((((((((((Beth)))))))))
I had one of those days in December, during the great Wellbutrin meltdown. I managed to drag my butt in the shower and get dressed, drove the 30 minutes, and completely fell apart in T's office. Did I feel like crap going out looking like that with red puffy eyes and a drippy nose? Oh hell yeah, but if I hadn't, and tried to fake that everything was fine, things would have just kept getting worse.
Let him/her see how you're really doing right now so they can help you when you need it most.