I often am unable to be completely open and honest with the docs. So far the only thing I've been able to do is, tell them - "I can not / will not discuss this, that, whatever, with you at this time, I will not be honest with you if I try." That at least lets them know I'm having a problem, and one I can't deal with at that time. I leave it up to THEM to figure out how to get me to a place where I CAN talk to them about it.