I don't hold anything back from my T. There's no point to. If I can't be honest and she can't fully accept me, then she's not the T for me. I do sometimes worry when I ask for help that she'll see me as being manipulative (especially recently with our spacing out sessions). I just tell her my fears or worries. I brought it up this last session, and she reassured me that she never has thought I've been manipulative. She sees me as an honest person. So I know it's safe to be needy and she won't judge me for it.