I've begun to realize (and acknowledge to myself) that I dissociate in a mild way in my sessions with my therapist more than I'd like. My anxiety goes up, I can feel a buzzing in my head, and I struggle to appear as if I'm all there, even when I'm not. I think I probably carry on without her noticing, as the conversation just continues. But in the meantime, I'm not processing anything that's being said.

How do those of you who dissociate to any degree deal with it in session? If I don't write down some of the contents of our sessions immediately afterward, I seem to forget about it rapidly.