When I am scared to talk with T, I usually write a few things down on paper. In session, if I just can't make myself say it, I usually say something like..."There is something I would like to talk about but I'm afraid." I refer back to my notes, letter, journal entry or whatever I wrote and read to T. Usually, just a few words help T put the pieces together enough to help. Do you think you could write a few things down and if you find yourself unable to speak, read it to T?