Are you diagnosed schizoeffective hoping? I can see keeping secrets in your situation as you are protecting yourself to allow yourself to do certain things and live a fuller life. In my situation it's a bit different I feel. But I think the core of what you are saying indicates I have good reason to be concerned and I appreciate your honesty. I'm taking the medications and they do know about what I feel is important for them to know. My delusions were rather specific, telling me why people do what they do to me and telling me what will happen if I tell anyone other than my hubby so I think I will trust my gut. My husband says it's all delusions and while some of it undoubtedly has to be and I'm clear enough to see that, some of it is undeniably real. There is just this part of me that wants to share it....to get it all out and hear I'm not alone in having these experiences....but the consequences are too dire. Best to be silent.