The depression thing is a very easy label to give. We all feel under pressure at times, be it family, job, financial, so for a GP who must hear hundreds of variants of similar stories, in order to process that patient its quick & easy to prescribe anti depressants. I really don't think they look at the bigger picture straight off or think outside the box. HMS has so many manifestations & as pain & fatigue are often huge factors, along with the endless list of other symptoms that crop up along the way, in the 5/10 minutes or so you are allotted they cant possibly listen to everything. I mean when you say out loud everything that has happened with your body in a day, it does sound BONKERS!!
When I add up all the time I've actually spent being processed & medicated that soon tots up & when practices have budgets as they do, they are always on the lookout for the cheapest options ongoing so they can balance the spreadsheets each quarter, rather than balance a persons life.
For me I find staying as calm as possible helps when discussing things & making a list before you attend, also have some questions down so that when they try to take you off track, I'm sure diversionary tactics are taught at GP training,
then you can stay focused & can try to give them as much info as you can in the time allotted. Also remember GP means "general practioner" so they don't always have all the info, they can learn from us!