New Patients
What to expect
Coming to a mental health appointment for the first time can feel daunting. It is normal to feel nervous. Knowing what will happen takes away most of the uncertainty.
Before you arrive
If you or your GP hasn't sent your referral, please ensure you email it to us beforehand. Please ensure you've completed any forms we have sent you.
When you arrive
You will be welcomed by reception and asked to complete brief paperwork if you have not done so online already: your contact details, referral information, and a short questionnaire about your current concerns. Both clinics have comfortable waiting areas, and a support person is welcome to wait with you or to join your appointment.
During the appointment
Your clinician will introduce themselves and explain how the session will work. They will ask about what has brought you in, your background and history, and what you are hoping to get from treatment. You set the pace; there is no pressure to share more than you are ready for, and everything you discuss is confidential within the standard limits, which your clinician can explain if you wish.
A first psychiatric assessment generally runs up to 60 minutes. For complex presentations, completing a thorough diagnostic assessment may take two to three sessions, and that is deliberate: thoroughness leads to accuracy, and accuracy leads to a treatment plan that actually fits your situation. A first psychology appointment is an intake session of around 50 to 60 minutes, focused on understanding you and agreeing on goals.
It is common to feel a mixture of relief and emotional tiredness after a first mental health appointment. Both are normal. Take it easy afterwards if you can.
After your appointment
You will agree next steps together with your clinician: whether that is a follow-up assessment session, beginning therapy, investigations, a medication recommendation, or a management plan for your GP to follow. A summary letter is sent to your referring GP, keeping your broader care connected.
Subsequent appointments
Follow-up sessions focus on putting your plan into action, reviewing what is working and adjusting as needed. The number and frequency of sessions depends on your needs and goals and will be discussed openly with you throughout. If questions come up between appointments, call reception, who can assist directly or pass a message to your clinician.
Frequently asked questions
Do I need a referral?
To see a psychiatrist, yes. A current referral from your GP or specialist is required and gives you access to Medicare rebates. For psychology with Medicare rebates, you need a GP Mental Health Treatment Plan.
How long will I wait for an appointment?
Wait times vary by clinician, location and urgency. Urgent referrals are triaged on clinical need. Contact reception for current availability at Carlingford and Norwest, or see the Wait Times page in the For Referrers section for indicative times.
What will it cost?
Fees vary by clinician and appointment type. Medicare rebates apply to eligible consultations, significantly reducing out-of-pocket costs. Reception will confirm the exact fee and rebate when you book. Our Fees and Funding pages explain Medicare, the Safety Net, DVA, WorkCover and PHN-funded options.
Am I eligible for Medicare rebates?
Yes, provided you hold a valid Medicare or healthcare card and have an appropriate referral: a GP or specialist referral for psychiatry, or a referral with a GP Mental Health Treatment Plan for psychology.
What is the Medicare Safety Net?
Once your out-of-pocket Medicare expenses reach an annual threshold, the Safety Net significantly increases your rebates for the rest of the year. Register as a family to combine your costs. Check your balance via your Medicare online account or by calling 132 011.
What happens at the first appointment?
You meet your treating clinician, who asks about your current concerns, your history and your goals for treatment. Arriving at a diagnosis in a single session is not always possible; a thorough assessment can take two to three sessions. This thoroughness protects against misdiagnosis and ensures your treatment plan actually fits.
Can I see a psychiatrist for an assessment only and stay with my GP for ongoing care?
Yes. Under Medicare item 291, a psychiatrist assesses you over one to three sessions and gives your GP a detailed management plan for the next 12 months. Ask your GP to request item 291 in the referral. A later psychiatric review can be arranged under item 293.
Are appointments confidential?
Yes. Everything is confidential, with narrow exceptions involving serious safety risks or specific legal requirements, which your clinician can explain. A summary letter is sent to your referring GP as standard; tell your clinician if you have any concerns about what is shared.
Is telehealth available?
Yes. Many review and therapy appointments can be conducted by secure video across NSW, with Medicare rebates applying in the same way as in-person consultations. Procedural treatments (TMS and esketamine) and some initial assessments require in-person attendance. Reception can confirm what suits your particular booking.
What is your cancellation policy?
Please give as much notice as possible, ideally at least two business days, so the appointment can be offered to someone else on the waiting list. Late cancellation fees may apply; reception can explain the current policy when you book.
What if I am in crisis before my appointment comes around?
Mind Connections is not a crisis service. If you need urgent support, call the NSW Mental Health Line on 1800 011 511, Lifeline on 13 11 14 (both available 24 hours), or triple zero (000) in an emergency. Let the clinic know as well; your referral can be re-triaged for urgency.