Hi,
Isolation is difficult I know. For me it seems that I have been isolated for so long that I have lost many of my social abilitys. I can understand not wanting to develop phobias and the need to tell your Therapist this when you go.
I myself keep a journal on the computer, and log my daily feelings and things that distress me each day.
I have found that when going to see the Therapist, In your case only getting to see your T every 3 months to take a list of issues that you feel are important over the time inbetween visits. Writing a list of concerns is a good way to 'remember' what you want to tell him/her. I was having trouble with having alot wanting to tell my Pdoc, only after the session realizing I had forgot to to talk about the most important one, and having to wait another month to bring it up. Now I have my list and can just hand it to him if I don't feel like talking about it.
Take care--
Best Wishes-
~KRIS~
If you think you have totally gave up, you haven't, because you are here!
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If you think you have totally givin' up- you haven't, because you are here! 
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