When I still saw my t in person, if there was something I knew I'd have trouble speaking, I'd type it up beforehand and hand her the paper. That happened a lot actually. I still do it now that we just do phone sessions, I email her stuff all the time that I want to talk about but know I'll stammer and hem and haw and say wrong. It saves a LOT of time to just give it to her and then I try to read it, if I still can't do that, then she has it anyway.
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