You should be honest with your psychiatrist, otherwise there is no point. She is the one who is supposed to be professional, not you. You're the patient, you get to say whatever you want. I'm for telling her how you feel about the situation. If she's really a good psychiatrist, she will use this to help you. From what I understand of psychiatry, you need to be able to have an honest open relationship with her for anything to be accomplished at all.
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We must conquer ourselves, and allow our selves to conquer the world.
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