I wonder if the internal dialogue is an intermediate step, a stepping stone.
You're experiencing some success in processing new ideas and expression with your therapist. It seems natural to practice those skills in a sort of internal dialogue even when she's not there, because that's how you're learning right now.
Eventually, strengthening your awareness of your own inner process could lead you to figure it out on your own in a way that feels more natural to you.
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Since you cannot do good to all, you are to pay special attention to those who, by accidents of time, or place, or circumstance, are brought into closer connection with you. (St. Augustine)
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