I tell my doc what is needed which basically is nothing, they ask me about symptoms, if they are better, worse... and I say. They don't need to know more. I'm not in the process of changing meds so don't need to talk about that. There is stuff no one ever asked about but I realize there is no use bringing it up. They don't seem to know any better than I do. And I don't do therapy, I can't see the point of therapy for me since I don't have those kinds of issues.