Today after DBT I had a pdoc appointment, I was at the hospital from 9-2 so it was a long day. No changes in meds. He was surprised the mirtazapine does not make me tired. I told him about the big panic attack at church and he said the only way I am going to get over it is to keep going into those types of situations. I get where he is coming from but it is still difficult. He had a different med student today with him. Pretty normal appointment.