Yes, I agree with @sheltiemom2007. The only way to get the help you need is to be completely open and honest with your pdoc. I know from experience that I never get the help I need when I keep things from my mental health team.

I know you do not like your pdoc, especially since she was rude to you before for griping about being forced to schedule you during a lunch break. I do not like mine either (he is an ignoramus, to be blunt). However, if your pdoc is all you have for getting med adjustments, you unfortunately have to work with them until you can find a new one (if that is even an option for you, as I do not know your financial or insurance situation).

I know you do not like IP, so I think it is perfectly okay to tell that to your pdoc. Literally say that IP did NOT help you, and see what she says. Make sure to explain how you felt going in vs coming out. You may be surprised with what options she comes up with if she realizes that IP is not helping you.