Well, my personal journey through PTSD waxes and wanes. I can be quite functional, at peace and feeling confident and strong. Then, out of nowhere, I can get triggered and have a few weeks of despair, fear, anxiety, compulsions to cut, etc. I have learned that it's better to work closer with my therapist during these episodes so I don't resort to dysfunctional coping methods. It does take courage to face your fears, there's no denying that. And it takes time to build trust with your therapist. But at what cost? You're definitely distressed and your therapist can't help you if she/he doesn't know that you're struggling. PTSD does not present on a time table. Life happens randomly. It's not serving your greater good to hold onto fearing your therapist or feeling that somehow you're inferior or unworthy of extra support. Hell no, you need it now!!!! It is such a relief to share a burden. And when I'm in a scary place, I know I am self defeating. I'm much better now with being a better advocate for myself. I hope this answers your question.