For me personally, I wanted a pdoc and T that see eye to eye. One may pick up on something that they need to discuss with the other.
You need to be comfortable with your T, else I really feel you'd be wasting your time, as you just cannot be open and honest.

Regarding the hypomania - it can also drive me insane. The short burst of energy are great, but the irritability and racing thoughts are a nightmare.
Speak to your pdoc about it, as he may feel a med tweak is in order.

I hope things start looking up for you soon!