NT, could you try putting either a white noise machine or just a fan turned on outside the door of the room you're sitting in? Or even within the room? That's what I did for my last session when H and D were home and possibly in the floor just below me. H said he couldn't hear anything I was saying (and I believe him, as I think he'd comment on something). Another thought is, if you want to share something with T and not say it out loud, maybe type it on the phone and show it to her? Or, if you're using Zoom, there's also a chat option where you can type something. Just some thoughts. I agree that it's difficult to do from home, and I was distracted by my D screaming downstairs the other day. I hope your sessions go well...