I've been pretty open lately with my T and marriage counselor (and new-ish p-doc) during times when I'm especially a mess. I think I came to realize that if I wasn't open in the one place that is completely safe to share my messiness, then I wasn't helping myself. I'd walk away from a session annoyed with myself because I didn't talk about what was really wrong. Though often it's too hard for me to say it in person at first, so I'll send an e-mail to get those thoughts out. Is that an option for you?