Thanks again everyone. Yesterday I mainly discussed this topic with my T. He is really encouraging me to do two things, take a psychological evaluation test and see the MD, both of which I agree with.
We also discussed the origins of this fear/paranoia - telling him what I said here, that it is very deeply rooted, his comment was again that it relates back to the household environment - a big quagmire of multiple serious issues.
"Living a lie" or "living in the closet" or whatever you want to call it - keeping secrets - it is very draining in itself.