It depends on the therapist I would ask to clarify their confidentiality policy. When I disclosed to my therapist I was scared of myself I had gone to far and for strange reasons. She spent the session guessing what was wrong. I couldn't talk I just shook my head no to each thing she guessed. Eventually I got the courage just to show her. I didn't talk the rest of the session except to say it was my medicine. Two days later I took myself off that medication.