sorrel,
Does your pdoc and therapist communicate? I know mine do and that's how they figure out my meds. Might I suggest, if they don't you have your T contact pdoc so they get things right for you?
My pdoc asks me what we're doing in session and I also volunteer other things about dissociating, anxiety, stressors etc so he knows what's going on with me. He also goes through a list of questions everytime I see him. That seems to be a good thermostat.
Just an idea
Songbird
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 "It is good to have an end to journey toward, but it is the journey that matters in the end.
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