Pom and Nancy,
I have an appointment coming up, too. Pomegranate, I suffer the same exact problem. I can't extrapolate one from the other and I think they're exacerbating each other. Then there's the GUILT — I have silent migraine, meaning I get the fun symptoms often without disabling pain. But there I am with the other symptoms and I'm like, "Is this apathy depression? Is it migraine? Why can't I think? Why can't I function? Why can't I speak? It doesn't 'hurt' or... it's doesn't hurt 'that bad'. Sumpatriptan or even regular NSAIDs can knock out my pain, but not the other symptoms. I feel like, "OK, I don't hurt, I should be functional." I beat myself up really badly. I come from a family that's a mix of over-achievers and under-achievers. Only one under-achiever. I'm about to have some breakthroughs work-wise, but I'm terrified I won't be able to perform!
Pomegranate: for the record, I am cyclothymic (which, for me, is low-level mood swings that go unnoticed until there's a marked depression). I also suffer PTS(D) anxiety (child abuse). I'm also considered extroverted, but that's not really true, I've figured out how to overcompensate for being incredibly social anxious. I have zero trust in people, so I'm very warm at arm's length, but not prone to closeness or the ability to function well in 'politics'.
Blessings to you both... ~Nicci