I usually omit things to not disclose how bad things are like SH or what extent is my SI at. I will say I SH, but not how badly or say I tried a coping skill like journaling or coloring beforehand when I didn't. Most of it's because I'm ashamed I didn't try harder not to give in and also I worry about involuntarily admitted if I disclose the entire truth of what's on my mind and my T will refuse to continue to work with me.