Damn getting my hopes up ! <| sep |> When you ' re depressed , you have very real frightening symptoms that , yes , probably are caused by depression . But people who are unfamiliar with how neurochemicals and hormones work will hear you blame their crippling pain on something that is literally in their head and will translate that to I don ' t believe you , you are lying . I know you ' re a doctor etc , and you understand it , but your patients are not doctors and they simply don ' t . And they cannot comprehend that something ' in their head ' is causing physical pain elsewhere , and because they cannot believe it , they will not believe that YOU believe it . Therefore it sounds like an accusation . None of that is your fault of course , but that is why people are offended .