I've written letters and brought them in to read aloud to T.

Usually they're about apologizing to her, or about telling her how something she said in a previous (or further back) session has hurt me deeply. I usually do that when I feel like I want to leave her because I feel really hurt.

To her credit, she has always owned up non defensively (even if she told me she felt wronged and that she hadn't intended to hurt me) if her words had hurt and we explored the issues.

Your T...I don't know if she can be non defensive and accepting

I also journal to T, a bit like Elio does, though I give them at the end of the session to read at her own pace.