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T always asks how I am and I always say ok. She then says, ok? What does that mean? She will never just let me say I am alright without getting details. Perhaps you can say to your t that when you say you are fine, sometimes you are not and that it's really bloody difficult to say that you are not fine and could she check with you, what kind if find you are meaning at any given time?
I think writing a letter is a great way of communicating or using visualisation. I have a client who uses a vase to describe herself. I ask her every week is there any cracks in the vase and we go from there. Perhaps something like this might help?

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