Done a lot of work this weekend with our system on how we can change and support each other. 2 selves who were already considering changing their names are going to take the plunge and update their own characteristics to reflect their growth - all to support 10, the one who is in the thick of things. All three are choosing book characters they like and found pics online to make a poster that we'll put in our journal and look at to help remind us.

I did as mom while at her house today to surprise me with the arm in face/ bite test; we passed I was super confused and thought I was going to get hit - my startle reflex was large, but there was no thought or urge to bite. YAY!!!!
This is good forward movement. I texted all this to pnurse who also agreed this is good work!, tho she didn't indicate anything about my work situation. Tonight I asked for more clarification (all this via text) about it, but have not heard back.
Just to be safe, tomorrow I will claim neck and back pain (and did see a neurologist and have an upper spine MRI) as my need to sit across the table from the child (I am in PT anyway, and can obtain a dr's note if need be, tho I don't see why I would need one). I will also take a PRN for anxiety before my session - take all precautions, in case the child comes to me.
In being very pro-active about this, I think I can meet all the chances of the unknowns.... and before bed tonight, again go over with my system our new people and new roles, do's, don'ts, and that assertive, healthy young women use words to get needs met.