Let me preface this by saying that I am only speaking for myself, whoever's reading this shouldn't let this post deter them from being honest with their therapist
I made the mistake of going into my EAP sessions saying I was feeling suicidal and now we're going through the "you need medication"/"This medication might as well be a multi-vitamin"/"you need different meds"/"These new meds might as well be a multi-vitamin"/etc etc
The real problem I'm having is that my various life situations have created I feel to be immovable barriers that can only be overcome if I'm an entirely different person, and since I can't do that I'd rather not exist. I want to talk about that but it feels like whichever mental health professional I'm dealing with looks at me and says "Oh this is suicidal person #16156, give him these meds and send them on their way. I understand that mental health professionals are Mandatory Reporters and have to do all that, but I'm also starting to realize that the only I'll get anything of value out of these people is if I create some kind of therapysona and steer them towards something that would actually help me instead of just being honest.