Many psychiatrists I've met are apt to make a diagnosis merely on the patient's affect and demeanor. Since I have White Coat Syndrome, my affect and demeanor are always adverse in clinical settings. Since I was abused by my mother, the majority-female psychiatric clinic being very paternalistic and patronizing does not help one iota.

In the hospital the other day, the nurse asked "how are you doing" which is an essay question. I didn't feel like answering essay questions, so I just stared at her awhile. Later that day, I was diagnosed with 'catatonic schizophrenia' and earned an increased dosage of Ativan because the doctor said I didn't answer the nurse satisfactorily.