Sounds dysphoric alright. Have you said "I feel dysphoric but cover it well?". My pdoc knows that she isn't often going to see what my therapist does and so my therapist lets her know if he thinks it is necessary. I also go with written notes and give examples of how I've been feeling/acting. It still can be hard; this episode I've been dealing with has been my most psychotic ever and my therapist has heard it step by step while my pdoc is hearing stories and not necessarily seeing for herself. So I've had to be sure to tell her about the psychosis even if that day it wasn't a problem.

It helps to have a relationship with your pdoc and that of course takes time to develop. Just do your best and explain what you can and even tell her that you feel like you don't know how to share how things really are with her. I didn't tell my therapist when I was hallucinating in his office.....I also haven't mentioned that yet but sometime I will.

You are being diligent with the med information; that will give a positive impression. It will be ok.