I'm a bit ashamed to say this but I don't pay close enough attention to any patterns I might exhibit to know if this occurs annually. That, by itself, is embarrassing. I'm just too caught up in the moment to think about big picture type things. My therapist will be able to tell me.

Oh, no, I suspect I do know what's happened. With the evacuations and chaos of the past few weeks my consistency with medications has been crap. It's likely that. Time to get religious.