Pachy, yes I can see this. I am glad to hear her say it. It's my expectation that she is sturdy enough to hear anything, and that includes thoughts about her. I didn't mention this, because I was already feeling like I was hemorhaging words...lol.. but she also helps me realize that I am talking about therapy, when I am talking about her--my worries, fears, expectations, hopes.. So she helps me see how my thoughts about her are thoughts about therapy itself.
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does it mean that the words are not even available in their minds so they can say them?
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Well, it can be both. It can mean a fear of speaking the words and/or exactly as you describe it, and how I describe it to T: There are no Words!!