I might say

So I have been seeing this therapist — the Susan — to whom I have said little about my desire to write more, to overcome my fears of being seen and not being seen.

I might say to her that sometimes the world seems so awful, that such terrible things happened and will happen and are happening, right now. And that I know I shouldn’t take it all on my shoulders but it is my job, every day, to catalogue atrocities, from a business perspective. It pays a wage that would allow me to live comfortably at home with my parents, if I hadn’t moved into a flat with the Patrick. And though I love the people I work with, and that I am good at my job, sometimes all the gallows humour in the world can’t cover how sad it all is.

And I might tell her that writing just this little bit makes me feel better.