I would say it has gotten worse over the years, but I find it easier to deal with. I can't say the same for the people around me though.

It also seems that I suffer from side effects more as my body ages. I guess it just takes less to upset the baseline that I work so hard to maintain.

On the other hand things may just seem worse because I spend so much time alone, just me and my computer. I don't know how I will handle it when my wife retires, I'll probably go into sensory overload.