Does anyone else really struggle answering questions from med doctors?

Q: Are the meds working?
A: Depends on which second-of-time you are asking me. Sometimes I am fine, sometimes I have very graphic ideation.

I really, really struggle with this. I do not want to say the meds aren't working.... maybe they are and life is just like this.

I guess I fear "stopping" a med to start another only to find myself in a worse spot.