Psychiatrists are usually for dosing meds, not actual therapy. For that, you need a therapist, who will talk with you and work through your feelings, help you with insight into your issues, etc. Your psychiatrist may help you find a therapist who can see you on a weekly or biweekly or twice-weekly schedule, whatever you need and can afford. You should be prepared to give your psychiatrist a synopsis of your feelings and any insight you have into what's causing them. Like, "I've always felt depressed, but I'm having a hard time as my husband left me for a girlfriend and I'm feeling really alone and sad right now. Sometimes I don't feel like it's worth living anymore." Your pdoc will take it from there and ask you questions. It really won't be that hard.