It suddenly struck me that at my doctor's appointment Monday morning I will have to decide how much to share about my therapy. I started therapy after my last appointment and haven't been back since then.

To top it off my doctor left this practice and now I am going to be seeing a nurse practitioner. So I will also have to explain all the things my doctor already knew about me (like that my blood pressure goes through the roof when I walk in the door because I am afraid of needles.)

I have individual health insurance so keep some of my therapy stuff off the medical record could be a good thing. (I pay cash for therapy.) But I know the doctor should probably know this stuff too - especially since I am using supplements to help manage the dysthymia.

I just don't want to get hammered about taking meds (I am working hard to avoid meds) or be grilled about my therapy. I kind of like to keep therapy topics with my therapist.

Anyone else been in this kind of situation? How much does your doctor really need to know?