It's too easy to stay in denial sometimes. Now that you are ready for meds, I truly hope they work well for you.
I am glad to read your pdoc is being careful about prescribing.
Many people here take Wellbutrin.
Is your diagnosis BPI or BP II ?
I live with BPII and have often used Wellbutrin (bupropion) w/o a mood stabilizer. However, my new pdoc is into mood stabilizers and put me back on one because I was having a mixed episode w/agitation.
Your concerns about sharing your diagnosis are certainly very valid.
I would have (do have) very similar concerns.
As for having someone come in and help, I have the same feelings. I do have a house cleaner who comes in to do the heavier cleaning, once every 5 weeks or so. Yes, I feel very guilty when she is here cleaning. Yet, I love the job she does and its such a relief!
If you are not ready to share your diagnosis, why not tell your family you are ill and it's not sorted out as to your diagnosis? Many different conditions have severe fatigue as a symptom. This way, you do not have to share your official diagnosis until you are ready to do so.
I am glad you are here at PC.

We will do our best to show support.
I hope you feel better soon.

WC