What does a psychiatrist do and when should you consider making an appointment?
Mental health is just as important as physical health. If we seek medical help for pain or fever, it should be just as natural to seek help when mood, thinking, sleep, or daily functioning are affected. A psychiatrist is a medical doctor specialized in diagnosing and treating mental and behavioral disorders.
Below we explain what a psychiatrist does, when it is worth coming for a consultation, and what a typical appointment looks like.
Who is a psychiatrist and who is a psychologist?
A psychiatrist is a medical specialist who has completed six years of medical training followed by specialist training (residency) in psychiatry. A psychiatrist is a doctor and can prescribe medication.
A psychologist is a university-trained specialist who deals with psychological problems and the assessment, treatment, and prevention of mental and behavioral disorders. Psychologists do not prescribe medication.
At Elite Clinic, Lemme Haldre works as a clinical psychologist. A clinical psychologist holds a professional qualification and is engaged in evidence-based research, assessment, and intervention (treatment) of psychological problems and mental and behavioral disorders.
The Estonian Qualifications Authority defines the work of a clinical psychologist as assessing, alleviating, treating, and preventing psychological distress, mental and behavioral disorders, disabilities, and risk behaviors. The role requires high ethical standards and strong personal qualities. Clinical psychologists may specialize in areas such as child clinical psychology, psychotherapy, forensic and correctional psychology, and neuropsychology. Their work includes assessing personality traits, mental processes, and difficulties related to physical and mental illnesses or impaired psychosocial functioning; psychological diagnostics; supportive psychotherapy; counseling; consulting; teaching; supervising junior colleagues; providing expert opinions; and collaborating with other specialists.
What does a psychiatrist do?
A psychiatrist assesses mental health comprehensively, taking into account psychological, biological, and social factors. If necessary, they prescribe medication and create a treatment plan.
Psychiatrists work with conditions such as:
- depression
- anxiety disorders
- panic disorder
- bipolar disorder
- schizophrenia spectrum disorders
- eating disorders
- ADHD (in adults) – Dr. Luuk consults patients who already have a confirmed ADHD diagnosis and, if necessary, adjusts their treatment plan.
- personality disorders
- sleep disorders
- addiction disorders
- dementia and other cognitive disorders
They also assess whether symptoms may be caused by physical conditions (e.g. thyroid disorders, vitamin deficiencies, medication side effects).
When should you see a psychiatrist?
You should consider seeing a psychiatrist if:
- your mood has been low for a prolonged period or everything feels meaningless
- anxiety, fear, or tension interferes with daily life
- you experience panic attacks
- your sleep is consistently disturbed
- concentration difficulties or impulsivity affect work or relationships
- you have thoughts of self-harm or suicide (in such cases, seek immediate help by contacting an emergency psychiatric service, emergency department, or calling 112)
- previous psychological counseling has not been sufficient
- you suspect you may need medication
You do not need to know whether you have a disorder — a doctor will help assess that.
Seeking help is not a sign of weakness; it is a conscious step toward better health.
What does a psychiatric appointment look like?
Initial appointment – 60 minutes
The first visit lasts 60 minutes and includes:
- discussing the main concerns and symptoms
- reviewing medical history and previous treatment experiences
- assessing lifestyle, sleep, work, and family situation
- discussing possible medication or additional tests if needed
- creating an initial treatment plan
The appointment is conducted as a conversation, aiming to understand the situation as a whole and build a trusting relationship.
Follow-up appointment – 30 minutes
A follow-up visit lasts 30 minutes and includes:
- evaluating treatment effects and well-being
- adjusting the treatment plan or medication dosage if needed
- discussing next steps
Regular follow-up helps ensure treatment effectiveness and safety.
Do psychiatrists also provide therapy?
Some psychiatrists offer psychotherapy in addition to medication, but often they collaborate with clinical psychologists or psychotherapists. The best outcomes are often achieved through combined treatment – medication plus therapy.
What to expect emotionally?
Many people feel anxious before their first visit. This is completely normal. A psychiatric consultation is confidential and non-judgmental. Your experiences and feelings are taken seriously.
Summary
A psychiatrist helps to understand and treat mental health disorders professionally and based on evidence. If symptoms interfere with daily life or cause distress, it is worth seeking help. Early intervention improves treatment outcomes and quality of life.
Seeking help does not mean that the situation is “very serious.” Often, early support is enough to significantly improve well-being.