You might want to write down what you want to say, and bring it with you. I do this, because I have a really hard time saying things sometimes... I think I'm going to, I want to, I'm ready to... and I wimp out. I just get pulled under with the anxiety and the distraction of whatever else is going on in the conversation. So, I'd bring something written down. Then, you can always try to ask verbally if you're feeling brave, and if that fails, hand her the paper. (I find handing over a piece of paper to take less courage then getting through all the words!) Just an idea.

If she's actually tired of having you as a client, then she needs to own that. It would probably be more complex than that though, because I don't know that Ts just "get tired" of clients. It might be that she honestly feels like she's run out of things to try, she feels like she's tried everything and has no more ideas and that she thinks you might need another approach (that she can't provide). That wouldn't be the same as being tired of you... that would be caring about you actually getting help, and being willing to refer you on if needed, even if she really enjoys working with you.

But, you can't really know if you don't ask. And, if you've ready any of the other threads around her, you'll quickly see that we ALL end up misinterpreting things our Ts say from time to time. Sometimes they just screw up and say things badly, sometimes we're stressed/emotional and don't hear clearly, sometimes things just don't connect.... the only way to know is to talk to her and find out what's really going on.

Good luck! When is your next session?

PS: Is 4 years a long time to have a client? I don't know, I guess it depends on your issues. I don't think it's unusually long, I've known people who have seen the same therapist for 10+ years. Depends on what you need, and how you're doing.