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Do you make these things up because you feel that your true problems/issues are too 'trivial?' Are you afraid your therapist won't be interested in or willing to help you with them? Do you think they wouldn't be sympathetic if they knew the 'real you?'
I don't know that you need to admit to the making things up right away, but I think a good place to start, if the above is true, is to discuss it (the Why's behind it). I think most therapists would be happy to have this conversation and your T may be able to help you a great deal with the core issues behind what is going on.
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