When I was in therapy in college I couldn't talk to my therapist much at all. I wrote everything into a 5 or 7 page document each week and he read it to himself and we talked about it. It wasn't traditional but it worked for me.

Now I talk in therapy and can usually tell my therapist everything (after 10 years together). But when there is something I can't say I go back to writing. Last year I had to confront him about something he was doing and I was terrified but the letter format worked for us.

When I was very, very, very sick this fall and couldn't communicate in any way he had me draw pictures and that was very helpful. I was so hopeless and suicidal and drawing got those feelings out and helped him know what I really felt instead of guessing.