developing the ideas of the ‘no-restraint’ system. The patients were also allowed to receive visitors. One of the doctors remembered that Leo Tolstoy once came to see someone there. Kashchenko did his best to destigmatize the patients with mental disorders and to socialize them. He already had some experience of applying work therapy and, in 1905, a new building for workshops and entertainment was built for the hospital.

The sewing workshop room in the women’s ward, 1904-1906

When the Russian Revolution of 1905 started, Kashchenko organised medical brigades to help injured revolutionaries. At the time, he was too respected to be punished for his political views. The Soviet administration then honored the doctor for his deeds: In 1922, they renamed the Alexeyev Hospital after Kashchenko, though he had left for St. Petersburg in 1907. Unfortunately, during the Soviet period, people were still afraid of psychiatric hospitals (because of repressions) and of people with mental disorders, so the name of the great doctor received negative associations.

Pyotr Kashchenko.

During World War II, Kashchenko Hospital also received soldiers with craniocerebral injuries. Due to medication shortage, they were often treated with electroshock therapy - a notorious method that causes scientific disputes, though its efficacy is proven.

In the Soviet era, the hospital admitted some famous people. Joseph Brodsky spent some time there between 1963-1964 to undergo a psychiatric examination. The poet didn’t have an official job and was accused of “social parasitism”. Brodsky insisted that writing poetry was real work, but the court didn’t agree. The friends of the poet hoped the examination would save him from punishment, but it didn’t: In March 1964, Brodsky was condemned to compulsory labor In the Arkhangelsk area (990 km north-east of Moscow) and, later, had to emigrate. In the Kaschenko Hospital, Brodsky wrote a dark and hopeless poem titled ‘Novy God na Kanatchikovoy Dache’ (“New Year at Kanatchikova Dacha”).

Joseph Brodsky, 1972.

Famous Soviet bard and singer Vladimir Vysotsky also spent some time at the Kashchenko Hospital to treat his alcoholism. He described the life of the patients in a humorous song called ‘A letter to the editors office of ‘Obvious-Incredible’ TV program from an insane asylum - Kanatchikova Dacha’. There is an interesting detail: Vysotsky sings that the chief doctor named Margulis finally banned watching TV at the hospital. This is a fictional character. The real chief doctor at the time was Valentin Morkovkin, who later complained that he had done a lot for Soviet psychiatry (he had published many scientific works), but had finally become known as a doctor who tried to help Vysotsky.

Vladimir Vysotsky, 1978.

In 1994, the hospital was renamed back to the ‘Alexeyev Psychiatric Clinical Hospital’. Nowadays, it has numerous departments, branch clinics and even a radio station called ‘Zazerkalye’ (“Through the Looking Glass”) and runs psychiatric education courses. The primary principles of freedom and respect are still kept there. And even though the hospital’s name has changed, the people still commonly call it ‘Kashchenko’.

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Morning Rundown: Trump trial witness recounts hush money deal, how a false election rumor ran wild, and a possible comeback for Grizzly bears

Biden administration plans to reclassify marijuana, easing restrictions nationwide

WASHINGTON — The Biden administration will take a historic step toward easing federal restrictions on cannabis, with plans to announce an interim rule soon reclassifying the drug for the first time since the Controlled Substances Act was enacted more than 50 years ago, four sources with knowledge of the decision said.

The Drug Enforcement Administration is expected to approve an opinion by the Department of Health and Human Services that marijuana should be reclassified from the strictest Schedule I to the less stringent Schedule III. It would be the first time that the U.S. government has acknowledged its potential medical benefits and begun studying them in earnest.

Attorney General Merrick Garland submitted the rescheduling proposal to the White House Office of Management and Budget on Tuesday afternoon, a source familiar with the situation confirmed.

Any reclassification is still months from going into effect. After the proposal is published in the Federal Register, there will be a 60-day public comment period. The proposal will then be reviewed by an administrative law judge, who could decide to hold a hearing before the rule is approved.

What rescheduling means

Since 1971, marijuana has been in the same category as heroin, methamphetamines and LSD. Each substance under the Schedule I classification is defined as a drug with no accepted medical use and a high potential for abuse. Schedule III substances include Tylenol with codeine, steroids and testosterone.

By rescheduling cannabis, the drug would be studied and researched to identify concrete medical benefits, opening the door for pharmaceutical companies to get involved with the sale and distribution of medical marijuana in states where it is legal.

For the $34 billion cannabis industry, the move would also eliminate significant tax burdens for businesses in states where the drug is legal, notably getting rid of the IRS' code Section 280E, which prohibits legal cannabis companies from deducting what would otherwise be ordinary business expenses.

