Years of having anxiety and dealing with mental health professionals tells me that many mental health professionals just don't have much of a clue about anxiety.
Especially If it's of the more insidious but less florid 'generalised' variety ie the kind that can have you feel mentally and physically drained for several hours at a time and whereby there a level of internal tension and paranoia simmering away even when you are not feeling mentally and physically wiped out.

After a while and too many deaf ears you give up trying to get through to them how it is.
Of course on the days i get to my groups the anxiety is at a more manageable level.
The more intensely anxious days it's about being too anxious to get out the door at worst or at best if necessity demands(usually if the cat is out of food/litter)trying to get in and out of the co op as fast as possible.
The barrier to that being how untogether and slowed down one can be at such a time and the perverse reality of even less checkouts than is normally the case.
They see me on the better days and either because it suits them or through a lack of understanding presume that's the way it always is.

Then in my experience, not just when it comes to anxiety ,mental health professionals extrapolate from short interactions and arrive at conclusions at odds with the more extended picture.

--