I think that if you have a psychologist already who you like being truthful with her is not going to do you any harm. It is often repeated but how can someone help you if they dont know the full story?
Meds dont have to be an option and depending on your location and age may not be given. If your psychologist doesnt know what is going on she may be barking up the tree and she might be able to change the session structure to help your feelings etc.
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