tree, is there anything else you could take for your back instead of the SAM-E? Sounds like discontinuing the SAM-E for a while could help relieve some of the recent anxiety and mania symptoms. I hope your session goes well and you feel better. It's OK to spend some sessions on recuperating, recovering, and just benefiting from the T relationship. You need to feel better right now and maybe the good cry on the couch is just the ticket.