Diagnostic overshadowing is discrimination: https://www.psychologytoday.com/us/blog/two-takes-depression/201510/depression-and-diagnostic-overshadowing

&gt; As someone who has lived with depression all my life, I’ve experienced a form of discrimination that makes it hard for me to get good medical care. Clinically, it’s called diagnostic overshadowing - and is **defined as a process where health professionals wrongly presume that present physical symptoms are a consequence of their patient’s mental illness.** As a result, the patient with mental illness gets inadequate diagnosis or treatment[i].

Other people [in the thread](https://www.reddit.com/r/ptsd/comments/sxdedu/ptsd_on_my_medical_chart_prevents_me_from_getting) had suggested what I usually recommend: get everything in writing. I tell my doctors to communicate in writing with me between sessions and I read my charts after our appointments. It's a PITA but holding them accountable is the only way I know how to survive this nonsense.

https://pubmed.ncbi.nlm.nih.gov/34873769/

&gt; Background: Mental health consumers experience significantly high rates of physical illness, poorer health outcomes and are more likely to die prematurely of physical illnesses than the general population. Diagnostic overshadowing is a complex and life-threatening phenomenon that occurs when physical symptoms reported by mental health consumers are misattributed to mental disorders by health professionals. This typically occurs in general healthcare settings.

&gt; Findings: Five synthesised findings emerged. Three from the health professional experience: working in ill-suited healthcare systems, missing the complete diagnostic picture, and misunderstanding the lived experience of mental illness. Two from the mental health consumer experience: not knowing if the cause is physical or mental, and surviving and ill-suited health care system.

&gt; Conclusions: Diagnostic overshadowing is a multidimensional experience of interconnecting factors including systematic healthcare system issues, health professionals limited mental health knowledge and skills, stigmatic attitudes and mental health consumers miscommunicating their physical healthcare needs. Further research is needed to make diagnostic overshadowing visible and mitigate against this phenomenon that deprives mental health consumers of equitable access to quality healthcare.

(Originally posted in /r/PTSD but I'm sharing across my comorbi--er, I mean, across relevant subs. :) )