The first appointment is a chance to get to know you as much as possible, listen to the difficulties you are going through and ask you questions to put them into context.
You will have the chance to ask me questions too. It usually lasts one hour.
Towards the end of our conversation, I will tell you my impression and discuss with you about treatment options. For example I might suggest you a course of psychological treatment (talking therapy) tailored on your needs with a qualified therapist and/or a trial with a medication after an accurate evaluation of risks and benefits; where appropriate, I might suggest relevant physical investigations. I often offer a follow-up appointment, which usually lasts half an hour to monitor the progresses.