I am not quite sure. Most of the time I think I am coping well with the flare-up in pain and fatigue right when my work-load increases dramatically but sometimes I feel I am spinning out of control. My attitude is generally positive but again the waves of despair and un-reality kind of unsettle me at times. Generally get the feeling I am headed for a precipice. However, with the support I have and my new pdoc totally re-evaluating everything I should get through. Maybe a med overhaul is what I need.