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I'm not in denial. This is a girl who has told me that she's felt like dying, everything I do is annoying, and she is tired all the time no matter how much sleep she gets. She is irritable, depressed at times, and anxious. She never went through anything like this before. I believe she is going through a mix of things. I think she is changing naturally but at the same time the birth control is affecting her in a lot of negative ways. She thinks breaking up with me is the solution to all her problems because she is in a pivotal time in life (i know, because I tried to break up with her last year when I felt anxious about college). But what she is going through is so much worse because of the hormonal imbalance. I've known her for years and she isn't acting anything like herself. I've begged and pleaded for her to consider getting the darn thing out but she is reluctant.