That kind of exchange, which takes place at all too many medical checkups, may sound harmless. But for patients with chronic health problems — arthritis, heart disease, cancer, irritable bowel syndrome, diabetes, attention deficit disorder — it suggests that the doctor is not doing his or her job. When physicians fail to ask probing questions about quality of life, addressing only the physical aspects of a chronic illness, they are likely to miss serious problems that can be remedied — among them depression, sleep disruption, loss of sexual desire and difficulty with everyday or pleasurable activities.

“More and more patients report that they do not feel heard,” Jackson Rainer,

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professor of psychology at Georgia Southern University

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