All of my "evidence" is the same, but I'm gradually getting worse. No "new" symptoms, but if I look back six months or a year, I can see how much better I was then. I think I'm probably Secondary Progressive, but my neurologist hasn't spoken those words.

The last time I had a true exacerbation was maybe five or six years ago. The same symptoms just wax and wane. When talking with my non-MS friends and family, I do sometimes call them "flare-ups" because people relate to that term, but they haven't been flares per se.

I don't think it's hypochondria. I do think we tend to be hyper-sensitive to whatever's going on in our bodies, though. Don't you?