You need to be honest, don't choke up, you are going for help and that is good, but I have found through my own experience, not coming out with "all" of what's happening is and can be a huge mistake.
If at all possible, schedule another appointment with your T or a pdoc, talk about the whole picture and seek the necessary help.
Are you on any bipolar meds? Are you taking them as directed?
Mood stabilizers and AD's in adjunct, if required can make a big difference than not taking any meds for this disorder.
When I was first DXed I balked about meds and therapy until a very huge meltdown occured in my life,I was extremely suicidal, almost doing the deed, I called my T right away, saw him and was referred to a terrific pdoc.
Yes, I swallowed my pride, voluntarily (sp?) signed myself in for a 10 day stint, and got on the right track/treatment.
Please contact your T and/or pdoc as soon as you can.
Take care,
DE