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  1. My community college offers personal counseling (including substance abuse counseling) and today I scheduled my first apointment for tomorrow morning. I have struggled with substance abuse for quite some time (I am turning 21 next month). I've never been to counseling (outside of seeing my psychiatrist for 5 minute meetings every 4-6 months) so I don't really know what to expect. Hoping to get some idea from people here who have done counseling before. I also have a couple questions about couseling. Basically any advice or tips at all is very appreciated. 1.) Can a counselor contact my psychiatrist and tell her that I abuse my medicine? 2.) How reserved or open should I be for my first session? Is it safe to just come clean about ALL drug misuse experiece? Even about other pill abuse? Or even illegal substances like cocaine which I did a bit too... Getting drug abuse couseling is obviously very new for me and I just want to kinda prepare myself as well as I can. I don't wanna say too much not knowing the next day my doc will stop my meds, put me in rehab, maybe even tell my parents since I am on their health insurace.. Thanks everyone