Yes, I talk to my T about my ideations. She is really great about it, doesn't freak out or act too mothery or overly smushy about it either. She takes it very seriously and has even shown up at my house once out of concern, but she is great at parsing out what are just thoughts and more active ideation. We've talked very plainly about certain methods and how it would affect her and my family/friends. When she showed up at my house, I told her I was sorry I ruined her day. She goes, "If you had died, it would have ruined my year." Hearing that really affected me. She cares? It is a weird concept for me.