Going forward, would it not be possible to have video sessions instead of phone sessions?

It might make it easier to 'see' one another as you discuss this topic that is close to your heart. Phone feels quite clinical and what with the lack of visual cues highly prone to misunderstandings (or misinterpretation).

I also doubt a T would see a client for 10 years and not have the client mean something to them and/or having had an impact on them. Worth discussing by all means.