Be sure to mention all your symptoms to the nurse, not just the hypersexuality. You should write out a list of all your symptoms and include them such as the hypersexuality, insomnia, pressured speech, etc. and have the list ready to read to the nurse. It's easy to forget to mention things during a conversation especially when you have hypomania. Frankly, I wouldn't worry about your hormones until you get the hypomania under control. The hypersexuality is a classic symptom of bipolar mania; I'm sure you realize that. Your therapist is an idiot. If she can't recognize hypomania when she sees it, really I'd look into finding a different T.