I apologize in advance for my tangents and the length of this… I’ve been in counseling, and I am now a therapist so I think very highly of it As Debb said, it can be good to go just for a “mental fine tuning”, or I tell people, a proactive step rather than a reactive step, especially soon after diagnosis. I started getting depressed around age 13 or so, and I started to have eating disorder symptoms at age 14. The depression came on slowly, and it wasn’t until I was 16 that it became disabling - I was cutting school more often than going, crying constantly, not managing my 'betes at all (I had been a very good, conscientious student until then and managed my 'betes fairly well when I was younger). My mom tried to get me to go see someone for a few months, but I flat-out refused until I guess I realized I was just getting worse and it was affecting my friendships. Anyway, I spent many years in counseling with only a few very short breaks, and I also had several stints of eating disorder treatment. Once I started anti-depressants shortly before I turned 17, the depression improved greatly. Over the years, I’ve had times when my medication has lost its effectiveness, so I’ve had to be switched, but I’ve been on the one I currently take for 12 years now. When I get lazy about taking it, I notice the symptoms re-emerge, so I believe the way my neurotransmitters work is just permanently off, and I’ll take anti-depressants the same as I have to take insulin - for life. I’m OK with that because it helps me feel like a normal person. You’re not really asking about meds though, so I’ve gotten off track… It took a few years for me to consciously realize how much I hated diabetes, how angry and resentful I was of it. I remember a psychiatrist and social worker asking me how I felt about it when I was 16, and I was in complete denial. I told them it didn’t bother me, that I just did the stuff I had to do and lived my life. I truly believed that too. I thought it was an absurd suggestion that diabetes would upset me since I’d lived with it for 11 years by that time. That’s why I advise people to just try talking to someone even if they aren’t all that emotionally distressed about it. It can be very helpful, even cathartic, to process it with someone else who’s trained to do that. The human brain is funny, and it will protect us from thoughts and feelings we aren’t ready to face. It’s easier to face those things within a supportive therapeutic relationship. So in my 20’s I finally started to deal with my anger and grief, my eating disorder had just gotten worse, so I was also addressing that. It wasn’t until I was 32 that I was able to finally overcome my eating disorder, and coincidence or not, that was around the same time that I started to feel OK about my 'betes. My situation is a lot different than yours of course, I didn’t adjust to the 'betes so well as a child (even though I seemed to be handling it as well as any other child in the same situation - appearances can be deceiving when it comes to mental health), and that more or less wrecked me since it took so many years to mend that damage. I just wish there wasn’t such a stigma attached to mental health treatment, and people wouldn’t wait so long to seek counseling. Of course, one issue I always encountered (for all but one of the therapists I had because she was also an RN) was they don’t know a lot about diabetes. I was always having to educate someone about it. Luckily, there came a point during which I had enough insight to recognize that it was at the heart of my emotional distress, so I was able to facilitate that process in therapy.