That's exactly what you say to your therapist. Word for word. It's hard. I've had to say some really hard things to my therapist lately and it was hard. But he helped me and I felt better for making myself talk to him.

It's not easy to jump in hard with a new therapist. When I got this one my prior one of 3.5 years left with 4 weeks notice. We had to jump in with the change except almost immediately I went into a bad hypo episode with lithium toxicity and I was off meds for a while because we couldn't figure out what was making me sick. I wound up on disability for about 6 months and all of this was before we were used to each other at all.

It sounds like you need to talk to her about what to talk about when you run out of topics. My therapist and I have been together so long we have lots to chat about when there are huge pauses or I need a break from a tough topic but back in the beginning that wasn't the case but we didn't chat and get to know each other very gradually.

The therapist is there for you. So is the pdoc. Avoiding them only makes you sicker.

You can do it. Just make the call. Then go from there. One step at a time.