Downward Spiral?

Today I wasn’t feeling that great so I left work early. I’m scared of falling back into a downward spiral. It was the first time since I came back to work that I had difficulty with focusing, talking, and tremors. I can’t tell if it’s just regular anxiety or if it’s because I just ran out of my Topamax, but either way it was unwelcome. It’s hard to tell what’s regular when you’re on meds I guess.