It is easy to overlook the development of a depressive illness in patients who talk in terms of stress rather than depression. Underestimating the contribution of personality issues Some people actively seek stress or set unrealistic expectations about their performance.
Some people hope to dump their problems on the doctor.
This is unrealistic. The doctor's role is to help patients control their own stresses. Failing to get the patient to set appropriate goals. Failing to capitalise on the patient's strengths. Failing to treat other problems, such as alcohol abuse.