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Wishing you all the very best ~
You should discuss all of your symptoms and concerns during your appointment.
You can write notes beforehand and address them one by one just like you answered questions.
Best of luck to you.
Please don't be afraid to tell your doctor what is going on with you, as they can't help you if you're not honest with them.
Best wishes.
Also it's a valid point that some kind of prescription medication might help with your anxiety. When a person has anxiety it's normal to go into mild mental gridlock and become less able to do the day to day tasks at hand. You may find yourself standing in front of a kitchen cabinet wondering why you went there in the first place.
Sadly, If the concern is that your mental health is declining there's not much that can done about it anyway. You can get a referral to a Neurologist (and wait six months for their next appointment - grrrr). The Neurologist will assess and general steps can be taken to plan for your future.
If you feel yourself slowly declining mentally, maybe it's not a bad idea to start making some plans on your own right now (?). Think about whether it's still safe for you to drive, and whether you might want to explore assisted living facilities. Maybe get on the waiting list at facilities that you like the most. Maybe see an Elder Care Attorney and get all your legal stuff up to date regarding future finances and medical care directives.
And then maybe have a little martini, and just enjoy the here and now for awhile. Listen to the birds sing outside, play some lovely music.