It depends where you live. If you're in the UK, then you first need to see your GP. They will refer you to a psychiatrist, but you get who you're given basically. It depends on your postcode and what services there are in your area.
If you see your psychiatrist and don't agree with them, or don't get on with them, you can request a second opinion or to change, but that might involve travelling to the next town in order to see one.
Psychiatrists primarily diagnose and prescribe medication. You see them on average once every three months, more if you need it.
But if you want therapy, to talk to someone, then you might be referred to a psychologist or have a CPN from the community psychiatric team.
I don't know how it works in other countries.
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