If I was having a really hard time opening up and had the option to email it, I would absolutely do so! It only takes a second for you to feel courageous enough to hit the send button, and it doesn't have to happen at a certain time and with the T staring at you. Sometimes, just knowing that they already know and you can't take it back is enough to help with being able to speak about it.

My T doesn't like emails as it is not secure, but I did once email to say that I had something I really felt like I needed to talk about, but was really scared to do so, and that I had written it in my notebook, to please ask me about it and encourage me to say it because I was afraid I would chicken out and not speak about it. That worked out really well for me, as we were able to talk about why I was finding it hard to talk about it, and why I felt it was so important to talk about it at that time, when the challenge of just saying it made it seem like I wasn't ready yet. Sometimes talking around the topic without saying what it is, helps, and gets things moving. For me, that led into the topic. It's a tough one, and we haven't addessed it directly since, but I no longer feel like it is an elephant in the room that I am avoiding.