For every good psychiatrist, there are several who are worthless and do more harm than good. Why this is so, I don't know but I feel it has to do with a God complex. If a situation is chronic, or course you are going to analyze it and so should your doctor. Them saying you have no reasons for it seems unhelpful at best and dismissive at worst. Perhaps they were trying to say something different than how it came across but I can understand being left feeling confused after such an encounter. What is the next step according to this doctor? How much confidence do you have in their overall competence? Perhaps a new set of eyes on your situation would be of help? If I'm reading what they said to you correctly, they essentially said to stop thinking about being unwell (if it were that easy, I'm sure you are smart enough to have thought of that on your own) med changes won't be helpful because it's chronic (that sounds a little too black/white) you have no good reason to be unwell (unhelpful and says nothing) .....so what do they plan to do for you? Leave you to suffer and expect you to not care or think about it?