Dear Dr. S, that was one weird session. I don't know what to think about forgetting our end of session routine. We've only been doing it forever it seems. I don't feel like the person that has that routine. I was really confused when you first did your part of the routine, unsure what you were talking about. Then it was ah yeah, that's right we do this thing. BTW that was pretty sneaky how you slipped that question in. I guess we should talk about it some.

I kind of feel like I should email you about the routine thing. I don't have anything to say about it. It's hard to care about things when you feel like .."as if I matter" Just tired.

I also feel dangerously close to a binge - the pressure is getting really too much.

Maybe we should see each other in person sooner than planned.

-me