What Happens During a Psychiatric Consultation? A Step-by-Step Explanation
Inroduction
In Nepal, many people feel anxious or unsure before their first psychiatric consultation. Questions like “What will the doctor ask?” Or “Am I insane?” Or “will I get judged?” are very common.
A psychiatric consultations is a structured, confidential, and supportive process designed to understand your mental health concerns and guide you toward appropriate care.
What Is a Psychiatric Consultation?
A psychiatric consultation is a medical evaluation focused on mental health. It helps identify emotional, behavioral, or psychological difficulties and determines whether treatment is needed.
Unlike casual conversations, this assessment is:
- Confidential
- Evidence based
- Focused on your overall well-being
The goal is understanding, not labelling.
Step 1- Understanding Your Main Concern
The consultation usually begins with open questions such as:
“What brought you here today?”
“How long have you been feeling this way?”
In the sessions, you are encouraged to speak freely. There are no “right” or “wrong” answers. Even if symptoms feel confusing, sharing them helps guide proper care and provides clue to your mental health diagnosis.
Step 2- Detailed Symptom Assessment
Your Psychiatrist may ask about:
- Mood changes (feeling sad, Anxious, low feel, irritability)
- Sleep and appetite
- Concentration and Memory issues
- Stress factors (Home, work, Financial issues, or studies)
- Physical symptoms linked to emotional distress
The questions asked helps identify patterns and severity of the conditions, not to judge you.
Step 3- Personal and Medical History
A brief review of:
- Past mental health issues and concerns
- Medical illnesses
- Current Medications
- Family History (if any)
Step 4- Mental Status Examination
This step is an observational part, where the psychiatrist assesses:
- Thought process
- Emotional expression
- Orientation and awareness
- Speech and behavior
It is an observational part and done naturally during conversation and does not involve any tests or instruments.
Step 5- Discussion of Diagnosis (If Needed)
Not every consultation ends with a diagnosis. If a diagnosis part is discussed, it is explained clearly in simple language so you understand:
- What it means
- Why it was considered
- What can be done next
The best part is that you are always involved in decision-making.
Step 6- Treatment Planning
Based on the assessment, the psychiatrist may suggest:
- Lifestyle changes
- Counseling or psychotherapy
- Medication (if necessary)
- Further evaluation and follow up
Treatment is individualized, and your comfort and preferences are respected.
Common Myths About Psychiatric Consultations
- “Psychiatrists only prescribe medicines”
- “Once diagnosed, it stays forever”
- “Seeing a psychiatrist means something is seriously wrong”
In reality, early consultation often prevents problems from becoming severe.
When Should You Consider Booking a Consultation?
You may get benefitted if you experience:
- Persistent sadness or anxiety
- Sleep disturbances
- Difficulty functioning daily
- Emotional distress affecting relationships
- Unexplained physical symptoms linked to stress
Seeking help early is a sign of awareness, not weakness.
Final Thoughts
A psychiatric consultation is a safe, respectful, and confidential space designed to help you understand yourself better and find a way forward. Whether symptoms are mild or complex, professional guidance can make a significant and meaningful difference.
Article Reviewed by
Dr. Kenison Shrestha; Psychiatrist
Psychiatrist in Nepal
9851096229
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