I may be way off base, but do you maybe come across as a happy, bubbly person- in person?
My T told me when she first met me I looked like a confident, happy young women... until I burst into tears when we sat down.

(she didn't say that last part tho!) It's just I put on this mask and I ALWAYS say I'm good and things are fine, and she has caught on that it's just my reply.
I don't feel like I'm 'unhealthy' but I do think I am healthier than I think. Make sense? It's taken me awhile to see that. I think the Lamictal is helping me see myself clearer.. that and a very patient therapist.