One of my therapists and I talked openly about it. She asked if I was comfortable with it and said we could talk about pretty much anything. After that I would normally send her an email first saying I wanted to discuss stuff. My last one wouldn't even say the word sex. She called it "intimate contact." So I figured she wasn't comfortable with the subject. My current one is an open book but I've only met with her 3 or 4 times. She does know I like women but thats about all I've told her so far and she hasn't been pushy about the subject like some other therapists I've had.