I have the same problem, and I worry about saying, "Fine." because then I instantly worry if I ruined the chance to bring up any issues with my Pdoc. I know the fear is irrational at this point, but I cannot help it. :S

He knows well me enough, after five years being a patient, that if I am at his office while cheerful and talkative; nothing is wrong. And if I go in quiet with an avoidant demeanor with difficulty speaking due to high anxiety, then I need adjustments to my medications.

When I am more avoidant, I will mumble,"Oh.. Yeah, it has been."