Help me break the news?

Just go to the doctor and see what they say so you can better describe it to her. Also they have good ways they can tell you on how to break the ice on stuff.
 
Just tell her the truth. Come clean with her. If anything she will be proud of you that you told her and will respect you for having the courage. Trust me, I had to tell my mom i used to smoke and take pills and she respected me for being honest with her. Just admit it to her. I know you can do it.
 
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