I don't think so because this was basically how I was when I first started seeing her. The first month or so it took longer to get the fear under control at the beginning of each appointment. I literally cannot hear over the pounding in my ears and have motion for her to just wait until it goes down. I usually threw up right before the appointment. The dread parts can happen in other parts of life, but the urge to si after an appointment is pretty specific to therapy for me.