I type it out in notes on my iphone and just try and read from them, bad days, good days just tell him you're here to talk and would it be ok for ' me to talk for a minute'.
I do find its very difficult to find a GP who is willing to
1. Listen
2. Act
If you explain that your are happy to just chat, they are usually a little more receptive. I know first hand what going the GP is like, i've spent half my life inside the NHS and whilst no disrespect to 90% of GP the rolex wearing private practises just want to churn you in and out with a prescription and a pat on the head, mental health needs care and attention, not a nod and a set of meds.
Take your time mate.
Al lot seems to depend purely on being lucky and having a good GP and where you live seems to come into it too Bry.
I've experienced very good and very bad, both with GP's and with Counsellors.
Unfortunately it's not until you know your way around the system, that you realise this and have the strength to challenge how your beings treated.
Hopefully this thread will give people the strength to do that, if they're not happy with how they're being treated.