When I find myself really troubled by something that I feel I can't talk about in session or when I really want to get all of my thoughts out on something I always write a letter to my T. If it involves him and I feel it will catch him off guard I will email it to him a day ahead of time with a warning of why I am sending it early. If not (which is usually the case) I will hand it to him at the beginning of session. He will read it and duscuss everything with me making a point of answering any questions I have put in the letter. Those are usually my best sessions because I know he is hearing my entire issue and I hardly have to say a thing that day. I feel extremely understood and learn a lot from his responses. T also says he appreciates when I write these letters.