I've tried writing letters and such to former T's, but never really got the reaction I was hoping for. With my current T, that I absolutely love, she gave me a homework assignment and told me to only do it if it helped, otherwise, don't worry about it. Well, I used it on some really hard issues for me, which I've never been able to bring up in therapy before. The act of writing it down before hand, not necessarily even with talking about it with her in mind, and then reading it to her, was really soothing. I also liked that it was sort of a guided writing exercise to give me some sort of focus so I didn't just wander all over the place and bring up too many issues at once. I know this experience is a little different than what most others were talking about, but if you're having trouble finding the words on paper, as well as in session, you could ask T for some sort of writing prompt. My exercise was to take an upsetting experience, write down the negative thoughts, and then write down some positive counter-thoughts. I found it really helpful. I feel closer to T and safe, and like I am getting better.. I will get better...