I see a psychiatrist and a therapist, and I'm completely honest. I'm also a psychotherapist myself.

I promise that at least in the US, unless you present risk of harm to yourself or others, doctor-patient confidentiality bars them from telling anyone anything. Even in the case of you being a risk of harm, the people they'd tell would be police or medical professionals, not anyone you know.

Also, by "risk of harm," I generally don't mean self-injury, having an eating disorder & admitting you haven't been eating, or anything like that; that's why psychiatrists are there, to help you work through those things. I mean a serious threat to the lives and safety of yourself or others (or if you're abusing children, the disabled, or the elderly). Even if you say you feel suicidal, unless the psychiatrist feels strongly that you'll act on this as soon as you are away from others, s/he will try treatment interventions (such as meds, or adding a therapist or other specialist in addition to psychiatry) before moving on to anything else. Does that make sense?

Breathe, and be honest. You cannot be fully helped with what you need unless you're willing to be fully honest with the doctor.

Psychiatrist visit