Trust gets so much stronger when I tell the person I'm having trust issues with about my concerns. I've really felt my relationship with my therapist and others deepen as I do the scary work of telling them I'm bothered by such changes or that I wonder if the way they see me has changed.

I hope you will mention what you wrote here to your therapist. You deserve a consistent experience and if there is indeed a reason she's chosen to change her process with you, it's important and only fair for you to understand why.

Good luck! While the possibility that she's drawing away from you for some unknown reason related to how she sees you might be true, it seems more than likely to me there are other reasons that you'll be relieved to hear, or that there may be some room for compromise/improved understanding to make things easier going forward.