If you go to a mechanic, you tell the truth about what’s wrong with your car. When you go to the dentist, you’re clear about which tooth hurts.

But truth can be tougher with a therapist, notes psychologist John M. Grohol, in an essay on the PsychCentral Web site. Unlike aches and pains, the information you deliver to a therapist often involves your innermost thoughts and feelings or behavior you may not be proud of. Just as patients sometimes find it tough to disclose embarrassing personal health issues to a physician, patients also worry about confiding with their therapists, he notes.

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