Is it normal to undergo professional counselling before rhinoplasty?

I had a consultation for a rhinoplasty earlier today, received a follow up email from the PA who wrote me this paragraph.

This is my first ever consultation so I don’t know if this is normal. I don’t have any history of body dystrophies. My only history of mental Illness is ADHD and anxiety so not sure where this is coming from.

As the title suggests, I have no idea if this is normal or not.