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A good psychiatrist is going to try very hard not to make you uncomfortable, not to be judgmental, and will probably not get into the "therapy" part (the "why" part) on the first visit. They will want to understand the "what" -- what are the behaviors that are troubling you, what you feel if you don't do them and what you feel different after you do.

Different docs are different in how they approach things. Some may prescribe meds after the first meeting, some may not. If you feel strongly ("I don't want drugs!" or "I want drugs!") one way or the other you need to tell the doc up front.

A psychiatrist is an expert in pharmacology in addition to psychology -- they know more about drugs and how they affect you than regular MDs do. That said, they're not gods. If you get on some meds, make sure to tell the doc how they make you feel. For severe anxiety issues (my problem) drugs are often a trade-off. Good luck.

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