Well, I would go, maybe with a bandaid on, and just say I got a big spot on my face and I don't know why. I feel like being honest helps me in therapy, and my therapist is so super-kind and non-shaming that it makes me feel better when I share troubling things with him.

Do you think there's any way you could just try telling her what's up? Maybe think of it as like trying it as an experiment and see how it goes?