It depends on which psychiatrist you see. Each will be different and have their own methods of talking to their patients. I went to a private psychologist as I had a few personal issues to resolve that I didn't want to leave the room, and she was very nice. Most will listen to you and let you say what you need to, and suggest things for you to try, and ask questions. They're really relaxed and always friendly. Sometimes, depending on the case, they will suggest to go to therapy or other additional things to try to improve yourself. The main thing to do is to not worry about it, as they are just trying to help you and have your best interests in hand! :)