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When “It’s All in Your Head” Really Isn’t-  Medical Gaslighting

There’s a particular kind of loneliness that comes with being unwell and not being believed.

Many people arrive in my therapy room carrying this experience. They describe lying awake at night, replaying appointments in their minds, wondering whether they explained themselves badly or misunderstood their own body. Often, they’ve been told their tests are “normal”, that there’s “nothing wrong”, or that it’s probably anxiety or stress.

And slowly, something shifts.
They begin to doubt themselves.

Before a diagnosis is ever reached, there is often a deeper wound: the feeling that no one is really listening. You start to ask yourself, Am I making this up? Is it all in my head? Am I just being difficult? Eventually, many people decide it’s safer to stay quiet and not make a fuss.

This experience is often referred to as medical gaslighting.

What do we mean by medical gaslighting?

Medical gaslighting is a term many people now use to describe the experience of having symptoms dismissed, minimised, or explained away without proper exploration. It isn't always intentional. Many clinicians are working under pressure, with limited time and resources. But the impact on the person seeking help can be significant.

When physical experiences are quickly attributed to stress, anxiety, or psychological causes, people begin to doubt their own reality and can be left feeling confused. It’s important to say this clearly: you are not just your test results. You are a whole person with a lived experience that matters.

Who is most affected?

Medical gaslighting tends to disproportionately affect women, people from the Global Majority, neurodivergent individuals, and those living with chronic or poorly understood conditions such as endometriosis, fibromyalgia, autoimmune illnesses, or POTS.

These patterns reflect wider systemic issues within healthcare. Historically, certain bodies and experiences have been taken less seriously. The result is that many people spend years feeling dismissed, confused, and at times unsafe — often internalising the belief that the problem must be them.

This isn’t about blaming individual clinicians. Many are working under immense pressure, with limited time and resources. But it is about recognising that these experiences are shaped by systems — and that the impact on patients can be profound.

The emotional impact of not being believed

Being told “there’s nothing wrong” rarely feels reassuring when your body is clearly struggling. Instead, it can feel like rejection.

People often leave appointments questioning themselves: Am I exaggerating? Am I being dramatic? Am I overthinking this? Over time, this can lead to shame, withdrawal, and a reluctance to seek further help.

There is also a powerful dynamic at play. Doctors hold authority, and in British culture in particular, many of us are taught not to challenge professionals or take up too much space. Within the NHS, there can be an added sense that we should simply feel grateful. All of this makes it harder to speak up when something doesn’t feel right.

Why we go quiet

When someone in authority dismisses your experience, your nervous system responds. Some people push back, and may be labelled difficult. Others freeze, forgetting what they wanted to say. Many become overly compliant — minimising symptoms, trying to be a “good patient”.

These responses aren’t weaknesses. They are survival strategies.

If you’ve ever left an appointment thinking, Why didn’t I say more?, it may not be confidence you lacked — it may have been your nervous system trying to protect you.

Rebuilding trust in yourself

One of the quieter harms of medical gaslighting is the erosion of self‑trust. In therapy, we often work gently to rebuild that connection — learning to listen to the body again, to validate your own experience, and to separate shame from sensation.

Your experience matters, even if it doesn’t fit neatly into a textbook.

You are allowed to ask questions.
You are allowed to take up space in medical rooms.
And you are not “too much” for wanting answers and wanting to live well.

What You Can Do Practically (and What You Deserve)

While the medical system can feel overwhelming or unresponsive at times, there are ways you can advocate for yourself — and ways that others can support you in doing so:

📌 Document your symptoms
Keep a detailed record of what you feel, when it happens, and how it affects your life. This can help both you and any clinician you see later.

📌 Bring someone with you
A friend, partner or family member can act as an advocate and witness, which can sometimes shift how seriously your concerns are taken.

📌 Ask direct questions
Try questions like: What else could this be? What differential diagnoses have been considered? Sometimes a shift in language can prompt a different kind of response.

📌 Seek a second opinion
If one clinician isn’t listening, you absolutely have the right to see another. You deserve care from someone who listens, takes you seriously, and investigates thoroughly.

What you deserve

You deserve to be listened to.
You deserve to ask questions.
You deserve care that is respectful, compassionate, and curious rather than dismissive.

If any part of this resonates with you, you’re not alone. Being dismissed can leave emotional marks as well as physical ones. Therapy can offer a space to explore that impact and to begin trusting your own voice again.

Please get in touch if  you'd like to talk to someone about your experiences.