I have been with my psych for a long time and with him it is straight and to the point. I mean he doesn't have the time a therapist has to listen to all the gory details. I go in, tell him if symptoms have changed and whether they could be situational. I have become self aware through the guidance of my therapists. Appts are closer with med changes or mood changes. Longer apart if things are going "smoothly", although that is an exaggerated term. I believe in honesty as that is going to be the only way I am going to have appropriate care. Going ip sucks, but if I need it so be it. I like having some normalcy in my life. the roller coaster ride is never ending, but at least the track is not as bad.