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Now as for his SYMPTOMS. You have to remember that without an emotional response he's NOT thinking about those things so no, they wouldn't be brought up in therapy. Is that wrong? Personally I've meant to create a list of things to bring up and have that to go through but again, that requires remembering to do it and the brain often blocks out what it DOESN'T want to talk about, hiding it from you.
Finally, you do mention the wrist pain as being brought up in the session. If you rewatch it, he brought it up because it was ACTIVELY happening at the time. Through out the entire scene he had been rubbing his wrist in pain and this triggered "bring this up". So if his heart rate were to increase suddenly WHILE he's talking in a session this would ALSO open up a discussion (and now I'm actually wondering if they will do it this way). With this too I have a literal case in point actually... I was in my medication appointment last month when MY watch showed that my heart rate was increasing. This triggered me to actively bring it up AND recall that there had been a few times over the past few months this has been happening more frequently. Have I had appointments since it started, yes, I just didn't have a "trigger" to make me recall the fact.
https://youtu.be/1081XJFlR_Y?si=2SY1pwwD_GdLgsm8
That said, because Esther Yu basically sounded and acted the same in the modern world I can't really see her voice and mannerisms changing much over the course of the show. After all there doesn't "seem" to be a plot so far where she would get controlled by the game/novel and have to sound/act different. IMO it's better to not be invested early on if it doesn't grab you than to keep coming back and forcing yourself just because you see other people liking the show.