These are honestly the kinds of conversations I have with my therapist frequently. I take her words as advice, not commands most of the time.
And my current therapist is the only one who has really ever had that kind of therapy style (I've had 9 outpatient therapists).

That being said, I don't think I've ever had that kind of conversation with my pdoc.
If you respect your pdoc, and feel like you are in a good place to be able to make a call about where his/her judgement is coming from, then maybe you should talk to him/her about how it makes you feel when those comments come up. Because that really is more in the therapy domain, and you may not see your pdoc often enough for those conversations to really be effective.