My rheumatologist referred me to a neurologist. He kept asking me if i went through a trauma or if i was abused or sexually assaulted. What the **** does that have to do with anything? I told him, "I know where you are going with this, you think it's all in my head". I said, "I had a good life growing up, no trauma, no abuse of any kind". Then he asked me if I had anxiety. I said, "yes, but i think it is secondary to dysautonomia or mcad". he said dysautonomia doesn't cause anxiety lol. I said, "you don't know about dysautonomiathen, because it can cause anxiety". Then he asked me if i was depressed. I said, "no". he said every person with dysautonomia is depressed. he said, "why do you think the first they prescribe is ssri's". i think this dr. thinks dysautonomia is all in a persons head. here is why dr.'s use ssri's.. SSRI's are used because serotonin is the principal neurotransmitter that the brain uses to govern autonomic control, in particular to govern blood pressure. some patients with autonomic disorders may have disturbances in central serotonin production and regulation. SSRI treatment can suppress the sympathetic nervous system. SSRI's may also be effective in treating the chest pain that is associated with dysautonomia. We are given ssri's, because they can help our symptoms, not because the dr. thinks we're nuts. he said i was wasting his time, and that he had two other people waiting for him. how am i wasting his time? i m not the one who wanted to go there. my rheumatologist referred me to him. Why did he act this way? I m not going back there again.