The Justice Department’s rescheduling decision could also help shrink the black market, which has thrived despite legalization in states like New York and California and has undercut legal markets, which are fiercely regulated and highly taxed.

Years in the making

President Joe Biden directed the Department of Health and Human Services in October 2022 to review marijuana’s classification. Federal scientists concluded that there is credible evidence that cannabis provides medical benefits and that it poses lower health risks than other controlled substances.

Biden even made history in his State of the Union address this year, for the first time referring to marijuana from the dais in the House chamber and making note of the federal review process. “No one should be jailed for using or possessing marijuana,” he said.

When Biden was vice president in the Obama administration, the White House opposed any legalization of marijuana, saying it would “pose significant health and safety risks to all Americans.”

Jim Cole, who was deputy attorney general in the Obama administration, wrote the famous Cole Memo in 2013 , paving the way for the modern marijuana market. The memo scaled back federal intervention in states that had legalized marijuana as long as they implemented “strong and effective regulatory and enforcement systems to control the cultivation, distribution, sale and possession of marijuana.”

Cole, who is now a member of the National Cannabis Roundtable, said in an interview this week that reclassifying marijuana to Schedule III would “open up the ability to actually test it and put it in a laboratory without all of the restrictive measures” of a Schedule I drug.

Kevin Sabet, president and CEO of Smart Approaches to Marijuana and a former Obama administration adviser, said the decision to reclassify marijuana is "the result of a politicized process," arguing that it "will be devastating for America’s kids, who will be bombarded with attractive advertising and promotion of kid-friendly pot products."

"The only winner here is the marijuana industry, who will receive a new tax break and thus widen their profit margins," Sabet said. “Reclassifying marijuana as a Schedule III drug sends the message that marijuana is less addictive and dangerous now than ever before. In reality, today’s highly potent, super strength marijuana is more addictive and linked with psychosis and other mental illnesses, IQ loss and other problems.”

Researchers have raised concerns about high-potency marijuana and cannabis-induced psychiatric disorders, particularly among young men.

Some challenges ahead

Once the DEA formally makes its announcement, the marijuana industry would see an immediate benefit. But with the DEA’s proposed rule change comes a public review period that could lead to a challenge, and perhaps even a change, to the rescheduling proposal.

Once the public comment period has concluded and the Office of Management and Budget reviews the decision, Congress would also be able to overturn the rule under the Congressional Review Act, which gives it the power to weigh in on rules issued by federal agencies. Democrats control the Senate with a 51-seat majority, and for an overturn under the CRA to succeed, two-thirds of the House and the Senate would be needed to support it, meaning the marijuana rescheduling would most likely survive.

Though cannabis remains a divisive topic on Capitol Hill, there has been growing support on a bipartisan basis for marijuana reforms, largely driven by the electorate. Nearly 6 in 10 Americans say marijuana should be legal for medical and recreational purposes, according to a Pew Research poll last month. Cannabis is legal in 24 states for recreational use.

Congress is considering its own bills

Congress is considering its own measures that would make it easier for legal marijuana businesses to thrive and allow for more small and minority-owned shops to flood the marketplace.

The SAFER Banking Act , for example, which would grant legal marijuana businesses access to traditional banking and financial services, could pass both chambers by the end of the year.

Lawmakers are also considering the HOPE Act , another bipartisan bill that would provide states and local governments with resources to automatically expunge criminal records for petty, nonviolent cannabis offenses.

There is also a Democratic-only effort to remove cannabis entirely from the Controlled Substances Act, empowering states to create their own cannabis laws and prioritize restorative and economic justice for those affected by the “war on drugs.”

Senate Majority Leader Chuck Schumer, D-N.Y., praised the administration for its move, saying it amounts to "finally recognizing that restrictive and draconian cannabis laws need to change to catch up to what science and the majority of Americans have said loud and clear."

At the same time, he said he is "strongly committed" to moving forward with both the SAFER Banking Act and the Democratic bill to remove cannabis from the Controlled Substances Act entirely. “Congress must do everything we can to end the federal prohibition on cannabis and address longstanding harms caused by the War on Drugs," he said in a statement.

Sen. Cory Booker, D-N.J., also praised the administration’s move but cautioned that “we still have a long way to go.”

Booker called on Congress in a statement to "follow the lead of states around the country and legalize cannabis for adult-use and create a comprehensive taxation and regulatory scheme."

