What to Expect

What to Expect at Your First Visit

Appointments are conducted via secure telehealth for patients physically located in Montana. Your first appointment is a comprehensive psychiatric evaluation designed to understand the full picture of what is bringing you—or your child—in for care. This visit is unhurried and focused on careful listening, assessment, and diagnostic clarity.

We will review current concerns, symptom history, medical background, prior treatment, and relevant life context. The goal is to understand not only which symptoms are present, but how they affect daily functioning, relationships, school, or work.

For Children and Adolescents

For children and adolescents, the structure of the visit is adjusted based on age and developmental needs. This may include time with parents or caregivers, as well as time individually with the child or teen when appropriate.

Parents can expect thoughtful questions, clear explanations, and an approach that respects both the child’s voice and the family’s role in care. Collaboration and transparency guide the process.

Discussion of Treatment Options

At the conclusion of the evaluation, treatment options are discussed in detail. This may include education about diagnoses, recommendations for medication when clinically appropriate, and discussion of non-medication supports.

There is no expectation that medication will begin at the first visit unless it is both clinically indicated and mutually agreed upon. Questions are encouraged, and decisions are made collaboratively.

Follow-Up and Ongoing Care

If ongoing care is recommended, follow-up visits focus on monitoring symptoms, medication response, side effects, and overall functioning. Treatment plans are reassessed and adjusted over time with attention to safety, effectiveness, and individual goals.

Care may be coordinated with therapists, primary care providers, or other professionals to support continuity and long-term stability.

A Steady, Respectful Process

Care at The Mend is designed to be steady, transparent, and respectful. Patients and families are encouraged to take an active role, ask questions, and move at a pace that feels appropriate.