I agree with Lydia, pfm.

I wish that I could answer your question as to whether or not it really is a necessity for you to talk out these issues regularly, to avoid further complications. An educated guess (on my part) would be that it is a necessity. Maybe taking off a few weeks or so wouldn't hurt your mental health.... But, if we're talking an indefinite amount of time, that just CAN'T be good, imho.

Hopefully, your T will gain better control of his BP soon and will remain a dependable source of support and understanding in your world. Wishing you the very best!