Ugh, that reminds me of my own experiences.
I've studied pedagogy where acknowledgment and understanding people is the key. Your psychiatrist is missing the most valuable 'method' in the very field she's working in and that's acknowledgment. When she says you're an intelligent girl, she's not complimenting you. She's trying to correct you saying you need to stop being silly, because you are 'able'.
I think it is the worst when you depend on getting help from someone who is condescending and just want you to be fixed and therefore will offer no help whatsoever. Someone without neither empathy or sympathy shouldn't be in that field, and I am serious, there's way too many of that sort in the business. I once went to a psychologist who disregarded everything I said and instead just concluded that because, despite depression and borderline, I didn't help out my parents in the store - I didn't work there?? - I sounded like a lazy brat. She said that people may think that of me, hint hint.
I really want to get help but geez, people like these really make you feel as if you're incurable. But it isn't you, it's them. It's definitely them. She can't even grasp the essence of your diagnosis!