Well often with my therapists I would e-mail. My voice movement therapist was big on getting me to talk rather than e-mail. So whenever I e-mailed something that was on my mind we always had to talk about it at the next session. It was a good way to bring my writing and voice together.
Also she's big on making "random sounds" to express your feelings. Weird I know, but part of the work she does. She's different that way. Often when I was having a hard time I'd just sit with her and cry and neither of us would say anything. Good luck with this. I know it's hard.