Bring a dictionary for difficult terms. Usually a nurse sees you first and asks questions. Time with the doctor is short focusing on physical symptoms. Doctors must keep what you tell them confidential by law. You can ask people to talk more slowly, repeat, write something down, or bring someone to help you translate.
Many students feel nervous about talking to a professional about personal problems.
You may never have needed to talk to a psychiatrist or counselor at home. You may think that only crazy people go to psychiatrists. In the USA, it is common for people to seek help for an emotional problem. Since you are far from home, you might find it helpful to talk to someone about issues of adjustment, depression, stress or strain. It is completely confidential.