I really relate to this.

As long as psychiatrists view their job as sifting through all the babble we dump on them to distil out the bits that fit the criteria for a diagnosis so they can put us on a pill and move us towards a less time consuming and more profitable business situation, we will always be caught in that battle.

Current psychiatric practice has no quick way of knowing how we will respond to meds, so the pdocs seem to spend their time playing on the medi-go-rounds rather than making sense of issues that trouble us.

I have got to the point of being afraid to tell the pdoc about my symptoms because I don't want to be hurt again by being rebuffed by the view that my issues were not important to understanding and fixing the situation.

I feel like saying in a flat monotone voice "Since our last appointment I have experienced periods of emotional undulation, marked by days of dysphoric affect, followed by several days of elevated and energised mood. Sleep has been variable, as indicated on the mood chart. Your patient has been compliant with the medications prescribed. Your professional direction is requested to improve the condition." Yada-yada-yada...