Thanks for the great tips. I did reread some of my journal & was able to pick out emotions & situations that are triggering depression, anger, feelings of worthlessness, etc. so I can just read some of thos entries to her to let her know where I am now. This is the same therapist I saw for a couple years after I was diagnosed with bp so she does know me & knows my background & particular sensitivities & issues. I thought I had gotten over them, but my recent crash has brought up all the old feelings. Still feeling anxious (only slept 4 hours last night even though I took my full dose of Trazadone), but at least I have a few topics to get the ball rolling. Thanks again for the ideas.--Suzy