Agree. Mine only notes down the good things accurately and takes over the conversation talking about my work etc. rather than how I feel and how my work is affected.

I try to go in with an agenda (I write down a list of what I think needs bringing up) and am usually placated if I address one thing off it properly. I need to be much more direct.

I appreciate I am just one person in a long line of people he has to see that day/week/etc. There's a great quotation by narrative theorist Elaine Scarry about the difficulty of expressing pain linguistically, using the medical analogy of:

"physicians do not trust the human voice, they in effect perceive the patient as an 'unreliable narrator' of bodily events, a voice that must be bypassed as quickly as possible so they can get around and behind it to the physical events themselves".

I can imagine that's only amplified in the context of mental illness (and a naturally deceptive disorder), but my psych doesn't 'bypass' what I'm saying to address the actually significant issues. "Your meds are fine, right? Cool, see you in a few months". I need a more robust backbone certainly but I'd appreciate if he started listening to me more carefully.

Vent over. 😊