I, too, am one who responds "I'm great" whenever I am asked how I am... I feel like people never want to hear the real answer... Right now, I take Lamictal, Zoloft, and Ativan when needed... I do have a great psychologist, who I see weekly and he know, to some extent how I feel... My relationship with my kids does suffer as I have little patience, and am so tired, anxiety ridden, and in pain that I want to stay home most of the time. At this point, getting a part time job is out of the question because of my husband's job, lack of childcare, and only having about 6 hours of availability during the week. Personal time for me is from 9pm to whenever I fall asleep, so it's pretty non-existent. I have been so exhausted that I literally fell asleep while sitting up, in the middle of folding a pillowcase. Smoking does help me a lot in that it allows my mind to think about my issues more rationally, takes away my social anxiety, allows me to get at least some housework done, be intimate/romantic with my husband, and gives me the patience that my children deserve. I know it's just a bandaid, but so are the antidepressants and anti-anxiety meds. Thank you both for your kind replies and and advice!