Thanks, @MoonGal - that's a good way to frame it. 'I live with XYZ and am struggling with ABC.'

I've found that in the past, when I've tried to do stuff like that, to lay out how I want things to be, that the psych will try and 'make me feel more comfortable with feeling vulnerable'... and I'm like... 'I already have so much practice with this you have no idea. can we please get on to the stuff that will actually make me feel like I have some kind of control over my life?'. This occurred most spectacularly with the recent psych, but has happened in the past too.