Hi everyone! I had a great psychiatrist appointment and feel more hopeful. They listened really well and even said they were following my rambling train of thought when I apologized for it. My psychiatrist said he had some ideas for treatment, but just wasn't sure enough and wanted to get some more opinions. They are going to refer me to their colleagues for some additional evaluations. So I will see an OCD specialist and someone who specializes in women's mental health for the hormone issues. They will also schedule me for a neuropsych eval. They told me my situation is a mixed picture, and that I have some signs of bipolar and some of OCD, but neither are a classic case. Anyways I feel good about the outcome. I kind of wish I'd done it sooner, really. Will keep you posted!