I do the same thing  I get real anxious at the psychiatrist and can't say what's really on my mind. Or even worse, I'll feel like crap all the way up until my meeting with my T or Psychiatrist and suddenly the mood changes to "fine and dandy" all the sudden for a couple days. I've even done this with my physical health to not just mental health. I find that writing down a letter, list of symptoms or just take notes and first thing I do when I get to the doctor hand him the note. Its a lot easier handing them a piece of paper than it is to spill the beans with my words. Hope you get the help you need soon! 
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"Much like wind blowing through hollowed cemetery grounds, we all circulate within this void of reality in search of something more profound. Hopes and Dreams fuel our will to live, projecting our desires into the universe and awaiting what it gives. Throughout life's journeys you will encounter Saints as well as the Heartless, but remember, in order to Appreciate the Light, one Must spend time in Darkness." ~ Prozak
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