I make a list throughout the month to discuss with my pdoc. Thats the ONLY way I can remember anything of importance. I tell him if my moods were up or down or both; I tell him about any anxiety I have had; and I tell him of the serious things that are impairing my life (like if I had a sui thought or extreme out of control anger). ANything that I think may be fixed by my meds. Also I did tell them about the working thing but for me I was out of work when I applied for disability. If it is impairing your mental health and well being at all then tell him. What he tells me is that he can only help me if I help myself, and that includes telling him what goes on in my life in between appts. good luck with your appt! Is this a new dr?