I am not seeing anyone for these feelings, and I am not taking any medications.

How should I go about communicating with her about this? How do I broach the topic? The classic "We need to talk."?

I've been in and out of counseling of some form or another since I was 10, but it has never stuck, and I've never felt comfortable sharing anything with any of them. I think I might be able to be more open now, but I'm not sure about how to go about actually getting help because it has always been either mandated or completely avoided in the other situations.