Feyrody's suggestion is a very good one, especially if you are uncomfortable talking about yourself and how you are feeling.

I always try to show up for an appointment with a 1-page summary of what has been happening with me. I just hand this to the pdoc or therapist at the start of the session. That way the time gets spent where the need is. They appreciate it because they don't have to pry it out of me, and I am very forgetful so if I don't write it down and they don't ask it doesn't get dealt with. And, as you point out, pdocs in particular are on very tight schedules.

I have found that surrendering to others is very important. It's hard to do, but it's harder to carry the burden and nigh unto impossible to make progress by yourself. I was stuck until I "gave up" and started actively seeking help and support from friends and family.

You might try being direct with your mom about talking your ears off. She probably feels she is comforting you, and is unaware of the real effect she is having. Just a thought. I have found family to be really important, even though it sometimes takes a few repetitions for them to "get it."

It is hard to accept help and admit that you need help. It's sort of normal you would find it hard. I know that I found it hard, and I'm glad I took the step of surrendering. I have become much stronger as a result. Also less harsh and more compassionate, for some reason.

All the best.