By all means speak openly with your health-care providers.  Your psychiatrist has no way of knowing what is really going on unless you tell him/her.  Bipolar can be an extremely difficult illness to live with; And it is life-long.  The correct diagnosis and medication is essential for you to feel better and make the most of your life.  I am bipolar and a psychologist and I believed for WAY too long that my manic episodes were just the "REAL" me (i.e. superhuman).  However, I have almost literally died due to overdoses and am currently on disability due to bipolar illness.  One thing is for certain, I am neither ashamed or carry feelings of guilt about my illness; I am proud that I do the best I can and try very hard to help others.  Best to you.