I agree with MK, you should be able to at least discuss these things. Maybe you could preface it with your fear about how much you are able to say without T reporting you. Last session with my T I said I was going to k*** myself at least 3 times, and I thought I'd better outright ask him if he wanted to or would report me. I got out of that session feeling relieved of that fear.

It's a rock and a hard place, isn't it? I firmly believe meds can help -- they have provided a boost for me in the past that I needed in order to get past just surviving and on to living. But I have also OD'd and continue to be tempted to do so.