I also just don't expect a pdoc to care about my personal life problems, only psychiatric symptoms.
Its all part and parcel of the same thing surely? A good pdoc should be interested in any circumstances that might have contributed to your difficulies.
I hate having to try to 'fight for my reality'
Me too, I think having cold, disinterested parents who treated me as unimportant destroyed any natural self esteem I might have had. I considered myself as a burden & nusance. I mean, like mother had told me sooo many times 'Who would be interested in you, eh? No one! nobody likes you! you will never hve any friends (snigger).

Therefore I assumed that anyone who had to listen to the sound of my voice would be extremely bored very quickly.
Gee. Thanks mum.

Write your doc that letter, keep it shortish, he won't have time to read a novel. If hes half decent he should understand. Its what hes paid for.