What to expect at your first psychiatric appointment
A first psychiatric evaluation is mostly a conversation. Here is what it covers, what is worth bringing, and what happens afterwards.
October 30, 2026 · 2 min read

Starting a new psychiatric medication can bring up a lot of questions, and it is easy to think of them only once you are back home. Writing a few down beforehand makes the conversation more useful. There is no such thing as a silly question here.
Give it time. Many psychiatric medications, including most antidepressants, take several weeks to reach their full effect. Some side effects show up early and fade as your body adjusts.
Do not stop suddenly. Some medications need to be reduced gradually. If you want to stop or change something, talk to your provider first so it can be done safely.
Keep everyone informed. Let your provider know about anything else you take, including over-the-counter medicine and supplements, and tell your other clinicians about your psychiatric medication.
It is a partnership. If something is not working, or the side effects outweigh the benefits, say so. Doses can be adjusted, and there are usually other options.
For some people, especially if several medications have not worked well, pharmacogenetic testing can add useful information about how your body may process certain medications. It is one input among many, not a final answer. Read more about GeneSight testing.
Book an appointment with Evans Duah, PMHNP-BC, in the office or by secure video.
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