Every Psychiatrist that I've been open and honest with has been great. They aren't mind readers and if you omit things, they can't help you very well. When I've been less than forthcoming, they didn't have much time for me.

If your car had problems and you brought it to a mechanic and just said fix it, where would he begin? You have to let them know what isn't right. You wouldn't just want them randomly changing parts.