when they think your making up symptoms is the worst. ive only had that happen once. or at least to my face. not surprisingly they put me as bipolar because they thought i was lying about psychosis symptoms. they also made me very physically sick from their prescribing of meds to me. every doc before that one and after said i was not bipolar. that was a very incompetent doctor btw. be careful if they dont believe you because they might prescribe the wrong meds. its important that they listen.