Therapy, whether it is cognitive-behavior therapy, marriage counseling, couples therapy, or infidelity therapy, is meant to provide you with a safe environment for speaking. In most cases, you should feel compelled to be honest with your therapist and tell them things you can’t say to anyone else. Not only is your therapist bound by HIPAA laws, which protect your privacy, they will also need written consent to give anyone else access to your information.
The only time the confidentiality laws go out the window is when you are considering harming yourself or someone else.
You should tell your therapist about what you are feeling, even when difficult topics come up. Limiting what you say can detract from the session. So yes, it is best to tell your therapist everything you can—but only if you feel safe. There should never be a time you feel coerced to talk about something.
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