I am too.<p>The first I would paraphrase as: &quot;The patient refuses to accept that his condition is psychological, and we do him a disservice by validating the idea that it might not be.&quot;<p>The second I would paraphrase as: &quot;While there is always the possibility that this is a new condition we don&#x27;t yet understand, statistically speaking it is far more likely to be psychological.  Given finite resources, diagnosis and treatment for depression&#x2F;anxiety is by far the best bet for giving the patient real relief.&quot;<p>To me the certainty of exclusion in the first message just immediately sets off alarm bells.