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Possibly because the doctor doubts the diagnostic assessment that lead to the prescription in the first place... As one example, I take an anti-seizure med that has been, in recent years, rampantly prescribed off-label for depression. The last two times I went to the hospital, there were multiple times where I would give my current medications and various assistants or doctors would say, "...for depression?" When I said, "No, for partial temporal lobe seizures," they would look surprised.
Meanwhile, many years ago when I was first trying to get the seizures diagnosed, I had a doctor tell me they were just run-of-the-mill panic attacks and try to brush me off with a quick prescription for Xanax. I told him I wasn't going to take it because I knew that's not what was going on, and he made me take the paper anyway, "because you might change your mind." Psych meds are so common now that many doctors assume they've been wrongly over-prescribed until proven otherwise. Scorn is a doctor's natural demeanor.
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