First let me just list what is the majority of difficult child's diet, in order of most consumed: Coffee Cigarettes Coffee Cigarettes Tea Occasionally one meal per day - usually mac and cheese for lunch or an actual home cooked meal by me when she's around or a bagel with lots of butter or an egg sandwich. She avoids fruits because she's afraid of her allergies (she is allergic to a lot of fruits, which is a recent development) and every once in a great while, she will have a salad of greens. Her symptoms are dizzyness, headaches, mood swings, weight loss that she's now gained back, and lately she's had her period for a month. The only medication she takes is the depo shot for birth control and advil, fairly often. She hasn't had her period for over a year and now she's had it for a month, with moods to match! The Dr saw her, initially for the period issue, but addressed everything else (for a while there she was having difficult child come in every 2 weeks for a weight check). Anyway, Dr prescribed some kind of migraine medications for the headaches, told her to cut back on coffee (which difficult child hasn't done), consider quitting smoking (which difficult child won't do) and suggested that difficult child go on an antidepressant (which difficult child refuses to do). I personally think that difficult child could benefit from an AD, however, I do not think it's imperative at this time. What I would have liked the Dr to suggest was perhaps difficult child seeing a dietician to give her an idea of foods she can eat in a rush or on the run that are at least healthy. A large part of her eating habits (or lack thereof) is that she's always dashing somewhere and foregoes eating and replaces it with coffee. It's obvious to me and those I've discussed this with that the problems are due mostly to her diet. She's not having migraines - she's having headaches. There is a difference and I see when difficult child has the headaches - they are not migraines and I'm appalled that the Dr would prescribe her heavy duty medications for migraines. It would seem that the Dr might have suggested eating food, and healthy food at that, to ease the symptoms that difficult child is having, along with cutting way back on the coffee. difficult child signed the papers for me to be able to discuss her health with the Dr. I'm thinking of leaving a message to ask about taking difficult child to see a dietician - would you? And I'd like to know why she suggested AD's as well. Seriously, all of this is rooted in her diet and can be helped naturally. I hate the idea of started the medications again with difficult child - she forgets and they cause more havoc than good with her.