Our expert says:
Its not good practice for any doctor to make a diagnosis without discussing its nature, implications and general issues of treatment, with the patient. If this became complex and needed even more time, maybe a second appointment could be scheduled for that.
Dysthymia can be difficult to treat but indeed, when not very severe may not need treatment, especially drug treatment, though some CBT style counselling could hlp in managing whatever probelms in life it presents.
Discuss these concerns with him next session, and if he isn't helpful and fully in formative, tell him that and consider a second opinion
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