Good luck with pdoc today, pgirl. I hope he doesn't shred you again. That sounds bad! I don't know if it's true with the med you were prescribed, but I've learned from my courses that some psych meds have more of a negative effect at a lower dose, so as you increase them, the side effects (e.g. fatigue) resolve and the desired effects occur. So that might be a question to ask your pdoc if he wants to increase the dose.

Hmmm, I wonder if it is necessary to be vulnerable with a pdoc that one sees just for meds? My sense is that pdocs are frequently most interested in symptomology rather than patient vulnerability. They want to know how you are sleeping, your energy level, your mood, etc. I wonder if it would be easier to get through the appointment if you stick to symptoms and don't attempt to be vulnerable, especially since it sounds like he was kind of harsh last time (you were vulnerable and he stomped on it?).