Oh, I'm sorry you had a bad session!! Sometimes we just don't want to keep talking about things. That's okay to have a few sessions like that.
That sucks about the exercise/eating thing. I always hate when doctors/etc. remind me how fat I am. As if I didn't already know.
And why don't you want to go on the vacation? I know the drive is long but maybe some relaxation will be a good thing.
Oh...and good thing on getting the wife a card. Do NOT forget anniversaries....women hate that!
Hang in there, I hope things will get better for you.