I use that expression with my therapist a lot... "You need to meet me where I'm at."

Meaning, don't talk to me about going out, meeting new people and taking up new hobbies when I'm barely functional. Talk to me about learning coping mechanisms, encouraging me to keep coming to therapy, etc. Little steps, T!

To interpret it in a worst-case contextfrom the T's perspective, you're not at the level you should be, so she's trying to lower the bar...