You don't actually have to say anything. The therapist is expert in asking questions. There is no burden on you to self-diagnose. You can even truly leap the c

You don't actually have to say anything. The therapist is expert in asking questions. There is no burden on you to self-diagnose. You can even truly leap the conversation forward with something as simple as what you wrote in your message: "I have issues I'm struggle to fix myself" That is as good a place to start as any, but there is no expectation for you to come to the meeting ready to say that. And you will lose nothing by not saying it. My advice, after long experience, is simply to go in the moment and see what becomes of it. The prize of health is worth it.