Hi clj2,
I don't see why any psychiatrist would send you away just because you haven't been to an MD. The fact that you are so fearful of going may be a good reason to have some therapy as well as the other issues you are dealing with. They may suggest that you see and MD as soon as you possibly can though as it's important to have both physical and mental health checkups. But no, they should never turn you away for that reason.
You can reveal or choose not to reveal your medical history. I would think hard about it though as this time is for YOU and any information you feel is relevant can be helpful in determining the kind of help/therapy that would best suit your situation. Medications, if any are important to reveal as there could be specific side affects with interactions with certain psych meds if so prescribed for you.
I wish you well!
_sabby_
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