Drs/medical professionals have seen it allll u donโt need to try present a certain image of yourself to avoid judgement. They also donโt have moral superiority over you so if they do judge you, so what, itโs no different to some random doing the same. (Also there are plenty who will be more understanding so if itโs poss u could try find another if u donโt feel respected)
Also this extends to not avoiding appointments because you havenโt listened to their instructions (eg do sleep hygiene, flossing, exercises). They need to know!
You two should be a team with the same goal, so if you have different priorities re your health, or if there are barriers to improving your health, itโs important and valuable to talk it through together.