I usually don't because I tend to be kind of solution-driven when I'm working with my therapist. Probably comes from the fact that I'm trying to get into the field myself, have studied therapeutic practices for years now, and focus on saying what would benefit me the most while I'm in a session.
But yesterday, after nearly two months of near-crippling depression, and on a cloudy, rainy morning, I couldn't do anything but bawl my eyes out the whole time. And you know what? It wasn't bad! I feel like I opened up to the real me, not the clinical me, and my therapist really got to see that for the first time. As far as how she handled it, she was perfect and now I have a million new things to think about and research based on her recommendations. One of the reasons I chose her as my therapist is because she's a gender therapist, but also deeply involved in spiritual studies, something in which I have a profound interest and wanted to explore in therapy.