How do you tell T that you are not doing so well? I tend to be a person who clams up when I start going downhill. My last appointment I happened to mention that I'm having a hard time with daily living stuff. But I don't think she heard it. Now things in my life have become critical. All I want to do is avoid everything. What should I do? Leave a voicemail message? Write a note? I don't know. I have all this stuff in my head. But it disappears when I'm in therapy.

Confused........and......frustrated.