I do think that some of it is definitely lack of confidence -I've talked to the mental health team at uni about doing having some sessions at the beginning of next year to help build my confidence- but then when I've stopped taking them I tend to find myself a lot more bubbly (although that's before the inevitable breakdown... As tempting as it is to stop them again without talking to my doctor, experience has taught me thats a very, very bad idea). I think its a mixture, but that almost makes it more worrying for me, when I've been on medication for the part of my life when my identity is probably shaping into its final form, and I don't know what is me and what is the meds :\
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