Seems apparent you do not like this "lady". Why can't you change to someone else? The only person explaining how you feel should be YOU . Yes maybe a family member might notice something you don't realize, but still the Psychiatrist should be listening to you,and spend time talking to you alone. Your 26 now, not a child. Do you go to your appts and talk to your "Doctor" alone or does Mom go with. I am a firm believer that a patient can't feel safe to be honest if someone else is in the room besides your Doctor..
Getting proper sleep is one of the biggest triggers for Bipolar spin outs. Is Tegretol your first medication? Why are you worried about the pills being in your home? If you are not comfortable taking this medication trust me there are loads of other options.
You should probably look for a Doctor that suits your need better .
Welcome to PC , I hope you can find the information and support here you are needing