Like, for example, when they are in your surgery because their depression has returned full force, they are desperate, and they have reached a low enough point to drive them back to the doctor to plead for antidepressants.
I know I am overweight - the mirror tells me that, my clothes tell me that, my aches and pains tell me that. But that isn't why I was at the GP this morning - and yet I was barely a minute into the consultation before my weight got mentioned.
Is it daft to think that, faced with someone in a state of black depression, nagging them about their weight is hardly likely to help, and might, actually, make them feel worse? And given that it probably WILL make them feel worse, maybe you could lay off them about their weight, and could focus on their mental health issue instead?
I had to be in floods of tears, on my feet, ready to walk out of the consultation, before my doctor accepted that maybe he should not be referring to my weight in every second sentence he uttered. And even then he kept referring to it as 'The Thing We Are Not Allowed To Mention'.