To me she feels a bit uncomfortable in herself and a bit out of her depth doing psycho-dynamic therapy. You mentioned that she was really good with the anxiety disorder stuff in the first couple of years. But she seems to run a bit hot and cold in the relationship department. Maybe her strengths simply lie in more directive therapy modalities.

But she also seems very much embedded in a clinical psych orientation: viewing emotions expressed through behaviors as "normal" or "not normal" through the lens of "illness." It can go hand in hand with a belief that by changing the behaviors, the emotions will follow.

I prefer an orientation more embedded in a counseling psych orientation which views emotions and behaviors as reflective of developmental issues; and that any resulting illness--like depression, etc--derives from developmental gaps (which can also include a biological component.). So whatever led to the gap--unmet needs, etc--is normalized and remedied rather than pathologized.

This isn't to say that all Ts with a clinical psych or counseling psych background conduct therapy in only particular ways, but they are philosophical orientations that infuse their practices.