I wrote letters to my T weekly for the first few sessions. It really helps. My T greatly appreciated it because it let her know how I was feeling, and how I dealt with things. How my mind worked a bit more. I still write, but now I do small summaries in a journal instead of 3 page letters. It's great help. I specifically requested her to not read mine out loud though. I knew what I wrote. I didn't want to hear it.