Insurance coverage kicked in on the 1st. Had my first session this morning. We pretty much picked up where we left off, and anyone reading my posts here will have a fairly good outline of the discussion. She thought my reconnection with messy feelings regarding my symptoms and their consequences was really healthy. She agreed that I was looking at it from a clinical, philosophical perspective when we did sessions a few months ago, and that more productive progress can be made when I'm (as she said) "in the muck."
Tomorrow I have an appointment with the MD to review medication. Vyvance did nothing noticable at 30mg or 40mg. Hoping something else will make this a bit easier.