I understand, to say them or write them sometimes makes them seem like someone else's problem not your own.
Much easier to separate myself from the issues than to deal with the ones I have To own the emotion is scary as heck, no-one likes the heart pounding, the cold prickles that seem to jump up from no-where and the cold sweat of fear when you realize that something is not quite right and may never be right again.
Here, it is much easier to deal with because everything is anonymous, but with your friends, family, doctors and therapists, you have to own the problems and feelings and that is very difficult. I think that is why we are given meds, to help us loosen up our tongues but not enough to make the situation comfortable (probably much easier to get drunk and go to the counsellor, no inhibitions, just get it out, I don't drink (don't like the taste or the hangover and the mix with my meds would not be pleasant), but it would probably make things easier to discuss:))
This probably didn't help, I just wanted you to know that you are not alone.