Today I see my psychiatrist again. These appointments make me nervous because there is always worry that my meds might get changed and I might have a bad reaction to another one, like I did the Cymbalta. I also often wonder what to share with him. I want to be as honest and open as possible, so I get the best treatment, but I also sometimes have a tendency to overshare or over-explain things that might not be pertinent.

I figure the things that I should share with him most this visit are my “episodes” of rage and paranoia the past couple months, even though they only lasted a few days to a week each. I have actually had a couple “episodes” of feeling almost hopeful and optimistic recently, so that is good I think. It was really odd that during one of these times of having at least a few days in a row of feeling pretty good, I had one of the worst days I have had in a while, where I was so horribly depressed and so full of despair that I sat on the couch holding a bottle of pills and wishing I could take them all and maybe not have to wake up again, but of course, I know that wouldn’t be the right thing to do. Especially to my husband. Oddly enough, the very next day I was back to feeling fairly decent overall.

I also always wonder how much to address my physical problems with the psychiatrist. After all, he isn’t a doctor who treats those conditions, but those conditions greatly affect my depression and anxiety levels. When the physical pain is extremely bad for a few days in a row, that tends to bring on a kind of despair that is hard to cope with. It blackens my view of my entire future and makes me honestly feel sometimes that life isn’t worth living if you have to be in this kind of pain. I probably should take my Tramadol (opioid pain killers) more during those times, but I am afraid of becoming dependent on it if I take it too often.

Well, thank you for listening to me overthink things as I always do lol.