The initial session with a psychologist or counselor will likely consist of evaluation, diagnosis, and possible treatment choices. The psychologist will generally start with evaluation in order to know what the issues are and what treatments would be viable for that patient. For instance, family counseling for a patient without family in the area would not be a viable treatment option. The psychologist might also diagnose or takes steps towards diagnosis in the initial session. It will be impossible to set up a treatment plan without a diagnosis. Finally, the psychologist will discuss treatment choices with the patient. Sometimes the treatment plan will consist of specific goals the patient and therapist would like to see accomplished. Other times, the treatment plan is simply an appointment schedule. Depending on the patients condition, the treatment plan might also include a psychiatrist, physician, and/or medications.