I am three years post gamma knife, so I have been through the pre-op, surgery, post-op, rehab, and now long term living with the AN stages. Everyone reacts differently but my journey has included a wide range of meaner to nicer and everything in between. A good dose of depression is in there, especially when symptoms were so overwhelming all I could do was roll up in a ball. There's some post traumatic stress from trauma to the nerve and brain in there. Fear of he unknown when the loss of control was overwhelming, example uncontrollable vomiting from vertigo unable to open my eyes with out vomiting for several days. I think the meanness came out more post op first six months during the time balance left and vertigo took hold, hearing went away and headaches were at their worst. As I began to manage my symptoms and learned to live with them I began to adjust my attitude. I walked my way to balance, just kept walking a little farther each day, eventually I didn't have to pay attention to each step. It didn't just happen I had to will myself to control my meanness. I still have a pair of grumpy pants in the closet that come out when I'm over tired, in overwhelming stimuli, loud, crowd, too many people demanding my attention at once, weather transitions. I take myself out of those situations if I can, avoid activities I think will be overwhelming. But some times I just power through and let the chips fall where they may. Currently year three living with AN, I am used to my symptoms or have forgotten what life was like with out them. I no longer am depressed about physical change, I don't worry so much about my balance my brain has learned to compensate and it's like riding a bike I don't have to think about it or concentrate on standing as much as I did. I have trouble in the dark, I know I have to keep my focus when negotiating uneven terrain, and I know my eyes have a large part in that transition. So my focus is different, that has changed my outlook and I think I have returned to a nicer personality. Mostly because I am not looking back I am looking forward. I challenge my symptoms every so often just to see where I stand and am increasing my activity level as much as I can. I'm a mere shadow of my former pre-AN self, but I'm not 25 anymore and I am 100 times more active than I was two years ago. So mean - nice it's a state of mind right? Where would you rather live, some enjoy the mean camp and stay there longer because they are getting something from it. I like what I get from the nice camp more so I try hard to stay there. I don't want to be treated differently than I was so I don't share to much information with those around me. Those close to me know when I need some space and they have grown accustom to my quirks. Life is still good, just different than it was. Make the best of what you have and your attitude will reflect your new outlook. Hope these ramblings are useful, I feel better just putting it on paper so to speak.