Thanks for your response. Right now I feel the very strong and comforting pull of denial. I don't know that I'm ready to go in for a full eval. I have seen a counselor in the past on an as needed basis to help me through a couple of rough patches. I'm thinking of contacting him to help me talk through it. I'm wondering if I can get through without meds right now. I have always had a strong need to be in control of myself so "giving in" to meds feels like giving up my self control.