If it helps at all, once my pdoc was going to be at the same place where I was seeing my therapist but she didn't have time to see me. I was really, really manic. She told me to write down how I was doing. I wound up scrawling this 2 page thing but my thoughts were racing so much that it was full of arrows pointing to illegible notations in the margins, so many they were overlapping.

Nobody was happy with this for some reason and I wound up on more meds..........I'd forgotten all about it until something reminded me the other day. At the time I was too manic to understand why anyone was bothered by it but later I realized what I had asked her to read and was so embarrassed.