“Thousands of people remain in prisons around the country for marijuana-related crimes. Thousands of people continue to bear the devastating collateral consequences that come with a criminal record,” he said. “Legal marijuana businesses, especially those in communities hardest hit by the War on Drugs, still have to navigate a convoluted patchwork of state laws and regulatory schemes. I hope that my colleagues on both sides of the aisle, especially those who represent constituents benefitting from medical or adult-use programs, join me to pass federal legislation to fix these problems.”

But there is weariness among lawmakers who remember the last time Congress made law surrounding the drug.

The Republican-led Senate legalized hemp production in the 2018 farm bill, a decision that led to synthetic and exotic cannabinoids’ being sold over the counter, often without regulation, particularly in states where marijuana isn’t legal.

It’s a gray area that has drawn pushback from both sides of the aisle, most recently with the rise of Delta-8 , a synthetic tetrahydrocannabinol product that uses chemicals — some of them harmful — to convert hemp-derived CBD into Delta-8 THC.

Julie Tsirkin is a correspondent covering Capitol Hill.

Monica Alba is a White House correspondent for NBC News.

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First scientist to publish Covid sequence in China protests over lab ‘eviction’

Zhang Yongzhen stages sit-in protest, as government attempts to avoid scrutiny over handling of outbreak

The first Chinese scientist to publish a genomic sequence of the Covid-19 virus, in defiance of government orders, staged a sit-in protest after claiming he was locked out of his laboratory over the weekend.

Zhang Yongzhen, a virologist, said in an online post on Monday that he and his team had been given a sudden eviction notice from their lab, and guards had barred him from entering it over the weekend. The post, published on Weibo, was later deleted, Associated Press (AP) reported.

After extensive media and social media coverage, on Wednesday Zhang said he and his team had been “tentatively” allowed to resume work inside the lab.

“I would like to sincerely thank all the netizens and people from all walks of life who have supported me and my team for a long time,” he said on Weibo.

Zhang had been sitting outside the lab since Sunday. Photos posted online show a man purported to be Zhang sleeping on the ground.

The dispute between Shanghai Public Health Clinical Center and Dr. Zhang Yongzhen's team continues. Dr. Zhang allegedly shared photos of himself sleeping on the floor at the entrance of the laboratory. https://t.co/K5ztBAv6yE pic.twitter.com/6wBkkLLQnB — Yanzhong Huang (@YanzhongHuang) April 29, 2024

Zhang published his scientific findings about Covid-19 without government approval in January 2020. He and his team have since been subject to a series of setbacks, demotions and oustings, of which the eviction appears to be the latest.

The Shanghai Public Health Clinical Center said in a statement that Zhang’s lab was closed for “safety reasons” and renovations. It said Zhang’s team had been given alternative lab space.

However, Zhang said the offer was not made until after his team was evicted, and that the new lab did not meet the team’s required safety standards.

“I won’t leave, I won’t quit, I am pursuing science and the truth!” he said in the since-deleted Weibo post. “The Public Health Center are refusing to let me and my students go inside the laboratory office to take shelter.”

Teacher Li, who runs an information-sharing and activism-monitoring account on X, said students had protested against the closure and clashed with security guards.

Zhang, when reached by phone on Tuesday, said it was “inconvenient” for him to speak, but a colleague confirmed to AP on Monday the protest was taking place.

The move shows how the Chinese government continues to pressure and control scientists, seeking to avoid scrutiny of its handling of the coronavirus outbreak .

After sequencing the virus on 5 January 2020, Zhang and his team initially sent a notice to Chinese authorities warning of its potential to spread. The next day his lab was temporarily shut down by China’s top health official.

Foreign scientists called for Zhang and other Chinese scientists to be allowed to publish the sequencing. The following week Zhang published his sequence – without authority – allowing global health authorities to begin testing for Covid-19, finding that it was spreading outside China. It also kickstarted the development of tests, vaccinations and other pandemic measures.

Internationally Zhang was lauded, receiving prizes in recognition of his work, but domestically he came under pressure. He was barred from collaborating with some former research partners and removed from his post at the Chinese Center for Disease Control and Prevention.

During the pandemic, the government also arrested citizen journalists who sought to report on the impact of the outbreak on people and hospitals.

In 2021 Zhang told the New York Times he did not regret his actions. “I trusted myself. I have so much experience, my team has made so many discoveries over the years, that we were able to make accurate judgments,” he said.

Zhang’s team appeared to receive a lot of public support on Weibo, where related hashtags were viewed by tens of millions of Chinese. “How can the country develop if we treat scientific researchers like this?” one said.

Some article links appeared to have been removed since they were posted but extensive discussion of Zhang’s dispute with the Shanghai health authority remained online on Tuesday afternoon.

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