I choose to believe that I have such clarity about my own mental processes because my doctors tell me how impressed they are when I come to them seeming to already know what I'm experiencing. I don't know why this is, but my lazy hypothesis is chalking it up to me being smart (people I know tell me this more than I would expect), and that I've become more self-reflective after having attended a CFAR workshop.

Yeah. wide-open to confirmation bias - I would be unsurprised if you were refraining from mentioning some things that are problems but you don't have answers for.

Suggestion: talk to a friend who knows you really well, get them to write down some things that are observable life problems (symptoms, not diagnoses) and make sure you bring these up properly during the appointment.