Worst that could happen? I shut down like I did last week and end up spending most of the appointment silent again, thereby wasting my time and delaying talking about things even more. I can't control whether that happens, either, because I get paralyzed and I can't force myself to speak even if I try. It's like my throat and voice stop working and I feel all alone in how I'm feeling. I end up having thoughts flying through my head and I can't tell her that I am in distress. We have talked about maybe creating a body signal for me (like raising my hand or something) to indicate when it's happening, but I don't know that I can move, either. I end up feeling like I need to sit perfectly still, not move, not say a word, don't draw attention to myself, don't say or do anything.