Hi, if you feel a letter would help you should go ahead and hand it to her. I would also say that it's natural not to be able to open up to your therapist initially. I would suggest that you don't give up yet...and try to communicate with her. And like the others have said, don't beat yourself up for it...you'll get the opposite effect by being harsh on yourself. Having said that, there are times when you don't necessarily establish a connection with your therapist. Once you think you have tried all you can think of to communicate and if it still doesn't work, you should look for other therapists with whom it might work better. I say this from my own experience, I interacted with 3 different therapists before I found a therapist with whom it was very helpful for me. I have been seeing the same therapist now for 3 years. Hope this helps.