How do you open up to your therapist while you have trust issues?

That's not your problem. Rapport building is the job of the therapist

By realizing you are only hurting yourself by not telling them what is bothering you.

I have trust issues too. My first therapist I couldn’t open up to. I felt like she wanted to hear the gossip about my life and that she didn’t genuinely care for me. However, I tried another therapist and I didn’t open up about anything important at first, but after a few sessions I ended up trusting her enough to tell her a painful memory. You need to listen to your instincts. Us people with trust issues are hyper vigilant with who we trust and I think it makes us better judges of people. Maybe you don’t open up because you’re instincts are telling you not to... just wait until you feel ready

Just spill the beans baby: I cannot stop the bleeding if I cannot find the wound.

Just be honest and tell your therapist you have trust issues so you may keep some details to yourself. A good therapist will understand this and work with your issues without having to know every detail.

I dont. They write your business down and go on home forgetting who the hell you are.

You don't