I had a big realization yesterday. After we have an appointment were I felt like we went really deep and I revealed something from the past that makes me feel ashamed and I freeze, that is when I really struggle after the fact. I worry about what you really think and feel. If I reach out to you for help then I worry about inconveniencing or annoying you. If I dont contact you my fears and feeling of shame continue. I also start to question my self worth. I start to feel like I have accomplished nothing in my career. The phone contact with you is usually quite helpful. It isnt until the next appointment that I really know everything is okay.