I don't know what silence is in therapy or otherwise. I am socially anxious, but when my case manager visits or I see my pdoc, I fill up the silence with chatter about something - or nothing - because I am so lonely most of the time. It just happens automatically, even if it's just asking them a question about themselves. I trust them to take the conversation back to a therapeutic level, but they don't always. I have learned that people love to talk about themselves, and that is how I get through what few social situations I find myself in. I know it's not appropriate therapy, however, but it seems that free association talking about yourself would be appropriate and would lead to something constructive. Just a thought. billieJ