You have a little more of a conversation with your physician and the physician is a little worried because you've been blue, haven't felt like yourself, you haven't been able to enjoy things in life quite as much as you usually do.
Uno tiene algo más que una conversación con su médico y al médico le preocupa un poco que uno esté desanimado, que no sea uno mismo, que no pueda disfrutar de las cosas de la vida tanto como antes.