For years I used to write things down and bring them in to therapy to read. I sometimes brought in my journals too. Now that we have email, I use it all the time to tell my T things I can't yet say. I've become more open in my sessions and end up saying what I've written, but it's easier when I've emailed first so she knows what I want to say. I write more coherently than I speak so it's clearer and I don't stumble over my words. But, my T does not want me to read to her, and doesn't like when I do it! She believes in the here and now: how am I feeling at the moment in the session, not when I was emailing her. Still, emailing her a few times/week and not worrying about getting a response (because she doesn't answer my emails) gets it out and makes me feel better!