open-ness anxiety

With the climate of fear and suspicion that so often surrounds letting other people know that you are a nudist, it can be particularly accute for people in certain fields of life/work. Especially for those of us who work in a healthcare role where any hint of suspicion can have a real and significant impact on our work. What tips or strategies have you used to try to mitigate this? Have you experienced negative consequences for being honest or found that the fears were unfounded?