Of course if we don't clearly tell our therapist what the problem is, therapy will be of no use. Knowing I would be too shame-faced to open my mouth to tell the therapist exactly what I needed to tell him so he could help me, I'd decided to type it all up, print it off, and give him the sheet to read at the beginning of our first session. Though it helped, I found that I was still sensoring myself from saying other things he would need to know to help me, especially since the details of my addiction ran a high risk of contracting an STD (a compulsive fetish of having unprotected sex with menstruating prostitutes). Leaving out this crucial detail led to him focusing on the root psychological causes of the addiction rather than first looking at immediate physical solutions to controlling the behaviour to protect against STD's before moving on to looking at the deeper causes of the behaviour. Honestly, had he asked about any concerns over physical risks involved I would likely have mentioned STD's though I likely would still not have been able to tell him how risky outside of answering in a yes/no answer. This naturally caused me to turn to my own solutions with mixed results. A therapist could have advized on how best to approach a chastity-Keyholder relationship in the absence of a spouce or even offer to become the Keyholder himself; or educate me on better alternatives. For example, if he thought libido-suppressant medication would be preferable to such a relationship, to reassure me concerning any side effects, etc.

In the end though, we can't expect therapists to read our minds. What strategies have you used to help you to open up with your therapist?