Well, the change in my thoughts is a combination of things. The add med has played a major role in slowing down the overwhelming, nonstop nature of the thoughts. I still have negative thoughts, but I am better able to manage them when there are a few instead of a whole bunch all at the same time. For example, my boss yelled at me. It made me angry, but I acknowledged the anger as reasonable and rationally thought through the situation. In the past I would have been flooded by thoughts and internalized the anger….eventually, it would have lead to me believing I was a horrible person. But, instead, I got a little angry, thought about it and then let it go. I did not turn it into a catastrophe. I did consciously work through the thought—the med just slowed the thought down enough for me to do that. I would say my improvement is a combination of therapy and medication.