Top 10 Questions to Ask Your Psychiatrist Before Treatment

Dr. Rameez Shaikh
4 min readOct 9, 2024

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When you’re about to meet your psychiatrist for the first time, it can feel overwhelming. Trust me, I’ve seen it all — from patients who don’t know what to say to those who come in with a list of questions a mile long. And guess what? Both approaches are totally fine.

But, if you’re feeling stuck, unsure of where to start, asking the right questions can help. Whether you’re seeking treatment for anxiety, depression, or something else, communication with your psychiatrist is essential. Let’s walk through some questions you should ask before treatment starts.

Psychiatrist

1. What are my diagnosis and how did you arrive at it?

It’s always crucial to understand why your psychiatrist thinks a certain diagnosis fits you. A good psychiatrist should walk you through their thought process — explaining not just what they’ve diagnosed you with, but also why.

Personally, I make sure to explain the symptoms I’ve observed and how they tie into specific conditions. It helps patients feel empowered when they understand what’s going on.

2. What treatment options do you recommend, and why?

There’s rarely a one-size-fits-all approach to psychiatric treatment. Medications, therapy, lifestyle changes… It can all get a bit confusing. So, ask why one treatment may be recommended over another.

For example, I often recommend starting with therapy, but in some cases, medication is necessary. Each person’s journey is unique, and your treatment plan should reflect that.

3. What are the potential side effects of the prescribed medication?

Medications can be life-changing, but they’re not without their quirks. Some might cause fatigue, weight changes, or other effects that could affect your day-to-day life. Always ask about these before you start the meds.

A patient of mine once told me they wished they had known earlier about the drowsiness a certain medication caused — especially since they had a job requiring full alertness!

4. How long before I can expect to see improvements?

It’s normal to want fast results, but psychiatric treatments — especially medications — can take time. It’s important to manage your expectations.

I usually tell my patients that it could take anywhere from a couple of weeks to a couple of months. Patience is key, and tracking progress can be helpful.

5. How often will we meet for follow-ups?

Consistency is critical in psychiatric treatment. Make sure to ask how frequently you’ll be meeting, whether weekly, bi-weekly, or monthly.

Some patients need more frequent check-ins initially, especially when adjusting to medication. Others may need less frequent visits, especially as they progress.

6. What should I do if I experience any side effects or worsening symptoms?

Knowing when and how to reach out between appointments is crucial. Most psychiatrists will have a protocol for emergencies or concerns, so make sure you understand this beforehand.

7. What will therapy sessions look like?

If your psychiatrist also provides therapy or refers you to a therapist, ask what a typical session might entail. Understanding the process can ease any anxiety.

I’ve had patients worry that therapy was going to be like a job interview — when in reality, it’s much more relaxed and patient-focused.

8. How do you track progress?

Each psychiatrist has their own way of measuring success. Some rely on patient feedback, while others may use clinical assessments. Knowing how progress will be tracked helps set clear expectations.

9. What happens if the first treatment plan doesn’t work?

Sometimes, the first plan doesn’t go as expected. It’s important to discuss a “Plan B” in case that happens.

In my experience, being adaptable is key. Treatment plans are not set in stone, and adjustments are often necessary.

10. Can you recommend any resources or support groups?

A good psychiatrist should have a wealth of resources at their disposal. Whether it’s books, websites, or support groups, don’t hesitate to ask for recommendations.

Patients often find that these external resources are as valuable as the treatment itself. They give you a sense of community and understanding.

Asking these questions upfront helps build a stronger relationship with your psychiatrist, sets clear expectations, and makes sure you’re on the same page moving forward. You’re your own best advocate — don’t be afraid to take control of your mental health journey!

Disclaimer: The information provided in this blog is intended for educational purposes and should not be used as a substitute for professional medical advice. Always consult with a licensed psychiatrist or healthcare provider for treatment and diagnosis.

Dr. Rameez Shaikh, MD

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Dr. Rameez Shaikh
Dr. Rameez Shaikh

Written by Dr. Rameez Shaikh

Consultant Psychiatrist, Psychotherapist and Sexologist at Mind & Mood Clinic, Nagpur

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