I had to go through similar situation last year. I OD'ed thnight before appt with T, went to work the next day and to T in the evening. I looked terrible, it was so obvious something happened. We talked about, she didn't freak out and even wasn't dissapointed, we just had a bussines like converstion about how, what and why, all in a vert calm and warm tone. I was still a little too suicidal to talk about why's so we talked about what to do to avoid this this happening again the next day. It wasn't scary at all, the scariest part was saying what I did.