Very gently. One issue at a time. Perhaps you could write down a list of issues that are painful, then share them with your psychologist on paper. You can tell her when you are ready to tackle them when you are feeling strong. I always felt like a deer in headlights when my psychologist ask me sensitive questions. I would freeze up and the rest of the session was lost. If you know she knows your "secrets", you have given her an okay to bring them up so they are not sprung on you out of the blue.