@Bow ach, that is frustrating. When do you see pdoc next, could you ask for another word to be put in, really highlight how much you're in need of some extra support?
Fibbing as part of survival does not diminish the integrity of honesty you carry in your life otherwise. I agree - it does suck. It sucks to feel the need to lie and it sucks to not have control and agency over yourself. I wish I could change things; I think we all do. You have made it through all the previous times you've been in this place, and I believe you will do so again hun. I'm rootin' for ya!
That sucks about your psych, it really does make a huge difference ay, having someone with whom we're comfortable. You could always name it - let her know you're not feeling that sense of safety and connection, and that you don't think it's necessarily helpful long-term for you to just be focusing on spot-fires (maybe shift the spot-fire-dousing to a diff support person?). And if you feel hesitant to be blunt like that, or worried about her feelings, well, I think a psych is actually someone we can be completely blunt with, because it's not an equally reciprocal relationship to begin with! We're literally paying them (or the govt is) to support our healing, and we ought to be able to be very open about what's not working. At least then you're on the same page, and things will shift. Also, putting on my therapist hat for a moment - we're not mind-readers, and if our clients don't tell us something needs to change, it probably won't. Very short tale example - I had a client once, we did 12 sessions then had a review at the end, and in the review she told me she wasn't too happy about the therapeutic process and wished we'd done a few things differently. All I could think was, 'where was this info in session 3? Or 7? Or even 11? Ach... I digress. Sorry about the wall of text.
Maybe write stuff down anyway? I know it's a much easier way for you to communicate. And if she's hesitant to read it, you're allowed to say 'This is a preferred form of communication for me. I'd really like you to take the time to read this so that I am able to be honest with you. It would mean a lot to me if you could do this more often.' Or something.