Are there any obvious signs that my dysthymia is getting better? I have been taking fluoxetine + risperidone for 2 and a half months. My mood has gone from daily ups and downs to a more stable trend. But still I feel extremely sad at times as much as I was before the medication. It takes a lot of energy to control my outbursts, so I look normal while its like a time bomb stuck on 1s (going to 0 and 1 without blowing) inside my head. I did explode a few days ago. I really wonder if my conditions improved or just stayed the same. Scared that my psychiatrist will dismiss my concerns and say "you should discipline yourself, you should try to be positive with the medication for it to work".