Well, the medicine is working.  We doubled my dose and I am feeling so much better.  I am sleeping soundly and I am feeling rested up.  I have slowed down which is a great sign.  The “bad thoughts” are completely gone.  The only real problem right now is feeling exhausted no matter how much I sleep.  Small price to pay for being able to stay at home and take care of my family and myself.  What a relief.