Last night I was very tired and it was noticeable. She mentioned my tiredness at the start of the session and I kept nodding off and she noticed it but ignored it for the most part. She had to do a lot of pushing because I was tired and my earbuds werent working so I couldnt hear her very well. She had to remind me we had 14 minutes left because I wasn't doing much. We got some stuff talked about but its not like our AM sessions. She didn't mention me taking my meds before the session. So I don't know if she could tell. She knew I hadn't been feeling good though. I did ask her if she had seen a particular coffee commercial that was in relation to what we were talking about. So I was participating.