Thanks Afraser. My mental health is the first thing this cancer diagnosis messed with, and it wasn't that good to start with. When well-meaning people tell me things like "a good outcome is all about your mental attitude", I feel angry. There is an implication of blame. Yet I know I need to get a grip and that a "positive attitude" will help me in many ways. I have to change antidepressants as my current one is not compatible with Tamoxifen, which starts in a few weeks. Counselling is a good idea. This is all so exhausting. Genetic counselling and test appointment later this morning. It' 4am now. Thank goodness for this forum. Sleepless in ...