I've had meltdowns enough at work lately that the higher ups (specifically, my immediate boss, who is wonderful) have learned that if you don't tell me things in a certain way (my performance is off, etc) I will get excessively upset. Part of this comes from my being a bit of a perfectionist, so I have a tendency to magify even the slightest criticism, even if it's someone asking me a question.

Yeanh, the therapy hasn't worked so well. I'm trying to find a different therapist.