I texted him after I posted this and he was fine it. This is the first time I've ever asked him to bring something up as for the past year I have taken the responsibility of asking him for what I want/need to talk about.

We've talked about my sex work beforehand and there isn't a power imbalance then as I know we are both in control of the situation. I can see why others may misinterpret it though.

I know that I can't leave these bad feelings to build up in me as I'd probably end up self harming as that's how destructive they make me feel. I'd rather ask for my therapists help in addressing the feelings rather then wait until I reach breaking point. I know it's going to be a hard subject to discuss but in the long term it'll be worth it.

Thanks for all your responses!