Jen, adjusting to a new med is definitely a load of its own, as you not only have any existing issues to deal with, your brain is trying to process things slightly differently. I find it useful to keep in mind, regarding both meds and any therapy, a "target" set of thoughts and behaviors I want to see, and I share with pdoc/T anything that is drifting further away from or closer to that over time, so I know what is working and what isn't.