The first person I told was my teacher (before I started seeing a psychiatrist), and I was really freaking out about it, and thinking he woul think I was messed up, and he told me that he knew how I was feeling, since he'd used to do it himself- it helped me so much, as it made me feel that I wasn't alone- and it helped me to open up more to him.
So I'd say, if the patient is in a bad way, and you think it would help them to tell them, and as long as the attention stays focused on them, then it would be a good thing
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