for the "big" issues that i avoid, the only way of confronting them (for me) so far has to been to schedule an appt specifically to talk about it. e.g., on monday pdoc & i will decide that on wednesday deli will finally talk about x. we spend the rest of monday's session deciding whether now really is a good time to talk about it (maybe in a month? will it overwhelm me when i'm juggling assessments? or is it too pressing for us to ignore?) and how to cope after talking about it, and also him reassuring me that it's ok and he will still be the same pdoc etc.

we usually schedule the second appt close by otherwise i fret too much. it's the only way that's worked for me so far.

i have one of "those" appts coming up with austin-t. sitting with fear and dread.