I'm terrible at therapy too. I did a modified mood/thought/event chart for my T just because I forget even the big things to bring up. She then labeled me high risk and pushed for IOP. In your case that would be a good thing. I was bothered about the label and IOP at first but I realize I'm a good faker even when trying to tell the truth. Seeing it on paper makes it more real to them I think. You may want to try a mood/thought/event chart. If you do try to be honest on it.