I know this insurance debacle isn't your fault and you've been really really good about trying to get it sorted out and checking in with me, but hoo boy is this bringing back my abandonment issues and feelings from when you terminated before I started the IOP.
And I never know how to respond when you ask me how I'm doing/if I'm ok in that concerned voice, because it's not a session and those boundaries are important for me, but I also made a commitment not to lie to you.
What am I supposed to say? "Actually it feels like I'm backsliding and undoing some of the progress and I'm having really strong urges that I might end up giving in to." There'd be no good way for you to respond to that.