Hi!
Sorry you're struggling so much
Please do let us know how your psychiatrist visit goes. I can only imagine how hard and frustrating that must be.
I think you should stand up for yourself and tell your pdoc exactly the concerns you wrote here. Tell her that you need help and exactly what kind of help you're looking for. I know in my experience that pdocs try really hard to understand what someone is going through and what kind of help they may need, but they don't always know what kind of help their client needs unless the client speaks up.
I hope you can be upfront and honest with your pdoc. Good luck