i'd go in and present it to him/her. this is my history. these are the meds i am on. this is what works for me, etc. if you already have a pdoc who prescribes your meds and a therapist, just say that. i find it most helpful to let doctors know how they can best help me and what my expectations are right up front. my previous GP did this for me and it was very helpful, etc.
The more straightforward the better and people often take a cue from how you act about it. if you act like it is something to be ashamed of, then you are likely to get that response.
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