The real concern may arrive late because it took time to feel safe enough to say.

The important thing often arrives at the door, once the official business is finished and everyone is standing up. That is not disorganisation. Safety accumulates across the length of a conversation, and what was too exposing at minute two has become sayable by minute forty, after nothing bad has happened. Whoever leaves first decides whether it gets said at all.

Do not rush the end of conversations that matter. Leave a pause where you would normally start gathering your things, and let it run slightly too long. With people who find talking difficult, that unhurried last minute is often the whole appointment.