can you write her a letter of some sort? or bring notes on what you want to talk about. sometimes its easier to start talking about the less serious things for a bit to get to know her better.
after four years, you probably know your old therapist really well, and you know her techniques and suggestions.... this is a chance to get another perspective and approach. it doesn't mean that the old one wasn't good, but trying something different can give you some surprise advantages and more range of tactics. its like if you're planning on being an artist, you wouldn't want to take classes and learn from just one person. you'd want to master a range of styles
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