So, I've been thinking a lot lately on how to come clean with the family. I've got so much on my mind it's all going to pop and better I come to them then them finding out on their own. I just don't know how to initiate this.

Obviously I'm afraid (EXTREMELY afraid) of what they're going to say to me. I'm probably going to black out, like I did the first time. This time there's really no going back, or lying just till things blow over, this time it's pretty much the last resort. I'm afraid they're going to hate me, resent me, regret me...kick me out of the house or anything along that line. I'm sure there'd be some crying and yelling, screaming...all that good stuff. They're pretty religious-like so I'm sure I'll get stuck going to church for the rest of my life, unless of course they kick me out.

Here's a short list of topics that I've held a secret from my family and friends for 21 years...basically my whole life:
Depression
Sexuality
Drug Use
Self-Mutilation
Compulsive Lying
Anger and Rage

Soooo with that bright and shining list, how do I approach them and tell them I need to get therapy? I've already had therapy after the first incident, but I lied about everything just so it would blow over. It changed their whole outlook about me. It was pretty much the worst year of my life (totally attempted suicide that year)....Not quite sure what to do this time...

Any suggestions? Any personal experiences?