hi (:
i know how you feel communicating such thoughts with your psychiatrist or T seems very difficult,its something i find a struggle. sometimes writing things down helps.maybe keep a diary and read over it ,this can help clarify emotions and thoughts or write down what you want to say on a bit of paper and bring it with you and read it out or give it to them.
you could talk about your different options maybe meds or more frequent appts?
youve posted your concerns here so your reaching out which is always the first step (:
*hugs*